Evidence map›Paper›PMID 41269315›Full record

ArticleSurgical endoscopy2026

Experience of the endoscopist mediates the association between weekend effect with rebleeding after endoscopic treatment for Dieulafoy's lesion.

Jiayu Qiu, Yanhong Xia, Ruiying Ding, Qingping Ouyang, Liping Wang, Yang Huang, Sihai Chen, Zhenzhen Yang, Xu Shu, Xiaolin Pan and 1 more

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Article in Surgical endoscopy, 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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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Jiayu Qiu *Department of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Yanhong Xia *Department of Gastroenterology, ShangRao GuangXin District People's Hospital, Shangrao, 334100, Jiangxi, China.
Ruiying Ding *Department of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Qingping OuyangDepartment of Gastroenterology, Central People's Hospital of Ji'an, 106# Jinggangshan Avenue, Ji'an, 343000, China.
Liping WangDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Yang HuangDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Sihai ChenDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Zhenzhen YangDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Xu ShuDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Xiaolin PanDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China. xlpan16@ncu.edu.cn.
Yanxia ZhangDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China. 18070155281@163.com.

Funding

Jiangxi Clinical Research Center for Gastroenterology 20223BCG74011Key Laboratory Project of Digestive Diseases in Jiangxi Province 2024SSY06101Science and Technology Department of Jiangxi Province 20203BBGL73164Science and Technology Department of Jiangxi Province 20242BAB25512
6 · The paper itself

Abstract

backgroundDieulafoy's lesion (DL) is an uncommon cause of nonvariceal upper gastrointestinal bleeding (NVUGIB). The weekend effect refers to the phenomenon where patients admitted on weekends experience clinically poorer outcomes. This study aimed to explore the weekend effect on clinical outcomes after endoscopic hemostasis for DL in the upper gastrointestinal tract, and whether this relationship was mediated by the experience of the endoscopist.

methodsThis retrospective analysis included patients with DL of the upper gastrointestinal tract who underwent standard endoscopic hemostasis treatment between April 2007 and June 2025. Univariate and multivariate analysis, propensity score matching (PSM), and mediation analysis were used to explore the relationships between the weekend effect, the experience of the endoscopist and the rebleeding rate of DL.

resultsA total of 283 patients were included in this study, consisting of 212 patients in the weekday admission group and 71 patients in the weekend admission group. Multivariate analysis showed weekend admission was an independent risk factor for rebleeding of DL. After matching, the baseline characteristics of 64 patients in the weekday admission group and 64 patients in the weekend admission group were balanced. The rebleeding rate of DL in the weekend admission group was significantly higher than that in the weekday admission group (31.3% vs. 10.9%, P = 0.005). Patients admitted on weekends were more likely to be treated by less-experienced endoscopists compared to those admitted on weekdays (48.4% vs. 25.0%, P = 0.006). Moreover, a significant indirect effect of the weekend effect on rebleeding of DL through less-experienced endoscopists was found, and the proportions mediated were 17.42%.

conclusionThe weekend effect was significantly associated with the higher rebleeding rate in patients with DL of the upper gastrointestinal tract, and less-experienced endoscopists on weekends might be playing a mediating role in this relationship.

Indexed as

After-Hours CareClinical CompetenceGastrointestinal HemorrhageHemostasis, EndoscopicAgedFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeDieulafoy’s lesionExperience of the endoscopistNonvariceal upper gastrointestinal bleedingRebleedingWeekend effect

Identifiers

PMID41269315

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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.