Evidence map›Paper›PMID 24921910›Full record

ArticleBritish journal of cancer2014

Identifying patients at risk of emergency admission for colorectal cancer.

D Wallace, K Walker, A Kuryba, P Finan, N Scott, J van der Meulen

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in British journal of cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 17% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

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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

6 authors at 5 institutions in 1 country.

D Wallace1] Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK [2] Clinical Effectiveness Unit (CEU), Royal College of Surgeons of England; 35-43 Lincoln's Inn Fields, London WC2A 3PE, UK.
K Walker1] Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK [2] Clinical Effectiveness Unit (CEU), Royal College of Surgeons of England; 35-43 Lincoln's Inn Fields, London WC2A 3PE, UK.
A KurybaClinical Effectiveness Unit (CEU), Royal College of Surgeons of England; 35-43 Lincoln's Inn Fields, London WC2A 3PE, UK.
P FinanJohn Goligher Colorectal Unit, St James's University Hospital, Beckett Street, Leeds LS9 7TF, UK.
N ScottColorectal Surgical Department, Lancashire Teaching Hospitals NHS Foundation Trust, Royal Preston Hospital, Sharoe Green Lane, Fulwood, Preston PR2 9HT, UK.
J van der Meulen1] Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK [2] Clinical Effectiveness Unit (CEU), Royal College of Surgeons of England; 35-43 Lincoln's Inn Fields, London WC2A 3PE, UK.
London School of Hygiene & Tropical Medicine · GBLancashire Teaching Hospitals NHS Foundation Trust · GBRoyal College of Surgeons of England · GBSt James's University Hospital · GBThe Honourable Society of Lincoln's Inn · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients whose colorectal cancer is treated after an emergency admission tend to have late-stage cancer and a poor prognosis. We identified risk factors for an emergency admission by linking data from the National Bowel Cancer Audit (NBCA) and the English Hospital Episode Statistics (HES), an administrative database of all admissions to English National Health Service hospitals, which includes data on mode of admission.

methodsWe identified all adults included in the NBCA with a primary diagnosis of bowel cancer, excluding cancer of the appendix, between August 2007 and July 2011 whose record could be linked to HES. Multivariable logistic regression was used to estimate adjusted odds ratios (OR) for an emergency admission for colorectal cancer. All risk factors were adjusted for cancer site and calendar year.

results97,909 adults were identified with a primary diagnosis of bowel cancer and 82,777 patients could be linked to HES. Patients who were older, female, of a non-white ethnic background, and more socioeconomically deprived, and those with dementia or cardiac, neurologic and liver disease had an increased risk of presenting as an emergency admission. The strongest risk factors were age (90 compared with 70 years: OR 2.99, 95% CI 2.84 to 3.15), dementia (OR 2.46, 2.18 to 2.79), and liver disease (OR 1.87, 1.69 to 2.08).

conclusionsOur study identifies risk factors that may impair health-seeking behaviour and access to healthcare. An earlier recognition of symptoms in patients with these risk factors may contribute to better outcomes.

Indexed as

AgedAged, 80 and overAge FactorsColorectal NeoplasmsComorbidityEmergenciesFemaleHumansMaleMiddle AgedMultivariate AnalysisPatient AdmissionRisk Factors

Identifiers

PMID24921910
PMCPMC4119975
OpenAlexW2036730747

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.