Evidence map›Paper›PMID 42087017›Full record

Observational studyDigestive diseases and sciences2026

The Application of the Plan-Do-Check-Act Management Model in Improving the Diagnostic Yield of Autoimmune Gastritis.

Yixin Zhu, Shisong Wang, Qian Yu, Shuhao Zheng, Zhixin Zhang, Lei Xu, Pengyao Lin

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Digestive diseases and sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06557252 (The Application of the PDCA Management Model in Improving the Diagnostic Accuracy of AIG), which is not on this 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.

NCT06557252 not yet recruitingnot on this map

The Application of the PDCA Management Model in Improving the Diagnostic Accuracy of AIG

TypeobservationalSponsorNingbo No. 1 HospitalRan2024 to 2024Enrolled16ConditionsAutoimmune GastritisArmsPDCA training
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

7 authors.

Yixin ZhuHealth Science Center, Ningbo University, 818 Fenghua Rd, Ningbo, 315211, Zhejiang Province, China.
Shisong WangHealth Science Center, Ningbo University, 818 Fenghua Rd, Ningbo, 315211, Zhejiang Province, China.
Qian YuDepartment of Gastroenterology, The First Affiliated Hospital of Ningbo University, Ningbo, 315010, Zhejiang Province, China.
Shuhao ZhengDepartment of Gastroenterology, The First Affiliated Hospital of Ningbo University, Ningbo, 315010, Zhejiang Province, China.
Zhixin ZhangDepartment of Gastroenterology, The First Affiliated Hospital of Ningbo University, Ningbo, 315010, Zhejiang Province, China.
Lei XuDepartment of Gastroenterology, The First Affiliated Hospital of Ningbo University, Ningbo, 315010, Zhejiang Province, China.
Pengyao LinHealth Science Center, Ningbo University, 818 Fenghua Rd, Ningbo, 315211, Zhejiang Province, China. linker744@163.com.

Funding

the Ningbo Science and Technology Public Welfare project No. 2023S133The Science and Technology Program of Zhejiang Province 2025C02251
6 · The paper itself

Abstract

backgroundDue to the lack of unified diagnostic standards and low clinical awareness, autoimmune gastritis (AIG) remains underdiagnosed globally. This study aimed to employ the Plan-Do-Check-Act (PDCA) cycle to enhance the diagnostic rate of AIG.

methodsThis single-center, prospective, observational study enrolled 20 endoscopists from two hospital campuses (10 each in the intervention and control groups). The intervention group underwent PDCA cycle management, including standardized training and dynamic data monitoring, while the control group received no intervention. Diagnostic rates were compared before and after the intervention.

resultsA total of 9,763 patients underwent gastroscopy by 20 endoscopists, among whom 67 were diagnosed with AIG. Application of the PDCA cycle further standardized the diagnostic process of AIG in the Department of Gastroenterology at the First Affiliated Hospital of Ningbo University. The diagnostic rate of AIG in the PDCA group reached 0.987%, while that in the control group was 0.423% (P < 0.001), exceeding the target of 0.9% and higher than previously reported baseline rates in Asia. Moreover, the diagnostic rates at all stages of the PDCA cycle in the PDCA group were higher than those in the control group.

conclusionImplementation of the PDCA cycle was associated with a higher diagnostic rate of AIG in this quality-improvement setting, supporting its potential value in improving case detection and standardizing the diagnostic workflow. Trial registration Clinical Trials.gov,NCT06557252. Registered on 13/8/2024. https://register. CLINICALTRIALS: gov/prs/beta/studies/S000ESP900000038/recordSummary . Registered 6 July 2021.

Indexed as

Autoimmune DiseasesGastritisGastroscopyAdultFemaleHumansMaleMiddle AgedProspective StudiesAutoimmune gastritisDiagnostic ratePlan–Do–Check–Act (PDCA) cycleQuality improvement

Identifiers

PMID42087017

What Socratic holds

Textmetadata
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Registered trials

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 Socratic graph.