Evidence map›Paper›PMID 41219729›Full record

SynthesisBMC gastroenterology2025

Risk factors for incomplete excision of colorectal polyps: a systematic review and meta-analysis.

Zhongxin Sun, Tengfei Cao, Wen Wei, Jiao Li, Jing Shan, Weidong Xi, Xiaobin Sun

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

7 authors.

Zhongxin Sun *Department of Gastroenterology, The Third People's Hospital of Chendu, Clinical College of Southwest Jiao Tong University, The Affiliated Hospital of Southwest Jiaotong University, 82 Qinglong Street, Chengdu, Sichuan, 610031, China.
Tengfei Cao *Department of Cardiovascular, Chengdu First People's Hospital, Chengdu, Sichuan, 610031, China.
Wen WeiDepartment of Gastroenterology, The Third People's Hospital of Chendu, Clinical College of Southwest Jiao Tong University, The Affiliated Hospital of Southwest Jiaotong University, 82 Qinglong Street, Chengdu, Sichuan, 610031, China.
Jiao LiDepartment of Gastroenterology, The Third People's Hospital of Chendu, Clinical College of Southwest Jiao Tong University, The Affiliated Hospital of Southwest Jiaotong University, 82 Qinglong Street, Chengdu, Sichuan, 610031, China.
Jing ShanDepartment of Gastroenterology, The Third People's Hospital of Chendu, Clinical College of Southwest Jiao Tong University, The Affiliated Hospital of Southwest Jiaotong University, 82 Qinglong Street, Chengdu, Sichuan, 610031, China.
Weidong XiDepartment of Gastroenterology, The Third People's Hospital of Chendu, Clinical College of Southwest Jiao Tong University, The Affiliated Hospital of Southwest Jiaotong University, 82 Qinglong Street, Chengdu, Sichuan, 610031, China.
Xiaobin SunDepartment of Gastroenterology, The Third People's Hospital of Chendu, Clinical College of Southwest Jiao Tong University, The Affiliated Hospital of Southwest Jiaotong University, 82 Qinglong Street, Chengdu, Sichuan, 610031, China. xbsun1197@163.com.

Funding

Clinical Research Project of the Health Commission of Sichuan Province 23LCYJ022
6 · The paper itself

Abstract

purposeThe object of this study was to explore the risk factors for incomplete excision of colorectal polyps (CP) through a systematic review and meta-analysis.

methodsA comprehensive research of various databases, including CNKI, Wanfang Data, VIP, PubMed, Embase, Cochrane Library, and Web of Science, was carried out to confirm case-control studies investigating the risk factors for incomplete excision of CP. The search deadline was March 20, 2023. Analyses of the data were performed utilizing Stata 15.0.

resultsThe meta-analysis identified several factors significantly associated with the risk of residual or recurrent lesions. Polyps measuring ≥ 6 mm [OR = 1.494; 95%CI: 1.117-1.999; P = 0.007], flat polyps [OR = 1.81; 95%CI: 1.35, 2.41; P < 0.001], sessile serrated lesions [OR = 3.22; 95%CI: 1.93, 5.36; P < 0.001], high-grade intraepithelial neoplasia [OR = 2.34; 95%CI: 1.15, 4.76; P = 0.019], and polyps that underwent piecewise excision [OR = 3.10; 95%CI: 1.96, 4.90; P < 0.001] were all associated with increased risk. In contrast, adenomatous polyps [OR = 0.50; 95%CI: 0.26, 0.96; P = 0.036] were associated with a lower risk. Complete excision uncertainty was a protective factor for complete excision of CP [OR = 0.503, 95%CI (0.233, 1.087), P = 0.081]. In multivariate analysis, polyps ≥ 6 mm remained an independent predictor of residual or recurrent lesions [OR = 1.494, 95%CI (1.117, 1.999), P = 0.007].

conclusionsBased on existing evidence, CP ≥ 6 mm, flat morphology, sessile serrated lesions, high-grade intraepithelial neoplasia, and piecewise excision could be risk factors for incomplete excision of CP.

Indexed as

Colonic PolypsColorectal NeoplasmsColonoscopyHumansRisk FactorsColorectal polypsIncomplete excisionMeta-analysisRisk factorsSystematic review

Identifiers

PMID41219729
PMCPMC12606994

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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.