Evidence map›Paper›PMID 40919932›Full record

ArticleInternational journal of surgery (London, England)2026

Validation of a clinical scoring model and proposal of a classification system to guide endoscopic resection strategies for cardial submucosal tumors.

Zi-Han Geng, Min-Yue Wan, Meng-Jiang He, Pei-Yao Fu, Yan Zhu, Zhuang-Zhuang Li, Lin Huang, Zhi-Bin Jiang, Jin-Ning Chen, Yao-Gang Liu and 7 more

Abstract readValidation StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of surgery (London, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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.

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.

Zi-Han GengDepartment of Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.
Min-Yue WanDepartment of Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.
Meng-Jiang HeDepartment of Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.
Pei-Yao FuDepartment of Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.
Yan ZhuDepartment of Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.
Zhuang-Zhuang LiDepartment of Pediatric Gastroenterology, the First Affiliated Hospital of Xinxiang Medical University, Henan, China.
Lin HuangDepartment of Gastroenterology, Affiliated Maternity and Child Healthcare Hospital of Nantong University, Nantong, Jiangsu, China.
Zhi-Bin JiangGastroenterology and Endoscopy Center, Puning Overseas Chinese Hospital, Guangdong, China.
Jin-Ning ChenGastroenterology and Endoscopy Center, Henan Province Puyang People's Hospital, Henan, China.
Yao-Gang LiuDepartment of General Surgery, the Third People's Hospital of Henan, Henan, China.
Hui-Bin DingDepartment of Gastroenterology, Puyang Qingfeng County Central Hospital, Henan, China.
Ying-Jian YeDepartment of Gastroenterology, the First People's Hospital of Xiangyang, Hubei University of Medicine, Hubei, China.
Zhe WangDepartment of Gastroenterology, Shangqiu Central Hospital, Henan, China.
Lin NieDepartment of Gastroenterology, the Second Affiliated Hospital of Anhui Medical University, Anhui, China.
Quan-Lin LiDepartment of Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID 0000-0002-9108-8786
Ping-Hong ZhouDepartment of Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.
Jing-Zheng LiuDepartment of Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsA scoring model was proposed to support endoscopic decision-making for cardial submucosal tumors (SMTs). The aim of this study is to perform a multicenter validation of the clinical scoring model and to introduce a new clinical classification system for cardial SMTs.

methodsA multicenter analysis of endoscopic decision-making for cardial SMTs was conducted. Individual data on patient characteristics, lesion features, and resection outcomes were collected to validate a clinical scoring model designed to guide endoscopic resection strategies. In addition, a novel classification system for cardial SMTs is proposed to support standardized assessment and treatment planning.

resultsThe scoring model and classification system achieved AUCs of 0.815 (95% CI: 0.748-0.881) and 0.809 (95% CI: 0.748-0.870), respectively. DeLong's test showed no significant difference between them ( P = 0.885).

conclusionsThe scoring model and the classification system for cardial SMTs may provide clinicians with a practical reference for making appropriate endoscopic resection strategies.

Indexed as

CardiaEndoscopic Mucosal ResectionGastrointestinal NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedRetrospective Studiescardial submucosal tumorsclassification systemclinical score modelmulticenter validationsurgical decision-making

Identifiers

PMID40919932
PMCPMC12825546

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Registered trials

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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.