Evidence map›Paper›PMID 38631838›Full record

Trial reportBMJ open2024

Randomised controlled, patient-blinded, multicentre, superiority trial to evaluate the efficacy of the line-attached sheath-type traction device for endoscopic submucosal dissection in patients with superficial gastric neoplasms.

Hirofumi Abe, Tomoya Sako, Yoshinobu Yamamoto, Atsushi Ikeda, Fumiaki Kawara, Takayuki Ose, Toshitatsu Takao, Yasuaki Kitamura, Ryusuke Ariyoshi, Yoshinori Morita and 7 more

Open access · goldAbstract readMulticenter StudyRandomized Controlled TrialEquivalence Trial
In one paragraph

Trial report in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

17 authors at 11 institutions in 3 countries.

Hirofumi AbeDepartment of Internal Medicine, Division of Gastroenterology, Kobe University Graduate School of Medicine School of Medicine, Kobe, Japan abe627@med.kobe-u.ac.jp.ORCID 0000-0002-1938-330X
Tomoya SakoDepartment of Gastroenterology, Osaka Saiseikai Nakatsu Hospital, Osaka, Japan.
Yoshinobu YamamotoDepartment of Gastroenterology, Hyogo Cancer Center, Akashi, Japan.
Atsushi IkedaDepartment of Gastroenterology, Sanda City Hospital, Sanda, Japan.
Fumiaki KawaraDepartment of Gastroenterology, Konan Medical Center, Kobe, Japan.
Takayuki OseDepartment of Gastroenterology, Kitaharima Medical Center, Ono, Japan.
Toshitatsu TakaoDepartment of Internal Medicine, Division of Gastroenterology, Kobe University Graduate School of Medicine School of Medicine, Kobe, Japan.
Yasuaki KitamuraDepartment of Gastroenterology, Yodogawa Christian Hospital, Osaka, Japan.
Ryusuke AriyoshiDepartment of Gastroenterology, Hyogo Prefectural Harima-Himeji General Medical Center, Himeji, Japan.
Yoshinori MoritaDepartment of Gastroenterology, Kobe University International Clinical Cancer Research Center, Kobe, Japan.
Tsukasa IshidaDepartment of Gastroenterology, Akashi Medical Center, Akashi, Japan.
Takuya IkegawaDepartment of Gastroenterology, Japanese Red Cross Kobe Hospital, Kobe, Japan.
Ryosuke IshidaDepartment of Internal Medicine, Division of Gastroenterology, Kobe University Graduate School of Medicine School of Medicine, Kobe, Japan.
Tetsuya YoshizakiDepartment of Internal Medicine, Division of Gastroenterology, Kobe University Graduate School of Medicine School of Medicine, Kobe, Japan.
Hiroya SakaguchiDepartment of Internal Medicine, Kobe University Graduate School of Medicine School of Medicine, Kobe, Japan.
Takashi ToyonagaDepartment of Endoscopy, Kobe University Hospital, Kobe, Japan.
Yuzo KodamaDepartment of Internal Medicine, Division of Gastroenterology, Kobe University Graduate School of Medicine School of Medicine, Kobe, Japan.
Kobe University · JPAkashi Medical Center · JPHimeji Medical Center · JPHyogo Prefectural Cancer Center · JPJapanese Red Cross Kobe Hospital · JPKobe International University · JPKobe University Hospital · JPSaiseikai Nakatsu Hospital · JPSanden (Japan) · JPTokyo-Kita Medical Center · JPYodogawa Christian Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEndoTrac is a line-attached sheath-type traction device that enables us to control the direction and the force of traction during endoscopic submucosal dissection (ESD). The efficacy of EndoTrac for gastric ESD has not been fully verified. METHODS AND ANALYSIS: The G-Trac study is a multicentre (nine general hospitals and two university hospitals in Japan) collaborative trial assessing the efficacy of EndoTrac for gastric ESDs. Patients with superficial gastric neoplasms will be enrolled and randomly assigned to undergo either conventional ESD or EndoTrac ESD. Allocation will be stratified according to tumour location, operator experience and tumour diameter at an allocation rate of 1:1. The type of endoknife used will be confirmed before randomisation. The primary outcome, procedure time, will be compared between the groups in both intention-to-treat and per-protocol analyses using the Wilcoxon rank sum test. The efficacy-related, safety-related and device-related outcomes will be assessed in the secondary analysis. The planned sample size of the 142 patients in the two groups will enable us to detect a difference with a power of 80% by using the Wilcoxon rank sum test, assuming an effect size of 0.54, asymptotic relative efficiency of 0.864 and a two-sided type 1 error rate of 5%. ETHICS AND DISSEMINATION: This trial was approved by the certified review board of Kobe University (22 December 2022). The results from this trial will be disseminated through peer-review journals, presentations at national and international conferences, and data sharing with other researchers. TRIAL REGISTRATION NUMBER: jRCT1052220166.

Indexed as

Endoscopic Mucosal ResectionStomach NeoplasmsHumansJapanTractionTreatment OutcomeClinical trialsEndoscopyGastrointestinal tumours

Identifiers

PMID38631838
PMCPMC11029205
OpenAlexW4394894116

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.