Evidence map›Paper›PMID 25632191›Full record

ArticleWorld journal of gastroenterology2015

Optimizing perioperative Crohn's disease management: role of coordinated medical and surgical care.

Jennifer L Bennett, Christina Y Ha, Jonathan E Efron, Susan L Gearhart, Mark G Lazarev, Elizabeth C Wick

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. 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

6 authors at 1 institution in 1 country.

Jennifer L BennettJennifer L Bennett, Jonathan E Efron, Susan L Gearhart, Elizabeth C Wick, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, United States.
Christina Y HaJennifer L Bennett, Jonathan E Efron, Susan L Gearhart, Elizabeth C Wick, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, United States.
Jonathan E EfronJennifer L Bennett, Jonathan E Efron, Susan L Gearhart, Elizabeth C Wick, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, United States.
Susan L GearhartJennifer L Bennett, Jonathan E Efron, Susan L Gearhart, Elizabeth C Wick, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, United States.
Mark G LazarevJennifer L Bennett, Jonathan E Efron, Susan L Gearhart, Elizabeth C Wick, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, United States.
Elizabeth C WickJennifer L Bennett, Jonathan E Efron, Susan L Gearhart, Elizabeth C Wick, Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD 21287, United States.
Johns Hopkins University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo investigate rates of re-establishing gastroenterology care, colonoscopy, and/or initiating medical therapy after Crohn's disease (CD) surgery at a tertiary care referral center.

methodsCD patients having small bowel or ileocolonic resections with a primary anastomosis between 2009-2012 were identified from a tertiary academic referral center. CD-specific features, medications, and surgical outcomes were abstracted from the medical record. The primary outcome measure was compliance rates with medical follow-up within 4 wk of hospital discharge and surveillance colonoscopy within 12 mo of surgery.

resultsEighty-eight patients met study inclusion criteria with 92% (n=81) of patients returning for surgical follow-up compared to only 41% (n=36) of patients with documented gastroenterology follow-up within four-weeks of hospital discharge, P<0.05. Factors associated with more timely postoperative medical follow-up included younger age, longer length of hospitalization, postoperative biologic use and academic center patients. In the study cohort, 75.0% of patients resumed medical therapy within 12 mo, whereas only 53.4% of patients underwent a colonoscopy within 12 mo of surgery.

conclusionOur study highlights the need for coordinated CD multidisciplinary clinics and structured handoffs among providers to improve of quality of care in the postoperative setting.

Indexed as

ColonoscopyDelivery of Health Care, IntegratedLaparoscopyPatient Care TeamPatient HandoffAdultBaltimoreCombined Modality TherapyCrohn DiseaseFemaleGastrointestinal AgentsGuideline AdherenceHumansMaleMiddle AgedPerioperative CareGastrointestinal AgentsCoordinated careCrohn’s diseaseMultidisciplinary clinicsPost-operative prophylaxisSurgery

Identifiers

PMID25632191
PMCPMC4306162
OpenAlexW1983320232

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.