Evidence map›Paper›PMID 42331035›Full record

Trial reportEndoscopy2026

Computer-assisted versus standard colonoscopy for adenoma detection in a population-based colorectal cancer screening program: a randomized clinical trial.

Pedro Davila-Piñón, Astrid I Díez-Martín, Alba Nogueira-Rodríguez, Florentino Fdez-Riverola, Daniel Glez-Peña, Miguel Reboiro-Jato, Luisa De Castro, Daniel Fernández-De Castro, Pablo Vega, Miguel Telmo Galovart-Araguas and 23 more

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Endoscopy, 2026. 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

33 authors.

Pedro Davila-PiñónOurense University Hospital, Research Group in Gastrointestinal Oncology Ourense, Spain, Ourense.ORCID 0000-0002-3268-4051
Astrid I Díez-MartínOurense University Hospital, Research Group in Gastrointestinal Oncology Ourense, Spain, Ourense.
Alba Nogueira-RodríguezUniversidade de Vigo, Department of Computer Science, ESEI - Escuela Superior de Ingeniería Informática, Spain, Ourense.
Florentino Fdez-RiverolaUniversidade de Vigo, Department of Computer Science, ESEI - Escuela Superior de Ingeniería Informática, Spain, Ourense.
Daniel Glez-PeñaUniversidade de Vigo, Department of Computer Science, ESEI - Escuela Superior de Ingeniería Informática, Spain, Ourense.
Miguel Reboiro-JatoUniversidade de Vigo, Department of Computer Science, ESEI - Escuela Superior de Ingeniería Informática, Spain, Ourense.
Luisa De CastroUniversity Hospital Álvaro Cunqueiro of Vigo, Department of Gastroenterology, Spain, Vigo.
Daniel Fernández-De CastroOurense University Hospital, Department of Gastroenterology, Spain, Ourense.
Pablo VegaOurense University Hospital, Department of Gastroenterology, Spain, Ourense.
Miguel Telmo Galovart-AraguasUniversity Hospital Álvaro Cunqueiro of Vigo, Department of Gastroenterology, Spain, Vigo.
Santiago SotoOurense University Hospital, Department of Gastroenterology, Spain, Ourense.
Sara Alonso-LorenzoUniversity Hospital Álvaro Cunqueiro of Vigo, Department of Gastroenterology, Spain, Vigo.
Alfonso Martínez-TurnesUniversity Hospital Álvaro Cunqueiro of Vigo, Department of Gastroenterology, Spain, Vigo.
Noel PinOurense University Hospital, Department of Gastroenterology, Spain, Ourense.
Sara ZarraquiñosOurense University Hospital, Department of Gastroenterology, Spain, Ourense.
David RemediosOurense University Hospital, Department of Gastroenterology, Spain, Ourense.
Cristina Sánchez-GomezOurense University Hospital, Department of Gastroenterology, Spain, Ourense.
Raquel Souto-RodríguezComplejo Hospitalario Universitario de Pontevedra, Department of Gastroenterology, Spain, Pontevedra.
Franco BaiocchiOurense University Hospital, Department of Gastroenterology, Spain, Ourense.
María José Iglesias-VarelaOurense University Hospital, Department of Gastroenterology, Spain, Ourense.
Alejandro LedoComplejo Hospitalario Universitario de Pontevedra, Department of Gastroenterology, Spain, Pontevedra.
Coral Tejido-SandovalOurense University Hospital, Department of Gastroenterology, Spain, Ourense.
Laura RivasOurense University Hospital, Department of Gastroenterology, Spain, Ourense.
Natalia García-MoralesUniversity Hospital Álvaro Cunqueiro of Vigo, Department of Gastroenterology, Spain, Vigo.
Antonio Rodríguez-De JesusUniversity Hospital Álvaro Cunqueiro of Vigo, Department of Gastroenterology, Spain, Vigo.
Manuel PugaOurense University Hospital, Department of Gastroenterology, Spain, Ourense.
María Belén Castiñeira-DomínguezComplejo Hospitalario Universitario de Pontevedra, Department of Gastroenterology, Spain, Pontevedra.
Nereida Fernández-FernándezUniversity Hospital Álvaro Cunqueiro of Vigo, Department of Gastroenterology, Spain, Vigo.
Arantza Germade-MartínezUniversity Hospital Álvaro Cunqueiro of Vigo, Department of Gastroenterology, Spain, Vigo.
Enrique Gonzalez-De La BallinaComplejo Hospitalario Universitario de Pontevedra, Department of Gastroenterology, Spain, Pontevedra.
Indhira Pérez-MedranoComplejo Hospitalario Universitario de Pontevedra, Department of Gastroenterology, Spain, Pontevedra.
Hugo López-FernándezUniversidade de Vigo, Department of Computer Science, ESEI - Escuela Superior de Ingeniería Informática, Spain, Ourense.
Joaquín CubiellaOurense University Hospital, Research Group in Gastrointestinal Oncology Ourense, Spain, Ourense.ORCID 0000-0002-9994-4831

Funding

Consellería de Educación, Universidades e Formación Profesional (Xunta de Galicia) ED431C 2022/03-GRCConsellería de Educación, Universidades e Formación Profesional (Xunta de Galicia) ED431C 2022/03-GRC,ED431G 2019/06,ED481B-2023-005Consellería de Educación, Universidades e Formación Profesional (Xunta de Galicia) ED431G 2019/06Consellería de Educación, Universidades e Formación Profesional (Xunta de Galicia) ED481B-2023-005ERDF A way of making Europe DPI2017-87494-R projectEuropean Union NextGenerationEU/PRTR PDC2021-121644-I00 projectInstituto de Salud Carlos III, Madrid, Spain CD22/00087Instituto de Salud Carlos III, Madrid, Spain CD22/00087,FI22/00203,INT22/00009,MV23/00069,PI21/01771Instituto de Salud Carlos III, Madrid, Spain FI22/00203Instituto de Salud Carlos III, Madrid, Spain INT22/00009Instituto de Salud Carlos III, Madrid, Spain MV23/00069Instituto de Salud Carlos III, Madrid, Spain PI21/01771MICIU/AEI/10.13039/501100011033 DPI2017-87494-R projectMICIU/AEI/10.13039/501100011033 DPI2017-87494-R project,PDC2021-121644-I00 projectMICIU/AEI/10.13039/501100011033 PDC2021-121644-I00 projectSpanish Association of Gastroenterology Oncology-Tamarite 2022
6 · The paper itself

Abstract

Background: The impact of computer-aided detection (CADe) systems on lesion detection remains uncertain. We evaluated whether a CADe system improves adenoma detection rate (ADR) in a colorectal cancer (CRC) screening program. Methods: This multicenter randomized clinical trial included patients aged 40-79 years who underwent colonoscopy after a positive fecal immunochemical test (FIT) or for surveillance. Patients were randomized to either conventional or CADe-assisted colonoscopy. The primary end point was ADR. Secondary end points were detection rates for serrated lesions (SLDR), polyps (PDR), advanced adenomas (AADR), and advanced serrated lesions (ASLDR). We performed subgroup analysis according to indication, endoscopist ADR, and bowel cleansing. Effect estimates were reported as adjusted risk ratios (aRRs) and 95%CIs. Results: 857 patients were randomized and 827 were included in the analysis. Baseline characteristics were comparable between groups (mean age: 61.7 [SD 6.5]; male 490; positive FIT: 552). We did not find statistically significant differences between CADe-assisted and conventional colonoscopy for ADR (60.8% vs. 57.7%; aRR 1.05, 95%CI 0.94-1.17). No significant differences were observed for SLDR (8.8% vs. 7.2%; aRR 1.04, 0.65-1.64), PDR (69.6% vs. 68.8%; aRR 1.00, 0.91-1.10), AADR (23.6% vs. 24.4%; aRR 0.90, 0.71-1.14), or ASLDR (4.9% vs. 4.8%; aRR 0.93, 0.51-1.68). Subgroup analysis showed no significant differences. Conclusion: In colonoscopies performed in a CRC screening program, CADe-assisted colonoscopy did not increase ADR compared with conventional colonoscopy.

Indexed as

AdenomaColonic PolypsColonoscopyColorectal NeoplasmsDiagnosis, Computer-AssistedEarly Detection of CancerAdultAgedFemaleHumansMaleMiddle Aged

Identifiers

PMID42331035

What Socratic holds

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Registered trials

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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.