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- W3048659726 abstract "Objective Serrated lesions (sessile serrated adenomas/polyps and traditional serrated adenomas) owing to their subtle appearance and proximal location have a high miss rate. The objective of this study is to compare all the available endoscopic interventions for improving serrated adenoma detection rate (SADR) through a network meta-analysis. Methods We conducted a systematic review of the available literature (PubMed, Embase, Cochrane and WoS) from inception to 29 November 2019 to identify all the relevant randomized controlled trials. A total of 28 trials with 22 830 patients were included. The studies compared the efficacy of add-on devices (endocap, endocuff, endocuff vision, G-EYE, endorings, AmplifEYE), electronic chromoendoscopy (linked-color imaging, blue laser imaging, narrow band imaging), dye-based chromoendoscopy, full-spectrum endoscopy (FUSE) and water-based techniques (WBT) with each other or high-definition colonoscopy. Both pairwise and network meta-analysis was conducted using the random-effects model. Risk ratios (RR) with 95% confidence intervals (CI) and P -values were calculated. Results Direct meta-analysis demonstrated superiority for WBT (RR: 1.41, CI: 1.01–1.98), add-on devices (RR: 1.53, CI: 1.13–2.08), narrow band imaging (RR: 1.93, CI: 1.12–3.32) and endocuff vision (RR: 1.87, CI: 1.13–3.11) compared to high-definition colonoscopy. The results were consistent on network meta-analysis with chromoendoscopy as an additional modality for improving SADR (RR: 1.74, CI: 1.03–2.93). Conclusion In a network meta-analysis, add-on devices (particularly endocuff vision), narrow band imaging, WBT and chromoendoscopy were comparable to each other and improved SADR compared to high-definition colonoscopy." @default.
- W3048659726 created "2020-08-18" @default.
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- W3048659726 date "2020-08-07" @default.
- W3048659726 modified "2023-10-16" @default.
- W3048659726 title "Comparing endoscopic interventions to improve serrated adenoma detection rates during colonoscopy: a systematic review and network meta-analysis of randomized controlled trials" @default.
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- W3048659726 doi "https://doi.org/10.1097/meg.0000000000001844" @default.
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