Evidence map›Paper›PMID 34788936›Full record

ArticleClinical endoscopy2021

Predictive Factors for Differentiating Gastrointestinal Stromal Tumors from Leiomyomas Based on Endoscopic Ultrasonography Findings in Patients with Gastric Subepithelial Tumors: A Multicenter Retrospective Study.

Sun Moon Kim, Eun Young Kim, Jin Woong Cho, Seong Woo Jeon, Ji Hyun Kim, Tae Hyeon Kim, Jeong Seop Moon, Jin-Oh Kim, Research Group for Endoscopic Ultrasound of the Korean Society of Gastrointestinal Endoscopy

Abstract read
In one paragraph

Article in Clinical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Sun Moon KimDepartment of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea.
Eun Young KimDepartment of Internal Medicine, Daegu Catholic University School of Medicine, Daegu, Korea.
Jin Woong ChoDepartment of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
Seong Woo JeonDepartment of Internal Medicine, Kyungpook National University Chilgok Hospital, Daegu, Korea.
Ji Hyun KimDepartment of Internal Medicine, Inje University College of Medicine, Busan, Korea.
Tae Hyeon KimDepartment of Internal Medicine, Wonkwang University College of Medicine and Hospital, Iksan, Korea.
Jeong Seop MoonDepartment of Internal Medicine, Inje University College of Medicine, Seoul, Korea.
Jin-Oh KimDepartment of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea.
Research Group for Endoscopic Ultrasound of the Korean Society of Gastrointestinal Endoscopy

Funding

Korean Society of Gastrointestinal Endoscopy
6 · The paper itself

Abstract

BACKGROUND/

aimsThe utility of endoscopic ultrasonography (EUS) for differentiating gastrointestinal stromal tumors (GISTs) and leiomyomas of the stomach is not well known. We aimed to evaluate the ability of EUS for differentiating gastric GISTs and leiomyomas.

methodsWe retrospectively reviewed the medical records of patients with histopathologically proven GISTs (n=274) and leiomyomas (n=87). In two consensus meetings, the inter-observer variability in the EUS image analysis was reduced. Using logistic regression analyses, we selected predictive factors and constructed a predictive model and nomogram for differentiating GISTs from leiomyomas. A receiver operating characteristic (ROC) curve analysis was performed to measure the discrimination performance in the development and internal validation sets.

resultsMultivariate analysis identified heterogeneity (odds ratio [OR], 9.48), non-cardia (OR, 19.11), and older age (OR, 1.06) as independent predictors of GISTs. The areas under the ROC curve of the predictive model using age, sex, and four EUS factors (homogeneity, location, anechoic spaces, and dimpling or ulcer) were 0.916 (sensitivity, 0.908; specificity, 0.793) and 0.904 (sensitivity, 0.908; specificity, 0.782) in the development and internal validation sets, respectively.

conclusionThe predictive model and nomogram using age, sex and homogeneity, tumor location, presence of anechoic spaces, and presence of dimpling or ulcer on EUS may facilitate differentiation between GISTs and leiomyomas.

Indexed as

EndosonographyGastrointestinal stromal tumorsLeiomyomaStomach

Identifiers

PMID34788936
PMCPMC8652168

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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.