Evidence map›Paper›PMID 42270159›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Management of cystic echinococcosis in British Columbia: outcomes and suggestions to improve guideline adherence.

Nicola Colucci, Anastasios D Giannou, Suefay Harumi Liu, Calvin Ka-Fung Lo, Mohammed Al-Abri, Catherine A Hogan, Katherine Plewes, Michael S Bleszynski, Maja Segedi

Abstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. 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

9 authors.

Nicola ColucciFrom the Department of Surgery, Faculty of Medicine, University of British Columbia Vancouver, BC (Colucci, Giannou, Al-Abri, Bleszynski, Segedi); the Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC (Liu, Lo, Hogan); the Division of Medical Microbiology and Infection Control, Vancouver Coastal Health Authority, Vancouver, BC (Liu, Hogan); the British Columbia Centre for Disease Control Public Health Laboratory, Provincial Health Services Authority, Vancouver, BC (Hogan); Division of Infectious Diseases, Faculty of Medicine, University of British Columbia, Vancouver, BC (Plewes).
Anastasios D GiannouFrom the Department of Surgery, Faculty of Medicine, University of British Columbia Vancouver, BC (Colucci, Giannou, Al-Abri, Bleszynski, Segedi); the Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC (Liu, Lo, Hogan); the Division of Medical Microbiology and Infection Control, Vancouver Coastal Health Authority, Vancouver, BC (Liu, Hogan); the British Columbia Centre for Disease Control Public Health Laboratory, Provincial Health Services Authority, Vancouver, BC (Hogan); Division of Infectious Diseases, Faculty of Medicine, University of British Columbia, Vancouver, BC (Plewes).
Suefay Harumi LiuFrom the Department of Surgery, Faculty of Medicine, University of British Columbia Vancouver, BC (Colucci, Giannou, Al-Abri, Bleszynski, Segedi); the Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC (Liu, Lo, Hogan); the Division of Medical Microbiology and Infection Control, Vancouver Coastal Health Authority, Vancouver, BC (Liu, Hogan); the British Columbia Centre for Disease Control Public Health Laboratory, Provincial Health Services Authority, Vancouver, BC (Hogan); Division of Infectious Diseases, Faculty of Medicine, University of British Columbia, Vancouver, BC (Plewes).
Calvin Ka-Fung LoFrom the Department of Surgery, Faculty of Medicine, University of British Columbia Vancouver, BC (Colucci, Giannou, Al-Abri, Bleszynski, Segedi); the Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC (Liu, Lo, Hogan); the Division of Medical Microbiology and Infection Control, Vancouver Coastal Health Authority, Vancouver, BC (Liu, Hogan); the British Columbia Centre for Disease Control Public Health Laboratory, Provincial Health Services Authority, Vancouver, BC (Hogan); Division of Infectious Diseases, Faculty of Medicine, University of British Columbia, Vancouver, BC (Plewes).
Mohammed Al-AbriFrom the Department of Surgery, Faculty of Medicine, University of British Columbia Vancouver, BC (Colucci, Giannou, Al-Abri, Bleszynski, Segedi); the Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC (Liu, Lo, Hogan); the Division of Medical Microbiology and Infection Control, Vancouver Coastal Health Authority, Vancouver, BC (Liu, Hogan); the British Columbia Centre for Disease Control Public Health Laboratory, Provincial Health Services Authority, Vancouver, BC (Hogan); Division of Infectious Diseases, Faculty of Medicine, University of British Columbia, Vancouver, BC (Plewes).
Catherine A HoganFrom the Department of Surgery, Faculty of Medicine, University of British Columbia Vancouver, BC (Colucci, Giannou, Al-Abri, Bleszynski, Segedi); the Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC (Liu, Lo, Hogan); the Division of Medical Microbiology and Infection Control, Vancouver Coastal Health Authority, Vancouver, BC (Liu, Hogan); the British Columbia Centre for Disease Control Public Health Laboratory, Provincial Health Services Authority, Vancouver, BC (Hogan); Division of Infectious Diseases, Faculty of Medicine, University of British Columbia, Vancouver, BC (Plewes).
Katherine PlewesFrom the Department of Surgery, Faculty of Medicine, University of British Columbia Vancouver, BC (Colucci, Giannou, Al-Abri, Bleszynski, Segedi); the Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC (Liu, Lo, Hogan); the Division of Medical Microbiology and Infection Control, Vancouver Coastal Health Authority, Vancouver, BC (Liu, Hogan); the British Columbia Centre for Disease Control Public Health Laboratory, Provincial Health Services Authority, Vancouver, BC (Hogan); Division of Infectious Diseases, Faculty of Medicine, University of British Columbia, Vancouver, BC (Plewes).
Michael S BleszynskiFrom the Department of Surgery, Faculty of Medicine, University of British Columbia Vancouver, BC (Colucci, Giannou, Al-Abri, Bleszynski, Segedi); the Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC (Liu, Lo, Hogan); the Division of Medical Microbiology and Infection Control, Vancouver Coastal Health Authority, Vancouver, BC (Liu, Hogan); the British Columbia Centre for Disease Control Public Health Laboratory, Provincial Health Services Authority, Vancouver, BC (Hogan); Division of Infectious Diseases, Faculty of Medicine, University of British Columbia, Vancouver, BC (Plewes).
Maja SegediFrom the Department of Surgery, Faculty of Medicine, University of British Columbia Vancouver, BC (Colucci, Giannou, Al-Abri, Bleszynski, Segedi); the Department of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC (Liu, Lo, Hogan); the Division of Medical Microbiology and Infection Control, Vancouver Coastal Health Authority, Vancouver, BC (Liu, Hogan); the British Columbia Centre for Disease Control Public Health Laboratory, Provincial Health Services Authority, Vancouver, BC (Hogan); Division of Infectious Diseases, Faculty of Medicine, University of British Columbia, Vancouver, BC (Plewes) maja.segedi@vch.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cystic echinococcosis (CE) is rare in Canada but continues to appear sporadically, sometimes in patients who have not travelled to endemic regions. Since 2010, World Health Organization (WHO) guidelines have emphasized stage-specific management, yet the extent to which this approach is applied in Canadian practice is uncertain. We reviewed 41 cases of CE managed in British Columbia between 2010 and 2022; only about two-thirds received treatment aligned with WHO guidance. The primary gap was in radiology reporting, which frequently documented cyst size but omitted the staging details essential for surgical decision-making. Although outcomes were generally favourable, the lack of standardized pathways led to unnecessary clinical variation. Structured radiology reporting, multidisciplinary oversight and provincial collaboration remain essential to ensure consistent, evidence-based care, especially for rare diseases where experience is limited.

Indexed as

EchinococcosisGuideline AdherenceAdultAgedBritish ColumbiaFemaleHumansMaleMiddle AgedPractice Guidelines as TopicRetrospective StudiesWorld Health Organization

Identifiers

PMID42270159
PMCPMC13275138

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.