Evidence map›Paper›PMID 39803665›Full record

ArticleAmerican journal of cancer research2024

Endoscopic submucosal dissection for superficial ultra-low rectal tumors: outcomes and predictive factors for procedure difficulty.

Yinxin Wu, Yanqin Xu, Haiyan Lin, Xiaolu Lin, Wanyin Deng, Wei Liang, Qing Lin

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of cancer research, 2024. 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
–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

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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. 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

7 authors.

Yinxin WuDepartment of Digestive Endoscopy, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University Fuzhou 350001, Fujian, China.
Yanqin XuDepartment of Digestive Endoscopy, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University Fuzhou 350001, Fujian, China.
Haiyan LinDepartment of Digestive Endoscopy, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University Fuzhou 350001, Fujian, China.
Xiaolu LinDepartment of Digestive Endoscopy, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University Fuzhou 350001, Fujian, China.
Wanyin DengDepartment of Digestive Endoscopy, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University Fuzhou 350001, Fujian, China.
Wei LiangDepartment of Digestive Endoscopy, Fujian Provincial Hospital, Shengli Clinical Medical College of Fujian Medical University Fuzhou 350001, Fujian, China.
Qing LinDepartment of Ultrasound, The Second People's Hospital, Fujian University of Traditional Chinese Medicine Fuzhou 350003, Fujian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUltra-low rectal endoscopic submucosal dissection (ESD) presents technical challenges due to anatomical features. The objective of this research was to determine the risk factors linked to unsuccessful curative resections and to create a nomogram predictive model to assess the likelihood of encountering technical challenges.

methodsPatients with ultra-low rectal tumors received ESD form June 2017 to December 2022 were retrospectively enrolled. An ESD procedure exceeding 30 min was deemed difficult. A logistic regression analysis was performed to pinpoint important factors and predictors. The effectiveness of the nomogram, which incorporated the identified predictors, was evaluated by employing receiver operating characteristic (ROC) curves, calibration plots, and decision curve analysis (DCA).

resultsA total of 300 patients with ultra-low rectal tumors were enrolled, with a curative resection rate of 82.0%. Multivariate logistic regression revealed that poor lifting sign (OR = 3.282,

conclusionsPoor lifting sign, LST-NG and procedure time ≥ 60 min were associated with non-curative resection for ultra-low rectal ESD. By including factors such as tumor size, location, and the operator's experience with ESD, the nomogram can predict the complexity of the procedure before surgery.

Indexed as

endoscopic submucosal dissectionnomogramnon-curative resectiontechnical difficultyUltra-low rectal tumor

Identifiers

PMID39803665
PMCPMC11711545

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