Evidence map›Paper›PMID 34945741›Full record

ArticleJournal of personalized medicine2021

Diagnostic Accuracy of Computed Tomography for the Prediction of the Need for Laparotomy for Traumatic Hollow Viscus Injury: Systematic Review and Meta-Analysis.

Cheng-Chieh Hsia, Chen-Yu Wang, Jen-Fu Huang, Chih-Po Hsu, Ling-Wei Kuo, Chun-Hsiung Ouyang, Chien-Hung Liao, Huan-Wu Chen

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of personalized medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

8 authors.

Cheng-Chieh HsiaDepartment of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang j-F Gung University, Taoyuan 33328, Taiwan.
Chen-Yu WangDepartment of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang j-F Gung University, Taoyuan 33328, Taiwan.
Jen-Fu HuangDepartment of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang j-F Gung University, Taoyuan 33328, Taiwan.
Chih-Po HsuDepartment of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang j-F Gung University, Taoyuan 33328, Taiwan.
Ling-Wei KuoDepartment of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang j-F Gung University, Taoyuan 33328, Taiwan.ORCID 0000-0001-6489-3723
Chun-Hsiung OuyangDepartment of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang j-F Gung University, Taoyuan 33328, Taiwan.
Chien-Hung LiaoDepartment of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang j-F Gung University, Taoyuan 33328, Taiwan.
Huan-Wu ChenDepartment of Medical Imaging & Intervention, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine 5 Fu-Hsing Street, Gueishan, Taoyuan 33305, Taiwan.

Funding

Linkou Chang Gung Memorial Hospital CMRPG1K0091Linkou Chang Gung Memorial Hospital CMRPG1K0191
6 · The paper itself

Abstract

backgroundTraumatic hollow viscus injury (THVI) is one of the most difficult challenges in the trauma setting. Computed tomography (CT) is the most common modality used to diagnose THVI; however, various performance outcomes of CT have been reported. We conducted a systematic review and meta-analysis to analyze how precise and reliable CT is as a tool for the assessment of THVI.

methodA systematic review and meta-analysis were conducted on studies on the use of CT to diagnose THVI. Publications were retrieved by performing structured searches in databases, review articles and major textbooks. For the statistical analysis, summary receiver operating characteristic (SROC) curves were constructed using hierarchical models.

resultsSixteen studies enrolling 12,514 patients were eligible for the final analysis. The summary sensitivity and specificity of CT for the diagnosis of THVI were 0.678 (95% CI: 0.501-0.809) and 0.969 (95% CI: 0.920-0.989), respectively. The summary false positive rate was 0.031 (95% CI 0.011-0.071).

conclusionIn this meta-analysis, we found that CT had indeterminate sensitivity and excellent specificity for the diagnosis of THVI.

Indexed as

computed tomographydiagnostic accuracymeta-analysissystematic reviewtraumatic bowel injurytraumatic hollow viscus injury

Identifiers

PMID34945741
PMCPMC8708608

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.