Evidence map›Paper›PMID 35820825›Full record

ArticleBMC gastroenterology2022

Establishment and evaluation of a nomogram predicting risks of missed diagnoses of colorectal polyps.

Xiaobo Wang, Haiyang Guo, Yong Tang, Lin Chen, Xianfei Wang

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2022. 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
0.2field-weighted citation impact, top 46% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Trial
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

5 authors at 1 institution in 1 country.

Xiaobo WangDepartment of Gastroenterology, Shunqing District, Affiliated Hospital of North Sichuan Medical College, No.1 South Maoyuan Road, Nanchong City, 637000, Sichuan, China.
Haiyang GuoDepartment of Gastroenterology, Shunqing District, Affiliated Hospital of North Sichuan Medical College, No.1 South Maoyuan Road, Nanchong City, 637000, Sichuan, China.
Yong TangDepartment of Gastroenterology, Shunqing District, Affiliated Hospital of North Sichuan Medical College, No.1 South Maoyuan Road, Nanchong City, 637000, Sichuan, China.
Lin ChenDepartment of Gastroenterology, Shunqing District, Affiliated Hospital of North Sichuan Medical College, No.1 South Maoyuan Road, Nanchong City, 637000, Sichuan, China.
Xianfei WangDepartment of Gastroenterology, Shunqing District, Affiliated Hospital of North Sichuan Medical College, No.1 South Maoyuan Road, Nanchong City, 637000, Sichuan, China. 2750853458@qq.com.
Affiliated Hospital of North Sichuan Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA missed diagnosis of colorectal polyps during colonoscopy may be associated with the occurrence of interval colorectal cancer. The risk factors for a missed diagnosis or a method to predict the risk of a missed diagnosis of colorectal polyps during colonoscopy remain unidentified.

methodsThe clinical data of patients who underwent two colonoscopies within three months at the Affiliated Hospital of North Sichuan Medical College between February 2017 and August 2019 were retrospectively reviewed. Independent risk factors for missed diagnoses were identified, and a nomogram was established to predict the risk of missed diagnoses. The prediction performance of the nomogram was evaluated using C-index and calibration curves, and its clinical application value was assessed using the Youden index and decision curve analysis.

resultsIndependent influencing factors for missed diagnoses included age, endoscopist experience, bowel preparation, retroflected view, withdrawal time, number of polyps in the right colon, and number of polyps ≥ 6 mm. The C-index of the nomogram in the training and validation cohorts was 0.763 (95% confidence interval [CI]: 0.724 - 0.807) and 0.726 (95%CI: 0.657 - 0.794), respectively. The optimal cut-off value of the nomogram calculated using the Youden index was 152.2 points. Under the cut-off value, the sensitivity, specificity, positive predictive value, and negative predictive value were 67.1%, 75.7%, 45.8%, and 88.2%, respectively, in the training cohort, and 57.1%, 79.9%, 53.3%, and 82.3%, respectively, in the validation cohort.

conclusionsThe nomogram provides a reference value for clinicians to analyse the risk of a missed diagnosis of colorectal polyps in individuals, identify high-risk groups, and formulate appropriate follow-up strategies.

Indexed as

Colonic PolypsNomogramsColonoscopyHumansMissed DiagnosisRetrospective StudiesColorectal cancerColorectal polypsMissed diagnosis of polypsNomogramRisk prediction model

Identifiers

PMID35820825
PMCPMC9277885
OpenAlexW4285094828

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.