Evidence map›Paper›PMID 26298687›Full record

ArticleAmerican journal of surgery2016

Urinary tract infection after surgery for colorectal malignancy: risk factors and complications.

Adam C Sheka, Sarah Tevis, Gregory D Kennedy

Abstract readEvaluation Study
In one paragraph

Article in American journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
1.7field-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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Surgical complications in colorectal cancer patients.Annals of medicine and surgery (2012) · 2020
    Review
  16. Article
  17. Article
  18. 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 2 institutions in 1 country.

Adam C ShekaDepartment of Surgery, University of Wisconsin Hospital and Clinics, University of Wisconsin-Madison, 600 Highland Avenue, Madison, WI 53705, USA.
Sarah TevisDepartment of Surgery, University of Wisconsin Hospital and Clinics, University of Wisconsin-Madison, 600 Highland Avenue, Madison, WI 53705, USA.
Gregory D KennedyDepartment of Surgery, University of Wisconsin Hospital and Clinics, University of Wisconsin-Madison, 600 Highland Avenue, Madison, WI 53705, USA. Electronic address: kennedyg@surgery.wisc.edu.
UW Health University Hospital · USUniversity of Wisconsin–Madison · US

Funding

UW Surgical Oncology Research Training Program (UW-SORT)T32CA090217 · NCI · UNIVERSITY OF WISCONSIN-MADISON · PI Muhammed Murtaza, Heather B Neuman · 2001 to 2026
$8.3M
NCI NIH HHS T32 CA090217NCI NIH HHS T32 CA090217-11
6 · The paper itself

Abstract

backgroundOver 4% of patients undergoing colorectal surgery develop postoperative urinary tract infection (UTI).

methodsUsing 2005 to 2012 American College of Surgeons National Surgical Quality Improvement Program data for 47,781 patients, we examined independent risk factors and complications associated with UTI using multivariate logistic regression.

resultsIndependent predictors of UTI included female sex (odds ratio [OR] 1.705, 95% confidence interval [CI] 1.508 to 1.928), open procedure (OR 1.419, 95% CI 1.240 to 1.624), rectal procedure (OR 1.267, 95% CI 1.105 to 1.453), age greater than 65 years (OR 1.322, 95% CI 1.151 to 1.519), nonindependent functional status (OR 1.609, 95% CI 1.299 to 1.993), steroid use (OR 1.524, 95% CI 1.116 to 2.080), higher anesthesia class, and longer operative time. Patients with UTI had longer hospital stays (7 vs 12 days), higher reoperation rates (11.9% vs 5.1%), and higher 30-day mortality (3.3% vs 1.7%). Postoperative UTI correlated with other complications, including sepsis, surgical site infections, and pulmonary embolism (P < .001).

conclusionsPostoperative UTI in colorectal surgery patients correlates with increased morbidity and mortality. Patients who contract postoperative UTI may be more likely to develop multiple complications.

Indexed as

ColectomyAdultAgedAged, 80 and overColorectal NeoplasmsDatabases, FactualFemaleHumansLogistic ModelsMaleMiddle AgedPostoperative ComplicationsRectumRisk FactorsUrinary Tract InfectionsColorectal malignancyColorectal surgerySurgical outcomesUrinary tract infection

Identifiers

PMID26298687
PMCPMC6039384
OpenAlexW1455761035

What OpenQuestion holds

Textmetadata
LicenceTDM
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.