ArticleBMJ open gastroenterology2024
Exploring the feasibility of home-delivered capsule endoscopy with 5G support: innovations and carbon footprint insights.
Article in BMJ open gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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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.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Patient-Level Predictors of Procedural Success in Colon Capsule Endoscopy: A Systematic Review and Meta-Analysis.Journal of gastroenterology and hepatology · 2026Pooled it
- Environmental footprint of gastrointestinal endoscopy services: a systematic review.Endoscopy · 2026Pooled it
- Follow-up endoscopy rates as an indicator of effectiveness in colon capsule endoscopy: a systematic review and meta-analysis.BMJ open gastroenterology · 2025Pooled it
- Conference Report: The FutuRE oF MinimalLy InvasivE GI and Capsule DiagnosTics (REFLECT), September 2025.Diagnostics (Basel, Switzerland) · 2026Article
- Telemedicine and 5G Technologies: A Systematic Global Review of Applications over the Past Decade.Bioengineering (Basel, Switzerland) · 2026Review
- Impact of Teleconsultation before Endoscopic Submucosal Dissection on Quality of Care and Environmental Sustainability: A French Multicenter Study.Endoscopy international open · 2026Article
- Prospective, Multicentre Feasibility Study of Remote Colon Capsule Endoscopy Using the OMOM CC100 System.Diagnostics (Basel, Switzerland) · 2025Article
- Comment on Altobelli et al. Colon Capsule Endoscopy as a Promising Diagnostic Tool in Colorectal Cancer: A Systematic Review and Network Meta-Analysis.Diagnostics (Basel, Switzerland) · 2025Article
- At-Home Urea Breath Testing Demonstrates Increased Patient Uptake, High Satisfaction Rates, and Reduction in Carbon Emission Due to Eliminated Hospital Attendances, While Maintaining Diagnostic Accuracy forJournal of clinical medicine · 2025Article
- The Future of Minimally Invasive GI and Capsule Diagnostics (REFLECT), October 2024.Diagnostics (Basel, Switzerland) · 2025Article
- Evaluation of Colon Capsule Utilisation in Europe-CAPTURE EU Survey Findings.Journal of clinical medicine · 2024Article
- Marking 25 years of capsule endoscopy: from bold innovation to enduring legacy.Therapeutic advances in gastrointestinal endoscopyArticle
- Systematic meta-review: diagnostic accuracy of colon capsule endoscopy for colonic neoplasia with umbrella meta-analysis.Therapeutic advances in gastrointestinal endoscopyArticle
Corrections and comments
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionColorectal cancer (CRC) poses a significant global health threat, necessitating early detection. Traditional diagnostic tools like optical colonoscopy have limitations prompting our '5G-SUCCEEDS' initiative to explore a novel approach involving remote colon capsule endoscopy (CCE).
methodsThis prospective feasibility study was conducted at a single hospital in England. Between December 2022 and September 2023, we introduced a remote CCE service within the 5G-SUCCEEDS framework. We undertook a feasibility study of CCE in patients with low-risk/moderate-risk CRC stratified by faecal haemoglobin. Outcomes included carbon footprint analysis (outlined through three potential clinical pathways) and patient-reported outcomes through structured questionnaires and interviews.
resultsAmong 25 participants, 88% expressed satisfaction with remote CCE. 82% were willing to have remote CCE if clinically indicated in future. CCE findings included adenomatous polyps (58%), normal results (17%) and diverticulosis (21%), with no cancers identified in this pilot. Notably, we found that the carbon footprint associated with delivery of CCE at home (pathway 3) was lower compared with CCE delivered in a clinical setting (pathway 2). A fully optimised, automated scaled-up pathway would combine the delivery and collection of CCE equipment within a local area to reduce the carbon footprint of the travel element by 75%. Moreover, the conversion rate into a colonoscopy pathway is not static and clinicians acknowledge that this could be as low as 28%. Carbon footprint is more favourable for home-delivered CCE in the optimised scenario, while less so when considering the need for additional procedures (colonoscopy conversion).
conclusionThe 5G-SUCCEEDS initiative highlights the feasibility and advantages of home-based diagnostics using CCE.
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