Evidence map›Paper›PMID 35728817›Full record

ArticleBJGP open2022

A novel digital rectoscope for the triage of lower gastrointestinal symptoms in primary care: a prospective multicentre feasibility study.

James Lewis, Alan Askari, Arihant Mehta, Yasmin Razak, Prash Patel, Ravi Misra, Henry Tilney, Tanveer Ahmed, Mooyad Ahmed, Adnan Syeed and 3 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BJGP open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 41% 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.

NCT05043363 completednot on this map

LumenEye During CovID-19 (LuCID Study)

TypeobservationalSponsorImperial College LondonRan2020 to 2021Enrolled114ConditionsBowel Cancer, Bowel Diseases, Inflammatory, Rectal BleedingArmsLumenEye X1 digital rectoscope
NCT07341126 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Surveillance Digital Rectoscopy After Local Excision of Rectal Tumours

TypeobservationalSponsorUniversity of EdinburghRan2026 to 2027Enrolled30ConditionsBowel Cancer, Polyp Rectal, Rectal Cancer, Rectal AdenocarcinomaArmsLumenEye X1 digital rectoscope
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
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

13 authors at 12 institutions in 4 countries.

James LewisClinical Research Fellow, Imperial College Healthcare NHS Trust, London, UK.
Alan AskariClinical Research Fellow, St Mark's Hospital, London, UK.
Arihant MehtaMedical Student, School of Medicine, King's College London, London, UK.
Yasmin RazakGP, The Golborne Medical Centre, London, UK.
Prash PatelGP, Magnolia House Practice, Ascot, UK.
Ravi MisraConsultant Gastroenterologist, St Mark's Hospital, London, UK.
Henry TilneyConsultant Colorectal and Robotic Surgeon, Frimley Park Hospital, London, UK.
Tanveer AhmedGP, Shifa Surgery, Blackburn, UK.
Mooyad AhmedConsultant General Surgeon, East Lancashire Hospitals NHS Trust, London, UK.
Adnan SyeedGP, Forth Medical Group, Forth Valley, UK.
John Camilleri-BrennanConsultant General and Colorectal Surgeon, Forth Valley Royal Hospital, Forth Valley, UK.
Ralph John NichollsVisiting Professor in Colorectal Surgery, Department of Biosurgery and Surgical Technology, Imperial College London, London, UK.
James Macalister KinrossConsultant Colorectal Surgeon, Imperial College Healthcare NHS Trust, London, UK j.kinross@imperial.ac.uk.ORCID https://orcid.org/0000-0002-0427-7643
Imperial College Healthcare NHS Trust · GBColorectal Surgical Associates · USDar Al-Shifa Hospital · PSForth Valley Royal Hospital · GBFrimley Park Hospital · GBGoa Medical College · INKing's College London · GBMarymount University · USNHS Forth Valley · GBSouthern Arkansas University · USSt Mark's Hospital · GBSt. Mark's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to community rectoscopy might help to ease the burden on hospital services and reduce costs for the NHS. To assess this, a prospective multicentre observational phase I feasibility study of a novel digital rectoscope and telestration software for the triage of lower gastrointestinal (GI) symptoms was undertaken.

aimTo determine if digital rectoscopy is feasible, acceptable, and clinically safe. DESIGN &

settingEvaluation of clinician case reports and patient questionnaires from patients recruited from five primary care centres.

methodAdults meeting 2-week wait (2WW) criteria for suspected lower GI cancer, suspected new diagnosis, or flare-up of inflammatory bowel disease (IBD) were enrolled. Examinations were performed by primary care practitioners using the LumenEye rectoscope. The CHiP platform allowed immediate remote review by secondary care. A prospective analysis was performed of patient and clinician experiences, diagnostic accuracy, and cost.

resultsA total of 114 patients were recruited and 110 underwent the procedure (46 [42%] females and 64 [58%] males). No serious adverse events were reported. Eighty-two (74.5%) patients reported that examination was more comfortable than expected, while 104 (94.5%) felt the intervention was most convenient if delivered in the community. Clinicians were confident of their assessment in 100 (87.7%) examinations. Forty-eight (42.1%) patients subsequently underwent colonoscopy, flexible sigmoidoscopy, or computed tomography virtual colonoscopy (CTVC). The overall sensitivity and specificity of LumenEye in identifying rectal pathology was 90.0% and 88.9%. It was 100% and 100% for cancer, and 83.3% and 97.8% for polyps. Following LumenEye examination, 19 (17.3%) patients were discharged, with projected savings of 11 305 GBP.

conclusionDigital rectoscopy in primary care is safe, acceptable, and can reduce referrals. A phase III randomised controlled trial is indicated to define its utility in reducing the burden on hospital diagnostic services.

Indexed as

colorectalCOVID-19endoscopyfamily practicegeneral practicerectoscopy

Identifiers

PMID35728817
PMCPMC9680743
OpenAlexW4283271837

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.