Evidence map›Paper›PMID 26788017›Full record

ArticleDisease markers2015

Markers of Perioperative Bowel Complications in Colorectal Surgery Patients.

Radomír Hyšpler, Alena Tichá, Milan Kaška, Lenka Žaloudková, Lenka Plíšková, Eduard Havel, Zdeněk Zadák

Open access · hybridAbstract readControlled Clinical Trial
In one paragraph

Article in Disease markers, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.8field-weighted citation impact, top 23% 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, 15 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

7 authors at 1 institution in 1 country.

Radomír HyšplerDepartment of Research and Development, University Hospital Hradec Kralove, 500 05 Hradec Kralove, Czech Republic.
Alena TicháDepartment of Research and Development, University Hospital Hradec Kralove, 500 05 Hradec Kralove, Czech Republic.
Milan KaškaDepartment of Surgery, University Hospital Hradec Kralove, 500 05 Hradec Kralove, Czech Republic.
Lenka ŽaloudkováDepartment of Clinical Chemistry, University Hospital Hradec Kralove, 500 05 Hradec Kralove, Czech Republic.
Lenka PlíškováDepartment of Clinical Chemistry, University Hospital Hradec Kralove, 500 05 Hradec Kralove, Czech Republic.
Eduard HavelDepartment of Surgery, University Hospital Hradec Kralove, 500 05 Hradec Kralove, Czech Republic.
Zdeněk ZadákDepartment of Research and Development, University Hospital Hradec Kralove, 500 05 Hradec Kralove, Czech Republic.
University Hospital Hradec Králové · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Colorectal cancer is a clinical condition whose treatment often involves intestinal resection. Such treatment frequently results in two major gastrointestinal complications after surgery: anastomotic leakage and prolonged ileus. Anastomotic leakage is a serious complication which, more often than not, is diagnosed late; to date, C-reactive protein is the only available diagnostic marker. A monocentric, prospective, open case-control study was performed in patients (n = 117) undergoing colorectal surgery. Intestinal fatty acid binding protein (i-FABP), citrulline, D-lactate, exhaled hydrogen, Escherichia coli genomic DNA, and ischemia modified albumin (IMA) were determined preoperatively, postoperatively, and on the following four consecutive days. Bacterial DNA was not detected in any sample, and i-FABP and D-lactate lacked any distinct potential to detect postoperative bowel complications. Exhaled breath hydrogen content showed unacceptably low sensitivity. However, citrulline turned out to be a specific marker for prolonged ileus on postoperative days 3-4. Using a cut-off value of 20 μmol/L, a sensitivity and specificity of ~75% was achieved on postoperative day 4. IMA was found to be an efficient predictor of anastomosis leak by calculating the difference between preoperative and postoperative values. This test had 100% sensitivity and 80% specificity and 100% negative and 20% positive predictive value.

Indexed as

AgedAnastomotic LeakBiomarkersCitrullineColorectal NeoplasmsDNA, BacterialFatty Acid-Binding ProteinsFemaleHumansIleusLactic AcidMaleMiddle AgedSerum AlbuminSerum Albumin, HumanBiomarkersCitrullineDNA, BacterialFatty Acid-Binding Proteinsischemia-modified albuminLactic AcidSerum AlbuminSerum Albumin, Human

Identifiers

PMID26788017
PMCPMC4693001
OpenAlexW2248268542

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Registered trials

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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.