Evidence map›Paper›PMID 36069336›Full record

ArticleUnited European gastroenterology journal2022

Diagnostic accuracy of pan-enteric capsule endoscopy and magnetic resonance enterocolonography in suspected Crohn's disease.

Jacob Broder Brodersen, Torben Knudsen, Jens Kjeldsen, Mie Agerbaek Juel, Søren Rafael Rafaelsen, Michael Dam Jensen

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in United European gastroenterology journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03134586 (A Comparative Study of the Diagnostic Validity of Ultrasound, Magnetic Resonance Imaging and Capsule Endoscopy of Both the Small and Large Intestine in Suspected Crohn's Disease), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
4.0field-weighted citation impact, top 5% 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.

NCT03134586 nacompletednot on this map

A Comparative Study of the Diagnostic Validity of Ultrasound, Magnetic Resonance Imaging and Capsule Endoscopy of Both the Small and Large Intestine in Suspected Crohn's Disease

TypeinterventionalSponsorEsbjerg Hospital - University Hospital of Southern DenmarkRan2016 to 2020Enrolled153ConditionsCrohn DiseaseArmsDiagnostic imaging
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
  4. Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Jacob Broder BrodersenDepartment of Internal Medicine, Section of Gastroenterology, Hospital of South West Jutland, Esbjerg, Denmark.ORCID 0000-0003-2530-7554
Torben KnudsenDepartment of Internal Medicine, Section of Gastroenterology, Hospital of South West Jutland, Esbjerg, Denmark.
Jens KjeldsenDepartment of Medical Gastroenterology, Odense University Hospital, Odense, Denmark.
Mie Agerbaek JuelDepartment of Internal Medicine, Section of Gastroenterology, Lillebaelt Hospital, Vejle, Denmark.
Søren Rafael RafaelsenDepartment of Regional Health Research, University of Southern Denmark, Odense, Denmark.
Michael Dam JensenDepartment of Internal Medicine, Section of Gastroenterology, Lillebaelt Hospital, Vejle, Denmark.
University of Southern Denmark · DKLillebaelt Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsMagnetic resonance enterocolonography (MREC) and pan-enteric capsule endoscopy (CE) offers visualization of the entire gastrointestinal tract in a single examination. We examined the diagnostic accuracy of MREC and CE in patients with suspected Crohn's disease (CD).

methodIn a prospective, blinded, multicenter study, we included patients with clinically suspected CD. Patients were examined with MREC, CE, and ileocolonoscopy (IC) within 2 weeks. The primary outcome was per patient sensitivity, specificity, and diagnostic accuracy for ileocolonic CD. IC served as reference standard.

results153 patients were included in the study and IC, MREC, and CE was performed in 152, 151, 133 patients, respectively. CD was diagnosed with IC in 59 (39%) patients (terminal ileum (TI) 22, colon 20, TI and colon 17). The sensitivity and specificity for diagnosing ileocolonic CD with MREC was 67.9% (CI 53.7-80.1) and 76.3% (CI 65.2-85.3) (TI 76.9% and 85.6%; colon 27% and 93%) compared to 87.5% (CI 73.2-95.8) and 87.8% (CI 78.2-94.3) with CE (TI 96.6% and 87.5%; colon 75.0% and 93.0%). The sensitivity of CE was superior to that of MREC (p = 0.02). The patient experienced discomfort was equal with CE and MREC and significantly less than with IC.

conclusionIn patients with suspected CD, CE has a high sensitivity for diagnosing CD in the TI and colon, which is superior to that of MREC. The sensitivity of MREC for diagnosing CD in the colon is poor. CE could be a patient-friendly alternative to IC in selected patients with suspected CD. Registered at ClinicalTrials.gov: NCT03134586.

Indexed as

Capsule EndoscopyCrohn DiseaseHumansMagnetic Resonance SpectroscopyProspective Studiescapsule endoscopyCrohn's diseasediagnostic imagingmagnetic resonance imaging

Identifiers

PMID36069336
PMCPMC9731660
OpenAlexW4294919280

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.