Critical appraisal:Hirasawa K, Kokawa A, Oka H, Yahara S, Sasaki T, Nozawa A, et al 2010

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Critical Appraisal

Article being appraised

Hirasawa K, Kokawa A, Oka H, Yahara S, Sasaki T, Nozawa A, et al. Superficial adenocarcinoma of the esophagogastric junction: long-term results of endoscopic submucosal dissection. Gastrointest Endosc 2010 Nov;72(5):960-6 Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/21034897.


Applicable clinical question

Key Facts

Study Design

case series

Number of Patients:

58


Includes an economic evaluation

no

Evidence ratings

Level of evidence

IV

Risk of bias
High risk of bias Comments: Single centre, retrospective, small size; no control arm

Risk of bias assessment: case series

Subject selection:
Highly selected or not described (e.g. single-institution study)
Were the outcome measures blind to pre/post-intervention?
No or not described
Follow-up complete and all patients included in the analysis?
Yes (follow-up >95%)
Size of effect
5 Reason for decision: Statistical significance (p value or CI) not reported and cannot be calculated from the data.
Relevance of evidence
3 Additional comments: Evaluates role of ESD for all depth adenocarcinomas at the gastro-oesophageal junction
Result of appraisal

Jutta's tick icon.png Included




Completed by

Dr Farzan Fahrtash Bahin, MBBS (Hons), MPhil (Med)


Jutta's tick icon.png This appraisal has been completed.


Article
Hirasawa K, Kokawa A, Oka H, Yahara S, Sasaki T, Nozawa A, et al. Superficial adenocarcinoma of the esophagogastric junction: long-term results of endoscopic submucosal dissection. Gastrointest Endosc 2010 Nov;72(5):960-6 Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/21034897.
Assigned to
User:Michael.bourke
Topic area
Guidelines:Barrett's
Clinical question
Form
Form:Critical appraisal


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