Evidence map›Paper›PMID 28364211›Full record

ArticleInternational journal of colorectal disease2017

Colorectal surgery and surgical site infection: is a change of attitude necessary?

Manuela Elia-Guedea, Elena Cordoba-Diaz de Laspra, Estibaliz Echazarreta-Gallego, María Isabel Valero-Lazaro, Jose Manuel Ramirez-Rodriguez, Vicente Aguilella-Diago

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In one paragraph

Article in International journal of colorectal disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Surgical complications in colorectal cancer patients.Annals of medicine and surgery (2012) · 2020
    Review
  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.

Manuela Elia-GuedeaColorectal Department, University Hospital of Zaragoza, San Juan Bosco Avenue, 15, 50009, Zaragoza, Spain.
Elena Cordoba-Diaz de LaspraColorectal Department, University Hospital of Zaragoza, San Juan Bosco Avenue, 15, 50009, Zaragoza, Spain.
Estibaliz Echazarreta-GallegoColorectal Department, University Hospital of Zaragoza, San Juan Bosco Avenue, 15, 50009, Zaragoza, Spain. esti.egallego@hotmail.com.
María Isabel Valero-LazaroColorectal Department, University Hospital of Zaragoza, San Juan Bosco Avenue, 15, 50009, Zaragoza, Spain.
Jose Manuel Ramirez-RodriguezColorectal Department, University Hospital of Zaragoza, San Juan Bosco Avenue, 15, 50009, Zaragoza, Spain.
Vicente Aguilella-DiagoColorectal Department, University Hospital of Zaragoza, San Juan Bosco Avenue, 15, 50009, Zaragoza, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgical site infection (SSI) can be as high as 30% in patients undergoing colorectal surgery and is associated with an increase in morbidity and mortality. The aim of this study is to evaluate the impact of a set of simple preventive measures that have resulted in a reduction in surgical site infection in colorectal surgery. APPLIED

methodProspective study with two groups of patients treated in the colorectal unit of the "Clinico Universitario Lozano Blesa" hospital in Zaragoza. One group was subject to our measures from February to May 2015. The control group was given conventional treatment within a time period of 3 months before the set of measures were implemented.

resultsOne hundred forty-nine patients underwent a major colorectal surgical procedure. Seventy (47%) belonged to the control group and were compared to the remaining 79 patients (53% of the total), who were subject to our treatment bundle in the period tested. Comparing the two groups revealed that our set of measures led to a general reduction in SSI (31.4 vs. 13.6%, p = 0.010) and in superficial site infection (17.1 vs. 2.5%, p = 0.002). As a consequence, the postoperative hospital stay was shortened (10.0 vs. 8.0 days, p = 0.048). However, it did not, the number of readmissions nor the re-operation rate. SSI was clearly related to open surgery.

conclusionsThe preventive set of measures applied in colorectal surgery led to a significant reduction of the SSI and of the length of hospital stay.

Indexed as

Health Knowledge, Attitudes, PracticeAgedAnti-Bacterial AgentsColorectal SurgeryDemographyFemaleHumansMaleMiddle AgedPostoperative ComplicationsSurgical Wound InfectionAnti-Bacterial AgentsBundle of measuresColorectal surgeryRisk factor

Identifiers

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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.