Evidence map›Paper›PMID 25421080›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie2014

Self-reported practice patterns and knowledge of rectal cancer care among Canadian general surgeons.

Devon P Richardson, Geoff A Porter, Paul M Johnson

Open access · bronzeAbstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 46% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Management of rectal cancer in Canada: an evidence-based comparison of clinical practice guidelinesCanadian journal of surgery. Journal canadien de chirurgie · 2020
    Article
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

3 authors at 1 institution in 1 country.

Devon P RichardsonThe Division of General Surgery, Dalhousie University, Halifax, NS.
Geoff A PorterThe Division of General Surgery and Department of Community Health and Epidemiology, Dalhousie University, Halifax, NS.
Paul M JohnsonThe Division of General Surgery and Department of Community Health and Epidemiology, Dalhousie University, Halifax, NS.
Dalhousie University · CA

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundOur objective was to examine the knowledge and treatment decision practice patterns of Canadian surgeons who treat patients with rectal cancer.

methodsA mail survey with 6 questions on staging investigations, management of low rectal cancer, lymph node harvest, surgical margins and use of adjuvant therapies was sent to all general surgeons in Canada. Appropriate responses to survey questions were defined a priori. We compared survey responses according to surgeon training (colorectal/surgical oncology v. others) and geographic region (Atlantic, Central, West).

resultsThe survey was sent to 2143 general surgeons; of the 1312 respondents, 703 treat patients with rectal cancer. Most surgeons responded appropriately to the questions regarding staging investigations (88%) and management of low rectal cancer (88%). Only 55% of surgeons correctly identified the recommended lymph node harvest as 12 or more nodes, 45% identified 5 cm as the recommended distal margin for upper rectal cancer, and 70% appropriately identified which patients should be referred for adjuvant therapy. Surgeons with subspecialty training were significantly more likely to provide correct responses to all of the survey questions than other surgeons. There was limited variation in responses according to geographic region. Subspecialty-trained surgeons and recent graduates were more likely to answer all of the survey questions correctly than other surgeons.

conclusionInitiatives are needed to ensure that all surgeons who treat patients with rectal cancer, regardless of training, maintain a thorough and accurate knowledge of rectal cancer treatment issues.

Indexed as

Clinical CompetenceHealth Knowledge, Attitudes, PracticeAdultAgedCanadaHumansMiddle AgedPractice Patterns, Physicians'Rectal NeoplasmsSelf ReportSurgeons

Identifiers

PMID25421080
PMCPMC4245268
OpenAlexW2071709231

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.