Evidence map›Paper›PMID 28444506›Full record

ArticleInternational journal of colorectal disease2017

Preoperative risk factors for prolonged postoperative ileus after colorectal resection.

Albert M Wolthuis, Gabriele Bislenghi, Maarten Lambrecht, Steffen Fieuws, Anthony de Buck van Overstraeten, Guy Boeckxstaens, André D'Hoore

Abstract read
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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 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.7field-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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  10. Prolonged preoperative sedentary time is a risk factor for postoperative ileus in patients with colorectal cancer: a propensity score-matched retrospective study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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  13. Cost of postoperative ileus following colorectal surgery: A cost analysis in the Australian public hospital setting.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022
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  20. Risk factors for ileus after hip and knee arthroplasty.International journal of colorectal disease · 2019
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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 3 institutions in 1 country.

Albert M WolthuisDepartment of Abdominal Surgery, University Hospital Gasthuisberg Leuven, Herestraat 49, 3000, Leuven, Belgium. albert.wolthuis@uzleuven.be.
Gabriele BislenghiDepartment of Abdominal Surgery, University Hospital Gasthuisberg Leuven, Herestraat 49, 3000, Leuven, Belgium.
Maarten LambrechtDepartment of Abdominal Surgery, University Hospital Gasthuisberg Leuven, Herestraat 49, 3000, Leuven, Belgium.
Steffen FieuwsKU Leuven - University of Leuven and Universiteit Hasselt, Interuniversity Center for Biostatistics and Statistical Bioinformatics, Leuven, Belgium.
Anthony de Buck van OverstraetenDepartment of Abdominal Surgery, University Hospital Gasthuisberg Leuven, Herestraat 49, 3000, Leuven, Belgium.
Guy BoeckxstaensKU Leuven - Translational Research Center for GastroIntestinal Disorders (TARGID), University Hospital Leuven, Leuven, Belgium.
André D'HooreDepartment of Abdominal Surgery, University Hospital Gasthuisberg Leuven, Herestraat 49, 3000, Leuven, Belgium.
Hasselt University · BEKU Leuven · BEUniversitair Ziekenhuis Leuven · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeProlonged postoperative ileus (PPOI) after colorectal resection significantly impacts patients' recovery and hospital stay. Because treatment options for PPOI are limited, it is necessary to focus on prevention strategies. The aim of this study is to investigate risk factors associated with PPOI in patients undergoing colorectal surgery.

methodsData from all consecutive patients who underwent colorectal resection in our department were retrospectively analyzed from a prospective database over a 9-month period. PPOI was defined as the necessity to insert a nasogastric tube in a patient who experienced nausea and two episodes of vomiting with absence of bowel function. Multivariable analysis was performed considering a prespecified list of 16 potential preoperative risk factors.

resultsA total of 523 patients (mean age 59 years; 52.2% males) were included, and 83 patients (15.9%) developed PPOI. Statistically significant independent predictors of PPOI were male sex (OR 2.07; P = 0.0034), open resection (OR 4.47; P < 0.0001), conversion to laparotomy (OR 4.83; P = 0.0015), splenic flexure mobilization (OR 1.72; P = 0.063), and rectal resection (OR 2.72; P = 0.0047). Discriminative ability of this prediction model was 0.72.

conclusionsTherapeutic strategies aimed to prevent PPOI after colorectal resection should focus on patients with increased risk. Patients and medical staff can be informed of the higher PPOI risk, so that early treatment can be started.

Indexed as

Preoperative CareColorectal SurgeryFemaleHumansIleusMaleMiddle AgedMultivariate AnalysisPostoperative ComplicationsRisk FactorsColorectal surgeryPostoperative ileusRisk factors

Identifiers

PMID28444506
OpenAlexW2608940266

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.