Critical appraisal:Iftikhar SY, James PD, Steele RJ, Hardcastle JD, Atkinson M 1992

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Critical Appraisal

Article being appraised

Iftikhar SY, James PD, Steele RJ, Hardcastle JD, Atkinson M. Length of Barrett's oesophagus: an important factor in the development of dysplasia and adenocarcinoma. Gut 1992 Sep;33(9):1155-8 Available from: http://www.ncbi.nlm.nih.gov/pubmed/1427364.


Applicable clinical question

Key Facts

Study Design

prevalence and incidence study

Number of Patients:

102



Evidence ratings

Risk of bias
High risk of bias Comments: Please replace this text and include any additional comments in regards to your quality rating

Risk of bias assessment: prevalence and incidence study

Source population of patients
Highly selected (single institution) or not described
Subject (sample) selection
Representative of eligible patients (consecutive or random sample e.g. states all patients recruited in given time frame)
Measurement of condition
Objective and reliable (based on registry or other equivalent source)
Follow-up complete and all patients included in the analysis?
Yes (follow-up >95%)
Result of appraisal

Jutta's tick icon.png Included



Comments

Source population of patients - not stated, but I am assuming it is patients attending the University Hospital of Nottingham.

Measurement of condition - biopsy with lab procedure described.

Follow up - 5 patients (<5%) died during the follow up period. No other mention of drop outs etc.

Mean follow up time of 54 months.
12 patients developed dysplasia, of which, 3 developed intramucosal carcinoma (mean follow up time of 18 months after developing dysplasia).
1 additional patient developed adenocarcinoma, without first developing dysplasia.

Completed by

Peter Sarich


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


Article
Iftikhar SY, James PD, Steele RJ, Hardcastle JD, Atkinson M. Length of Barrett's oesophagus: an important factor in the development of dysplasia and adenocarcinoma. Gut 1992 Sep;33(9):1155-8 Available from: http://www.ncbi.nlm.nih.gov/pubmed/1427364.
Assigned to
User:Freddy.sitas
Topic area
Guidelines:Barrett's
Clinical question
Form
Form:Critical appraisal


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