Evidence map›Paper›PMID 41646059›Full record

ArticleiGIE : innovation, investigation and insights2023

Radiation exposure to patients undergoing conventional and novel endoscopy procedures.

Daniel Szvarca, Anmol Singh, Steven N Steinway, Bachir Ghandour, Kavin Kanthaswamy, Michael Bejjani, Omid Sanaei, Furqan Bhullar, Sneh Sonaiya, Vikesh Singh and 3 more

Abstract read
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In one paragraph

Article in iGIE : innovation, investigation and insights, 2023. 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

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.

Daniel SzvarcaDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Anmol SinghDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Steven N SteinwayDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Bachir GhandourDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Kavin KanthaswamyDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Michael BejjaniDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Omid SanaeiDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Furqan BhullarDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Sneh SonaiyaDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Vikesh SinghDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
M MaheshDepartment of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Mouen A KhashabDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Venkata S AkshintalaDivision of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and Aims: The quantity and complexity of endoscopic procedures using fluoroscopy (ie, real-time ionizing radiation) have increased significantly. However, radiation exposure to patients during endoscopy procedures still needs to be better understood. In this study, we retrospectively quantified radiation exposure during endoscopic procedures under fluoroscopy and measured patients' effective radiation dose over 12 months. Methods: A retrospective review of all patients aged ≥18 years who underwent GI endoscopic procedures under fluoroscopy at Johns Hopkins Hospital from June 30, 2019 to June 30, 2020 was conducted. The type of procedure, procedure duration, endoscopic submucosal dissection (ESD), fluoroscopy time (FT), American Society for Gastrointestinal Endoscopy ERCP procedural degree of difficulty grade, patient demographics, and patient anatomic variations were recorded. Median ESD, effective dose (ED), total FT, and the number of procedures were calculated. Results: Six hundred eighty-one patients (mean age, 59.8 ± 16.1 years; 51.8% women; mean body mass index, 26.8 ± 8.2 kg/m Conclusions: Novel interventional endoscopic procedures have higher radiation exposures to the patient than conventional endoscopic procedures. Endoscopists must remain cognizant of the significant radiation exposure patients may experience, especially during complex therapeutic procedures. Best-care practices should be adopted to reduce potentially harmful exposure.

Identifiers

PMID41646059
PMCPMC12850764

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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.