Evidence map›Paper›PMID 40111850›Full record

ArticleUnited European gastroenterology journal2025

Chronic Kidney Disease Increases Risk of Delayed Post-Polypectomy Bleeding: A Large-Scale Propensity Score-Matched Analysis.

Hye Kyung Hyun, Nak-Hoon Son, So Hyeon Gwon, Hyun Chul Lim, Jihye Park, Soo Jung Park, Jae Jun Park, Jae Hee Cheon, Tae Il Kim, Tae-Hyun Yoo and 3 more

Abstract read
In one paragraph

Article in United European gastroenterology journal, 2025. 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

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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

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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

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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

13 authors.

Hye Kyung HyunDepartment of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Nak-Hoon SonDepartment of Statistics, Keimyung University, Daegu, South Korea.
So Hyeon GwonDepartment of Statistics, Keimyung University, Daegu, South Korea.ORCID 0009-0000-6591-8291
Hyun Chul LimDepartment of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Jihye ParkDepartment of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Soo Jung ParkDepartment of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Jae Jun ParkDepartment of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Jae Hee CheonDepartment of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Tae Il KimDepartment of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.ORCID 0000-0003-4807-890X
Tae-Hyun YooDepartment of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Shin-Wook KangDepartment of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Hae-Ryong YunDepartment of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.
Cheal Wung HuhDepartment of Internal Medicine, Yongin Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea.ORCID 0000-0001-7327-8503

Funding

Korean Gastrointestinal Endoscopy Research Foundation 2024 Investigation GrantYonsei University College of Medicine 6-2022-0059Yonsei University College of Medicine 6-2023-0148
6 · The paper itself

Abstract

backgroundThe association between delayed post-polypectomy bleeding and chronic kidney disease remains unclear.

objectiveThis study investigated whether patients with chronic kidney disease are at an increased risk of delayed post-polypectomy bleeding.

methodsThis cohort study included patients who underwent colonoscopy and polypectomy in Korea between 2005 and 2022. We assessed various covariates, including patient-, polyp-, and procedure-related factors, using propensity score matching and inverse probability of treatment weighting to determine the impact of chronic kidney disease on delayed post-polypectomy bleeding risk.

resultsOut of 21,562 patients, 16,591 with 41,014 polyps were included in the analysis. Of these, 2057 (12.4%) had chronic kidney disease, with 894 in early-stage (stages 1 and 2) and 1163 in advanced-stage (stages 3-5). There were 14,534 individuals without chronic kidney disease. After propensity score matching, the risk of delayed post-polypectomy bleeding in patients with chronic kidney disease was significantly higher than that in the non-chronic kidney disease group (OR 1.80, CI 1.12-2.89, p = 0.01). The risk increased with chronic kidney disease stage (OR 2.38, 95% CI 1.01-5.64 for early stage; OR 2.80, 95% CI 1.20-6.51 for advanced stage, all p < 0.05). The results remained robust after inverse probability analysis.

conclusionsChronic kidney disease is an independent risk factor for delayed post-polypectomy bleeding, even in the early stages. The risk correlates with the chronic kidney disease stage. Meticulous attention is imperative during polypectomy for all patients with chronic kidney disease, including those in the early stages.

Indexed as

Colonic PolypsColonoscopyGastrointestinal HemorrhagePostoperative HemorrhageRenal Insufficiency, ChronicAgedFemaleHumansMaleMiddle AgedPropensity ScoreRepublic of KoreaRetrospective StudiesRisk FactorsTime Factorsbleeding risk factorschronic kidney diseasecolonoscopydelayed post‐polypectomy bleedingpolypectomypropensity score matching

Identifiers

PMID40111850
PMCPMC12188375

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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.