Evidence map›Paper›PMID 37170280›Full record

ArticleTrials2023

The effectiveness of a computer-aided system in improving the detection rate of gastric neoplasm and early gastric cancer: study protocol for a multi-centre, randomized controlled trial.

Zehua Dong, Yijie Zhu, Hongliu Du, Junxiao Wang, Xiaoquan Zeng, Xiao Tao, Ting Yang, Jiamin Wang, Mei Deng, Jun Liu and 2 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06361472 (A Two-Center, Investigator-Blinded, Randomized, 4-Week, Parallel-Group, Superiority Study Comparing Contextual Factors-Enriched Standard Care Versus Standard Care Only for Patients With Mechanical Neck Pain), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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.

NCT06361472 narecruitingnot on this mapstarted 2024, after this paper: background citation

A Two-Center, Investigator-Blinded, Randomized, 4-Week, Parallel-Group, Superiority Study Comparing Contextual Factors-Enriched Standard Care Versus Standard Care Only for Patients With Mechanical Neck Pain (ContextualizAR Trial)

TypeinterventionalSponsorUniversidad Nacional de la MatanzaRan2024 to 2027Enrolled94ConditionsNeck PainArmsStandard Care, Contextual Factors
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  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

12 authors at 1 institution in 1 country.

Zehua DongDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Yijie ZhuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Hongliu DuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Junxiao WangDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Xiaoquan ZengDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Xiao TaoDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Ting YangDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Jiamin WangDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Mei DengDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Jun LiuDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Lianlian Wu *Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. wu_leanne@163.com.
Honggang Yu *Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, China. yuhonggang1968@163.com.ORCID http://orcid.org/0000-0002-1882-7060
Wuhan University · CN

Funding

Artificial Intelligence Application Demonstration Scenario Project Wuhan 2022YYCJ01National Natural Science Foundation of China-Youth Science Fund 82202257Special projects for knowledge innovation of Wuhan 2022020801020482
6 · The paper itself

Abstract

backgroundThis protocol is for a multi-centre randomised controlled trial to determine whether the computer-aided system ENDOANGEL-GC improves the detection rates of gastric neoplasms and early gastric cancer (EGC) in routine oesophagogastroduodenoscopy (EGD).

methodsStudy design: Prospective, single-blind, parallel-group, multi-centre randomised controlled trial. SETTINGS: The computer-aided system ENDOANGEL-GC was used to monitor blind spots, detect gastric abnormalities, and identify gastric neoplasms during EGD.

participantsAdults who underwent screening, diagnosis, or surveillance EGD. Randomisation groups: 1. Experiment group, EGD examinations with the assistance of the ENDOANGEL-GC; 2. Control group, EGD examinations without the assistance of the ENDOANGEL-GC. RANDOMISATION: Block randomisation, stratified by centre. PRIMARY OUTCOMES: Detection rates of gastric neoplasms and EGC. SECONDARY OUTCOMES: Detection rate of premalignant gastric lesions, biopsy rate, observation time, and number of blind spots on EGD. BLINDING: Outcomes are undertaken by blinded assessors. SAMPLE SIZE: Based on the previously published findings and our pilot study, the detection rate of gastric neoplasms in the control group is estimated to be 2.5%, and that of the experimental group is expected to be 4.0%. With a two-sided α level of 0.05 and power of 80%, allowing for a 10% drop-out rate, the sample size is calculated as 4858. The detection rate of EGC in the control group is estimated to be 20%, and that of the experiment group is expected to be 35%. With a two-sided α level of 0.05 and power of 80%, a total of 270 cases of gastric cancer are needed. Assuming the proportion of gastric cancer to be 1% in patients undergoing EGD and allowing for a 10% dropout rate, the sample size is calculated as 30,000. Considering the larger sample size calculated from the two primary endpoints, the required sample size is determined to be 30,000. DISCUSSION: The results of this trial will help determine the effectiveness of the ENDOANGEL-GC in clinical settings.

trial registrationChiCTR (Chinese Clinical Trial Registry), ChiCTR2100054449, registered 17 December 2021.

Indexed as

COVID-19Stomach NeoplasmsAdultComputersHumansMulticenter Studies as TopicPilot ProjectsProspective StudiesRandomized Controlled Trials as TopicSARS-CoV-2Single-Blind MethodTreatment OutcomeArtificial intelligenceEarly gastric cancerRandomised controlled trial

Identifiers

PMID37170280
PMCPMC10176798
OpenAlexW4376128506

What OpenQuestion holds

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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.