Evidence map›Paper›PMID 26754074›Full record

ArticleWorld journal of surgery2016

Post-Hospital Discharge Venous Thromboembolism in Colorectal Surgery.

Zhobin Moghadamyeghaneh, Reza Fazl Alizadeh, Mark H Hanna, Grace Hwang, Joseph C Carmichael, Steven Mills, Alessio Pigazzi, Michael J Stamos

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Time trends in the incidence rates of venous thromboembolism following colorectal resection by indication and operative technique.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022
    Article
  5. Article
  6. Review
  7. Pre-Operative, Intra-Operative, and Post-Operative Factors Associated with Post-Discharge Venous Thromboembolism Following Colorectal Cancer Resection.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
    Article
  8. Article
  9. Article
  10. Construction of Risk Assessment Model for Venous Thromboembolism After Colorectal Cancer Surgery: A Chinese Single-Center Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

8 authors at 2 institutions in 1 country.

Zhobin MoghadamyeghanehDepartment of Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA.
Reza Fazl AlizadehDepartment of Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA.
Mark H HannaDepartment of Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA.
Grace HwangDepartment of Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA.
Joseph C CarmichaelDepartment of Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA.
Steven MillsDepartment of Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA.
Alessio PigazziDepartment of Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA.
Michael J StamosDepartment of Surgery, University of California, Irvine, School of Medicine, Orange, CA, USA. mstamos@uci.edu.
University of California, Irvine · USUniversity of California, Irvine Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are limited data regarding the criteria for prophylactic treatment of venous thromboembolism (VTE) after hospital discharge. We sought to identify risk factors of post-hospital discharge VTE events following colorectal surgery.

methodsThe NSQIP database was utilized to examine patients developed VTE after hospital discharge following colorectal surgery during 2005-2013. Multivariate analysis using logistic regression was performed to quantify risk factors of VTE after discharge.

resultsWe evaluated a total of 219,477 patients underwent colorectal resections. The overall incidence of VTE was 2.1 % (4556). 33.8 % (1541) of all VTE events occurred after hospital discharge. The length of postoperative hospitalization had a strong association with post-discharge VTE, with the highest risk in patients who were hospitalized for more than 1 week after operation (AOR 9.08, P < 0.01). Other factors associated with post-discharge VTE included chronic steroid use (AOR 1.81, P < 0.01), stage 4 colorectal cancer (AOR 1.40, P = 0.03), obesity (AOR 1.37, P < 0.01), age >70 (AOR 1.21, P = 0.04), and open surgery (AOR 1.36, P < 0.01). Patients who were hospitalized for more than 1 week after an open colorectal resections had a 12 times higher risk of post-discharge VTE event compared to patients hospitalized less than 4 days after a laparoscopic resection (AOR 12.34, P < 0.01).

conclusionsVTE is uncommon following colorectal resections; however, a significant proportion occurs after patients are discharged from the hospital (33.8 %). The length of postoperative hospitalization appears to have a strong association with post-discharge VTE. High-risk patients may benefit from continued VTE prophylaxis after discharge.

Indexed as

Patient DischargeAgedColectomyColorectal NeoplasmsFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedPostoperative ComplicationsPrognosisRetrospective StudiesRisk FactorsSurvival RateUnited States

Identifiers

PMID26754074
OpenAlexW2233167958

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.