Evidence map›Paper›PMID 37605011›Full record

Trial reportSurgical endoscopy2023

Radiofrequency ablation versus hybrid argon plasma coagulation in Barrett's esophagus: a prospective randomised trial.

Mate Knabe, Jens Wetzka, Lukas Welsch, Johannes Richl, Florian Michael, Sandra Blößer, Myriam Heilani, Holger Kronsbein, Andrea May

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 3% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Article
  5. Review
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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

9 authors at 3 institutions in 1 country.

Mate KnabeDepartment of Gastroenterology, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany. Mate.Knabe@kgu.de.ORCID http://orcid.org/0000-0003-2445-6099
Jens WetzkaDepartment of Medicine I, Asklepios Paulinen Klinik Wiesbaden, Wiesbaden, Germany.
Lukas WelschDepartment of Gastroenterology, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.
Johannes RichlDepartment of Gastroenterology, Sana Klinikum GmbH Offenbach, Offenbach, Germany.
Florian MichaelDepartment of Gastroenterology, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.
Sandra BlößerDepartment of Medicine I, Asklepios Paulinen Klinik Wiesbaden, Wiesbaden, Germany.
Myriam HeilaniDepartment of Gastroenterology, Goethe University Frankfurt, University Hospital, Frankfurt am Main, Germany.
Holger KronsbeinDepartment of Gastroenterology, Facility Bielefeld-Bethel, University Hospital Ostwestfalen-Lippe, Bielefeld, Germany.
Andrea MayDepartment of Medicine I, Asklepios Paulinen Klinik Wiesbaden, Wiesbaden, Germany.
Goethe University Frankfurt · DEAsklepios · DESana Klinikum Offenbach · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRadiofrequency ablation (RFA) and hybrid argon plasma coagulation (H-APC) are established thermal ablation techniques for eradicating Barrett's esophagus after endoscopic resection. This study aimed to compare RFA with H-APC in relation to safety, effectiveness and eradication rates.

methodsAfter endoscopic resection, patients were randomly assigned to H-APC or RFA. A simplified H-APC technique was applied at 60 W. RFA was used with a 90° focal catheter and a simplified protocol of 12 J/cm

resultsOne hundred and one patients were finally included in the study (RFA N = 47, H-APC N = 54). The median follow-up period for short-term was 6.0 (CI 5.4-6.9) months and for long term 21 (CI 19.2.5-22.7) months. In total 211 ablations were performed. The eradication rates after long-term follow-up were 74.2% in the RFA group and 82.9% in the H-APC group. Post-interventional pain was significantly greater in the RFA group, with a mean score of 4.56/10 and duration of 7.54 days, in comparison with a mean score of 2.07/10 over 3.59 days in the H-APC group. Stenoses requiring intervention were noted in 3.7% of patients in the H-APC arm and 14.9% of those in the RFA arm.

conclusionsBoth ablation techniques have good results in relation to the eradication rate, with a slightly better outcome in the H-APC group. The severity and duration of pain were significantly greater in the RFA group.

Indexed as

Barrett EsophagusCatheter AblationRadiofrequency AblationArgon Plasma CoagulationEsophagoscopyHumansProspective StudiesTreatment OutcomeBarrettHybrid argon-plasma-coagulationRadiofrequency ablation

Identifiers

PMID37605011
PMCPMC10520130
OpenAlexW4386033423

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.