Evidence map›Paper›PMID 38713275›Full record

SynthesisDigestive diseases and sciences2024

Trainee Involvement and ERCP Complications: A Systematic Review and Meta-Analysis.

Priyadarshini Loganathan, Babu Mohan, Abakar Baraka, Mahesh Gajendran, Shreyas Saligram, Mark Aloysius, Juan Echavarria, Hemant Goyal

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Digestive diseases and sciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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.

Priyadarshini LoganathanInternal Medicine, University Medical Associates, UT Health San Antonio, 302 West Rector, San Antonio, TX, 78216, USA. drdarshini88@gmail.com.
Babu MohanGastroenterology & Hepatology, Orlando Gastroenterology PA, Orlando, FL, USA.
Abakar BarakaLong School of Medicine, University of Texas Health Science Center, San Antonio, TX, USA.
Mahesh GajendranGastroenterology & Hepatology Division, UT Health San Antonio, San Antonio, TX, USA.
Shreyas SaligramGastroenterology & Hepatology Division, UT Health San Antonio, San Antonio, TX, USA.
Mark AloysiusGastroenterology & Hepatology, Upstate University Hospital, Syracuse, NY, USA.
Juan EchavarriaGastroenterology & Hepatology Division, UT Health San Antonio, San Antonio, TX, USA.
Hemant GoyalTherapeutic Endoscopist at Boreland Groover Downtown, Jacksonville, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTherapeutic endoscopy and gastroenterology fellows often participate in endoscopic retrograde cholangiopancreatography (ERCP) during their training period. However, it is generally feared that trainee involvement may increase ERCP-related complications, mainly because of the side-viewing nature of the endoscope and the higher risk of pancreatic duct cannulation. There is no concrete evidence to support this notion. This systematic review and meta-analysis aims to investigate the resultsof trainee participation on adverse events related to ERCP.

methodsPubMed, EMBASE, Google Scholar, SCOPUS, and Web of Science databases were searched from inception to 31 May 2023 for studies evaluating the ERCP outcomes defined as success rates, procedure time, failed attempts, and adverse events with and without trainee participation. A random effect model was used to perform the meta-analysis, and heterogeneity was assessed using the I

resultsSeven studies were included in the final analysis, including 17,088 ERCPs. The pooled odds ratio (pOR) of success rate, incomplete/failed attempts in the trainee and no trainee groups were 0.466 (95% CI 0.13 to 1.66, I

conclusionThis meta-analysis comprising of 17,088 ERCPs in seven studies demonstrated comparable ERCP outcomes related to trainee participation regarding success rates, procedure time, and adverse events. Trainees' involvement in ERCP within a proper teaching setting appears safe and does not compromise the overall procedure's success.

Indexed as

Cholangiopancreatography, Endoscopic RetrogradeClinical CompetenceGastroenterologyHumansEducationEndoscopic retrograde cholangiopancreatographyERCPFellowsProcedure safetyTrainee

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.