Evidence map›Paper›PMID 21667207›Full record

Trial reportSurgical endoscopy2011

Bowel obstruction after laparoscopic and open colon resection for cancer: results of 5 years of follow-up in a randomized trial.

Johnna Schölin, Mark Buunen, Wim Hop, Jaap Bonjer, Bo Anderberg, Miguel Cuesta, Salvadora Delgado, Ainitze Ibarzabal, Marie-Louise Ivarsson, Martin Janson and 5 more

Open access · greenAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 4% of its field
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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Postoperative Abdominal Adhesions: Clinical Significance and Advances in Prevention and Management.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Risk of late-onset adhesions and incisional hernia repairs after surgery.Journal of the American College of Surgeons · 2013
    Article
  15. Article
  16. Observational
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

15 authors at 9 institutions in 3 countries.

Johnna SchölinDepartment of Surgery, Område 2, Sahlgrenska University Hospital/Östra, SE-416 85 Göteborg, Sweden.
Mark Buunen
Wim Hop
Jaap Bonjer
Bo Anderberg
Miguel Cuesta
Salvadora Delgado
Ainitze Ibarzabal
Marie-Louise Ivarsson
Martin Janson
Antonio Lacy
Johan Lange
Lars Påhlman
Stefan Skullman
Eva Haglind
Erasmus MC · NLHospital Clínic de Barcelona · ESVrije Universiteit Amsterdam · NLHallands sjukhus Kungsbacka · SEKarolinska University Hospital · SESahlgrenska University Hospital · SESaint Göran Hospital · SESkaraborg Hospital · SEUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative bowel obstruction caused by intra-abdominal adhesions occurs after all types of abdominal surgery. It has been suggested that the laparoscopic technique should reduce the risk for adhesion formation and thus for postoperative bowel obstruction. This study was designed to compare the incidence of bowel obstruction in a randomized trial where laparoscopic and open resection for colon cancer was compared.

methodsA retrospective analysis was performed, collecting data of episodes of bowel obstruction with or without surgery. Only episodes treated in the hospital where the index surgery took place were included. Data for 786 patients were collected for the 5-year period after cancer surgery.

resultsBaseline characteristics for the evaluated laparoscopic (n = 383) and open (n = 403) groups were comparable. The cumulative obstruction percentages at 5 years for the open and laparoscopic groups were 6.5 and 5.1% respectively and did not significantly differ from each other. Tumor stage seemed to influence the risk for bowel obstruction: 2.8% in stage I, 6.6% in stage II, and 7% in stage III, but the differences were not significant.

conclusionsThis analysis does not support the hypothesis that laparoscopy leads to fewer episodes of bowel obstruction compared with open surgery.

Indexed as

AdultAgedBody Mass IndexColectomyColonic NeoplasmsColonoscopyFemaleHumansIntestinal ObstructionKaplan-Meier EstimateLength of StayMaleMiddle AgedReoperationRetrospective StudiesRisk Factors

Identifiers

PMID21667207
OpenAlexW2078772749

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.