Evidence map›Paper›PMID 37851759›Full record

Trial reportRevista do Colegio Brasileiro de Cirurgioes2023

Polyp detection in the cecum and ascending colon by dye based chromoendoscopy - Is its routine use justified?

Rodrigo Almeida Paiva, Fabio Lopes Queiroz, Paulo Rocha França Neto, Breno Xaia Martins DA Costa, Lucas Alves Bessa Cardoso, Daniel Mauricio Londoño Estrada, Felipe Ferreira DA Mota, Antônio Lacerda Filho

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Revista do Colegio Brasileiro de Cirurgioes, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 31% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 1 institution in 1 country.

Rodrigo Almeida Paiva- Hospital Felicio Rocho, Coloproctologia - Belo Horizonte - MG - Brasil.ORCID http://orcid.org/0000-0001-8955-8112
Fabio Lopes Queiroz- Hospital Felicio Rocho, Coloproctologia - Belo Horizonte - MG - Brasil.ORCID http://orcid.org/0000-0002-5061-9552
Paulo Rocha França Neto- Hospital Felicio Rocho, Coloproctologia - Belo Horizonte - MG - Brasil.ORCID http://orcid.org/0000-0001-6945-3401
Breno Xaia Martins DA Costa- Hospital Felicio Rocho, Coloproctologia - Belo Horizonte - MG - Brasil.ORCID http://orcid.org/0000-0001-5739-6219
Lucas Alves Bessa Cardoso- Hospital Felicio Rocho, Coloproctologia - Belo Horizonte - MG - Brasil.ORCID http://orcid.org/0000-0003-4311-3147
Daniel Mauricio Londoño Estrada- Hospital Felicio Rocho, Coloproctologia - Belo Horizonte - MG - Brasil.ORCID http://orcid.org/0000-0002-2241-4509
Felipe Ferreira DA Mota- Hospital Felicio Rocho, Coloproctologia - Belo Horizonte - MG - Brasil.ORCID http://orcid.org/0009-0009-4830-3741
Antônio Lacerda Filho- Hospital Felicio Rocho, Coloproctologia - Belo Horizonte - MG - Brasil.ORCID http://orcid.org/0000-0003-0789-7626
Hospital Felício Rocho · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductioncolonoscopy is the best method for detecting polyps, with a reduction in colorectal cancer mortality of 29% and reaching 47% for distal tumors. However, it fails to demonstrate a significant reduction in proximal colon cancer mortality, and is the most common segment with interval neoplasm. The present study aimed to evaluate the impact on detection of polyps of a second sequential evaluation of cecum and ascending colon, with or without the use of indigo carmine chromoendoscopy.

methodsprospective, non-randomized clinical trial. Patients were divided into two groups. The first (G1) underwent a routine colonoscopy, followed by a second endoscopy assessment of ascending colon and cecum. The second group (G2) underwent a routine colonoscopy, followed by a second assessment of the ascending colon and cecum with indigo carmine chromoendoscopy.

resultsIn total, 203 patients were analyzed, 101 in the G1 and 102 in the G2. Newer polyps were identified in both groups after the second assessment with a significantly higher number of polyps detected in the patients in the G2 (p=0.0001). The number of patients who had at least one polyp in the two endoscopic assessments was significantly higher in the G2 (53 or 52% vs 27 or 26.7%, p=0.0002). In the second endoscopic assessment, the number of polyps found was also significantly higher in the G2 (50 or 76.9%) compared to the G1 (15 or 23.1%), p<0.0001.

conclusionsthe second assessment with dye-based chromoendoscopy increases the detection of polyps in the ascending colon and cecum.

Indexed as

AdenomaColonic PolypsCecumColon, AscendingColonoscopyHumansIndigo CarmineProspective StudiesIndigo Carmine

Identifiers

PMID37851759
PMCPMC10519701
OpenAlexW4387623068

What OpenQuestion holds

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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.