Evidence map›Paper›PMID 37800316›Full record

SynthesisGut and liver2024

Efficacy and Safety of Argon Plasma Coagulation for the Ablation of Barrett's Esophagus: A Systemic Review and Meta-Analysis.

Marko Kozyk, Lohith Kumar, Kateryna Strubchevska, Manan Trivedi, Margaret Wasvary, Suprabhat Giri

Open access · diamondAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Gut and liver, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 3 citations in OpenAlex.

  1. 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

6 authors at 4 institutions in 2 countries.

Marko KozykDepartment of Internal Medicine, Corewell Health William Beaumont University Hospital, Royal Oak, MI, USA.ORCID 0000-0003-4062-8911
Lohith KumarDepartment of Gastroenterology, Nizam's Institute of Medical Sciences, Hyderabad, India.ORCID 0009-0001-5640-6048
Kateryna StrubchevskaDepartment of Internal Medicine, Corewell Health William Beaumont University Hospital, Royal Oak, MI, USA.ORCID 0000-0001-8330-1180
Manan TrivediDepartment of General Surgery, KB Bhabha Hospital, Mumbai, India.ORCID 0000-0002-2514-5754
Margaret WasvaryWayne State School of Medicine, Detroit, MI, USA.ORCID 0000-0002-5458-7199
Suprabhat GiriDepartment of Gastroenterology, Nizam's Institute of Medical Sciences, Hyderabad, India.ORCID 0000-0002-9626-5243
Beaumont Hospital, Royal Oak · USNizam's Institute of Medical Sciences · INBhabha Hospital · INWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Aims: Argon plasma coagulation (APC) is an alternate ablative method to radiofrequency ablation for the treatment of Barrett's esophagus (BE), and it is preferred due to its lower cost and widespread availability. The present meta-analysis aimed to analyze the safety and efficacy of APC for the management of BE. Methods: A literature search from January 2000 to November 2022 was done for studies analyzing the outcome of APC in BE. The primary outcomes were clearance rate of intestinal metaplasia and adverse events (AE). Pooled event rates were expressed with summative statistics. Results: A total of 38 studies were included in the final analysis. The pooled event rate for clearance rate of intestinal metaplasia with APC in BE was 86.8% (95% confidence interval [CI], 83.5% to 90.2%), with high-power and hybrid APC having a higher rate compared to standard APC. The pooled incidence of AE with APC in BE was 22.5% (95% CI, 15.3% to 29.7%), without any significant difference between the subgroups, with self-limited chest pain being the commonest AE. The incidence of serious AE was only 0.4% (95% CI, 0.0% to 1.0%), while stricture development was seen only in 1.7% (95% CI, 0.9% to 2.6%) of cases. The pooled recurrence rate of BE was 16.1% (95% CI, 10.7% to 21.6%), with a significantly lower recurrence with high-power APC than standard APC. Conclusions: High-power and hybrid APC seem to have an advantage over standard APC in terms of clearance rate and recurrence rate. Further studies are required to compare the efficacy and safety of hybrid APC with standard APC and radiofrequency ablation.

Indexed as

Argon Plasma CoagulationBarrett EsophagusFemaleHumansMaleTreatment OutcomeArgon plasma coagulationBarrett esophagusIntestinal metaplasiaMeta-analysis

Identifiers

PMID37800316
PMCPMC11096916
OpenAlexW4387393009

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.