Evidence map›Paper›PMID 41487547›Full record

ReviewProceedings (Baylor University. Medical Center)

Safety and efficacy of endoscopic submucosal dissection vs endoscopic mucosal resection in managing gastrointestinal tract tumors: a systematic review and meta-analysis.

Adnan Bhat, Ajay Kumar, Humza Saeed, Zahra Ali, Anchit Chauhan, Muhammad Hamza, Unaiza Iftikhar, Adil Ahmed, Peter Draganov

Abstract readReview
In one paragraph

Review in Proceedings (Baylor University. Medical Center). 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

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

1 citing paper in PubMed.

  1. Bridging the gap between evidence and practice.Proceedings (Baylor University. Medical Center)
    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

9 authors.

Adnan BhatDivision of Hospital Medicine, Department of Medicine, University of Florida, Gainesville, Florida, USA.
Ajay KumarFaculty of Medicine and Allied Medical Sciences, Isra University, Hyderabad, Pakistan.
Humza SaeedDepartment of Internal Medicine, Rawalpindi Medical University, Rawalpindi, Pakistan.ORCID https://orcid.org/0009-0003-0256-4272
Zahra AliDepartment of Medicine, Bolan Medical College, Quetta, Pakistan.
Anchit ChauhanMaulana Azad Medical College, New Delhi, India.
Muhammad HamzaSaidu Medical College, Swat, Pakistan.
Unaiza IftikharFoundation University, Islamabad, Pakistan.
Adil AhmedDepartment of Medicine, Northwest School of Medicine, Peshawar, Pakistan.
Peter DraganovDepartment of Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, Florida, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Endoscopic submucosal dissection (ESD) and endoscopic mucosal resection (EMR) are minimally invasive alternatives to surgery for gastrointestinal tumors, differing in technique, indications, and outcomes. This meta-analysis compared the efficacy and safety of ESD vs EMR. Methods: Following PRISMA guidelines, PubMed, Cochrane, Google Scholar, and Scopus were searched. Binary outcomes were pooled as odds ratios (ORs) and continuous outcomes as standardized mean differences (SMDs), with 95% confidence intervals (CIs), using a random-effects model. Analyses were performed in R (v4.4.1), with significance set at Results: Twenty-five studies with 5283 patients (2234 ESD, 3049 EMR) were included. ESD achieved higher complete resection (OR, 5.77; 95% CI, 2.18-15.26; Conclusions: ESD provides superior complete and en bloc resection compared with EMR but involves longer procedures and higher PECS risk. Large-scale trials are needed to refine comparative outcomes.

Indexed as

En bloc resectionendoscopic mucosal resectionendoscopic submucosal dissectiongastrointestinal tumors

Identifiers

PMID41487547
PMCPMC12758251

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.