Evidence map›Paper›PMID 34706489›Full record

ArticleClinical endoscopy2022

Laser-cut-type versus braided-type covered self-expandable metallic stents for distal biliary obstruction caused by pancreatic carcinoma: a retrospective comparative cohort study.

Koh Kitagawa, Akira Mitoro, Takahiro Ozutsumi, Masanori Furukawa, Yukihisa Fujinaga, Kenichiro Seki, Norihisa Nishimura, Yasuhiko Sawada, Kosuke Kaji, Hideto Kawaratani and 5 more

Open access · goldAbstract read
In one paragraph

Article in Clinical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 1 institution in 1 country.

Koh KitagawaDepartment of Gastroenterology, Nara Medical University, Nara, Japan.
Akira MitoroDepartment of Gastroenterology, Nara Medical University, Nara, Japan.
Takahiro OzutsumiDepartment of Gastroenterology, Nara Medical University, Nara, Japan.
Masanori FurukawaDepartment of Gastroenterology, Nara Medical University, Nara, Japan.
Yukihisa FujinagaDepartment of Gastroenterology, Nara Medical University, Nara, Japan.
Kenichiro SekiDepartment of Gastroenterology, Nara Medical University, Nara, Japan.
Norihisa NishimuraDepartment of Gastroenterology, Nara Medical University, Nara, Japan.
Yasuhiko SawadaDepartment of Gastroenterology, Nara Medical University, Nara, Japan.
Kosuke KajiDepartment of Gastroenterology, Nara Medical University, Nara, Japan.
Hideto KawarataniDepartment of Gastroenterology, Nara Medical University, Nara, Japan.
Hiroaki TakayaDepartment of Gastroenterology, Nara Medical University, Nara, Japan.
Kei MoriyaDepartment of Gastroenterology, Nara Medical University, Nara, Japan.
Tadashi NamisakiDepartment of Gastroenterology, Nara Medical University, Nara, Japan.
Takemi AkahaneDepartment of Gastroenterology, Nara Medical University, Nara, Japan.
Hitoshi YoshijiDepartment of Gastroenterology, Nara Medical University, Nara, Japan.
Nara Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsCovered self-expandable metallic stents (CMSs) are widely used for malignant distal biliary obstructions (MDBOs) caused by pancreatic carcinoma. This study compared the efficacy and safety of the laser-cut-type and braided-type CMSs.

methodsTo palliate MDBOs caused by pancreatic carcinoma, the laser-cut-type CMSs was used from April 2014 to March 2017, and the braided-type CMSs was used from April 2017 to March 2019. The tested self-expandable metallic stents were equipped with different anti-migration systems.

resultsIn total, 47 patients received CMSs for MDBOs (24 laser-cut type, 23 braided-type). The time to recurrent biliary obstruction (TRBO) was significantly longer in the braided-type CMSs (p=0.0008), and the median time to stent dysfunction or patient death was 141 and 265 days in the laser-cut-type CMSs and braided-type CMSs, respectively (p=0.0023). Stent migration was the major cause of stent dysfunction in both groups, which occurred in 37.5% of the laser-cut-type CMSs and 13.0% of the braidedtype CMSs. There were no differences in the survival duration between the groups.

conclusionThe TRBO was significantly longer for the braided-type CMSs with an anti-migration system than for the laser-cuttype. Stent migration tended to be less frequent with the braided-type CMSs than with the laser-cut-type CMSs.

Indexed as

Adverse effectsBiliary tractSelf-expandable metallic stents

Identifiers

PMID34706489
PMCPMC9178141
OpenAlexW3210412677

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.