Evidence map›Paper›PMID 28515452›Full record

ArticleScientific reports2017

Trends and Outcomes of Surgical Treatment for Colorectal Cancer between 2004 and 2012- an Analysis using National Inpatient Database.

Meng-Tse Gabriel Lee, Chong-Chi Chiu, Chia-Chun Wang, Chia-Na Chang, Shih-Hao Lee, Matthew Lee, Tzu-Chun Hsu, Chien-Chang Lee

Registry-linked trialOpen access · goldAbstract readHistorical Article
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03765411 (Safe Surgery in the Elderly), which is not on this map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 6% 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.

NCT03765411 completednot on this map

Safe Surgery in the Elderly: A Review of Outcomes Following Robotic Proctectomy From the Nationwide Inpatient Sample, a Retrospective Cross Sectional Cohort Study. Cross-Sectional Study

Typeobservational_patient_registrySponsorTripler Army Medical CenterRan2013 to 2017Enrolled6,740ConditionsRectal CancerArmsProctectomy
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 61 citations in OpenAlex.

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  8. Surgical Approach and Variation in Long-Term Survival Following Colorectal Cancer Surgery Using Instrumental Variable Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
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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.

Meng-Tse Gabriel LeeDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Chong-Chi ChiuDepartment of General Surgery, Chi Mei Medical Center, Tainan and Liouying, Taiwan.
Chia-Chun WangDivision of Radiation Oncology, Department of Oncology, National Taiwan University Hospital, Taipei, Taiwan.
Chia-Na ChangDepartment of Radiation Oncology, Taipei Municipal Wan-Fang Hospital, Taipei, Taiwan.
Shih-Hao LeeMedical Wisdom, Taxas, USA.
Matthew LeeMedical Wisdom, Taxas, USA.
Tzu-Chun HsuDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Chien-Chang LeeDepartment of Emergency Medicine, National Taiwan University Hospital, Taipei, Taiwan. cclee100@gmail.com.
National Taiwan University Hospital · TWChi Mei Medical Center · TWWan Fang Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Limited data are available for the epidemiology and outcome of colorectal cancer in relation to the three main surgical treatment modalities (open, laparoscopic and robotic). Using the US National Inpatient Sample database from 2004 to 2012, we identified 1,265,684 hospitalized colorectal cancer patients. Over the 9 year period, there was a 13.5% decrease in the number of hospital admissions and a 43.5% decrease in in-hospital mortality. Comparing the trend of surgical modalities, there was a 35.4% decrease in open surgeries, a 3.5 fold increase in laparoscopic surgeries, and a 41.3 fold increase in robotic surgeries. Nonetheless, in 2012, open surgery still remained the preferred surgical treatment modality (65.4%), followed by laparoscopic (31.2%) and robotic surgeries (3.4%). Laparoscopic and robotic surgeries were associated with lower in-hospital mortality, fewer complications, and shorter length of stays, which might be explained by the elective nature of surgery and earlier tumor grades. After excluding patients with advanced tumor grades, laparoscopic surgery was still associated with better outcomes and lower costs than open surgery. On the contrary, robotic surgery was associated with the highest costs, without substantial outcome benefits over laparoscopic surgery. More studies are required to clarify the cost-effectiveness of robotic surgery.

Indexed as

Colorectal NeoplasmsDatabases, FactualFemaleHealth Care SurveysHistory, 21st CenturyHumansIncidenceInpatientsMaleMortalityRisk FactorsSocioeconomic FactorsTreatment OutcomeUnited States

Identifiers

PMID28515452
PMCPMC5435696
OpenAlexW2613381978

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Registered trials

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.