Evidence map›Paper›PMID 27561636›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2016

Characterizing Short-Term Outcomes Following Surgery for Rectal Cancer: the Role of Race and Insurance Status.

Sook Y Chan, Pasithorn A Suwanabol, Rachelle N Damle, Jennifer S Davids, Paul R Sturrock, W Brian Sweeney, Justin A Maykel, Karim Alavi

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Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

4 citing papers in PubMed, 17 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

8 authors at 3 institutions in 1 country.

Sook Y ChanDivision of Colon and Rectal Surgery, Department of Surgery, University of Massachusetts Memorial Medical Center, 67 Belmont Street, Suite 201, Worcester, MA, 01605, USA. sookchan06@gmail.com.
Pasithorn A SuwanabolDivision of Colon and Rectal Surgery, Department of Surgery, University of Michigan, 2124 Taubman Center, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA.
Rachelle N DamleDivision of Colon and Rectal Surgery, Department of Surgery, University of Massachusetts Memorial Medical Center, 67 Belmont Street, Suite 201, Worcester, MA, 01605, USA.
Jennifer S DavidsDivision of Colon and Rectal Surgery, Department of Surgery, University of Massachusetts Memorial Medical Center, 67 Belmont Street, Suite 201, Worcester, MA, 01605, USA.
Paul R SturrockDivision of Colon and Rectal Surgery, Department of Surgery, University of Massachusetts Memorial Medical Center, 67 Belmont Street, Suite 201, Worcester, MA, 01605, USA.
W Brian SweeneyDivision of Colon and Rectal Surgery, Department of Surgery, University of Massachusetts Memorial Medical Center, 67 Belmont Street, Suite 201, Worcester, MA, 01605, USA.
Justin A MaykelDivision of Colon and Rectal Surgery, Department of Surgery, University of Massachusetts Memorial Medical Center, 67 Belmont Street, Suite 201, Worcester, MA, 01605, USA.
Karim AlaviDivision of Colon and Rectal Surgery, Department of Surgery, University of Massachusetts Memorial Medical Center, 67 Belmont Street, Suite 201, Worcester, MA, 01605, USA.
Memorial Medical Center · USUMass Memorial Medical Center · USA. Alfred Taubman Health Care Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a paucity of data demonstrating the effect race and insurance status have on postoperative outcomes for patients with rectal cancer. We evaluated factors impacting short-term outcomes following rectal cancer surgery.

designPatients who underwent surgery for rectal cancer using the University Health System Consortium database from 2011 to 2012 were studied. Univariate and multivariable analyses were used to identify patient related risk factors for 30-day outcomes after proctectomy: complication rate, 30-day readmission, ICU stay, and length of hospital stay (LOS).

resultsA total of 9272 proctectomies were identified in this cohort. After adjustment for potential confounders, black patients were more likely to have 30-day readmissions (OR 1.51, 95 % CI 1.26-1.81), ICU stays (OR 1.25, 95 % CI 1.03-1.51), and longer LOS (+1.67 days, 95 % CI 1.21-2.13) when compared to whites. Compared to those with private insurance, patients with public or military insurance or who were self-pay had a higher likelihood of having postoperative complications.

conclusionsIn patients who undergo elective proctectomy for rectal cancer, non-white and non-privately insured status are associated with significantly worse short-term outcomes. Further studies are needed to determine the implications with respect to receipt of adjuvant therapy and survival.

Indexed as

AgedBlack or African AmericanBlack PeopleCritical CareDatabases, FactualDigestive System Surgical ProceduresFemaleHumansInsurance CoverageIntensive Care UnitsLength of StayMaleMiddle AgedPatient ReadmissionPostoperative ComplicationsRectal NeoplasmsAnal neoplasiaColorectal

Identifiers

PMID27561636
OpenAlexW2509377737

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.