Evidence map›Paper›PMID 37231649›Full record

ArticleClinical endoscopy2023

Use of abdominal compression device in colonoscopy: a systematic review and meta-analysis.

Yousaf Zafar, Ahmed Mustafa Rashid, Syed Sarmad Javaid, Ahmed Kamal Siddiqi, Adnan Zafar, Arsalan Zafar Iqbal, Jagpal Singh Klair, Rajesh Krishnamoorthi

Open access · goldAbstract read
In one paragraph

Article in Clinical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Trial
  2. Article
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  4. 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

8 authors at 6 institutions in 2 countries.

Yousaf ZafarDepartment of Medicine, University of Mississippi Medical Center, Jackson, MS, USA.
Ahmed Mustafa RashidDepartment of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan.
Syed Sarmad JavaidDepartment of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan.
Ahmed Kamal SiddiqiDepartment of Medicine, Ziauddin Medical University, Karachi, Pakistan.
Adnan ZafarDepartment of Medicine, CMH Lahore Medical College, Lahore, Pakistan.
Arsalan Zafar IqbalDepartment of Medicine, FMH Lahore Medical College, Lahore, Pakistan.
Jagpal Singh KlairDepartment of Gastroenterology, Kiaser Permanente, Bellevue, WA, USA.
Rajesh KrishnamoorthiDigestive Disease Institute, Virginia Mason Medical Center, Seattle, WA, USA.
CMH Lahore Medical College and Institute of Dentistry · PKJinnah Sindh Medical University · PKBellevue Hospital Center · USJackson Memorial Hospital · USVirginia Mason Medical Center · USZiauddin University · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimsColonoscopy for screening is associated with unpleasant experiences for patients, and abdominal compression devices have been developed to minimize these problems. However, there is a paucity of data supporting the therapeutic benefits of this strategy. This study examined the effects of using an abdominal compression device during colonoscopy on the cecal intubation time (CIT), abdominal compression, patient comfort, and postural changes.

methodsWe searched PubMed and Scopus (from inception to November 2021) for randomized controlled trials that assessed the effects of an abdominal compression device during colonoscopy on CIT, abdominal compression, patient comfort, and postural change. A random-effects meta-analysis was performed. Weighted mean differences (WMDs) and Mantel-Haenszel odds ratios (ORs) were calculated.

resultsOur pooled analysis of seven randomized controlled trials revealed that abdominal compression devices significantly reduced CIT (WMD, -0.76 [-1.49 to -0.03] minutes; p=0.04), abdominal compression (OR, 0.52; 95% confidence interval [CI], 0.28-0.94; p=0.03), and postural changes (OR, 0.46; 95% CI, 0.27-0.78; p=0.004) during colonoscopy. However, our results did not show a significant change in patient comfort (WMD, -0.48; 95% CI, -1.05 to 0.08; p=0.09) when using an abdominal compression device.

conclusionOur findings demonstrate that employing an abdominal compression device may reduce CIT, abdominal compression, and postural change but have no impact on patient comfort.

Indexed as

CecumColonoscopyEquipment and suppliesIntubation, gastrointestinal

Identifiers

PMID37231649
PMCPMC10393576
OpenAlexW4378348039

What OpenQuestion holds

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LicenceCC BY-NC
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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.