Evidence map›Paper›PMID 29080082›Full record

ArticleWorld journal of surgery2018

Impact of Interhospital Transfer on Outcomes in Non-emergency Colorectal Surgery.

Stephen P Sharp, Daniel J Schuster, Ashar Ata, Brian T Valerian, Jonathan J Canete, A David Chismark, Edward C Lee

Abstract read
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In one paragraph

Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Impact of transfer status on real-world outcomes in nonelective cardiac surgery.The Journal of thoracic and cardiovascular surgery · 2020
    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

7 authors.

Stephen P SharpDivision of Colon and Rectal Surgery, Albany Medical Center, 43 New Scotland Avenue, Albany, NY, 12208, USA.
Daniel J SchusterDivision of Colon and Rectal Surgery, Albany Medical Center, 43 New Scotland Avenue, Albany, NY, 12208, USA.
Ashar AtaDivision of Colon and Rectal Surgery, Albany Medical Center, 43 New Scotland Avenue, Albany, NY, 12208, USA.
Brian T ValerianDivision of Colon and Rectal Surgery, Albany Medical Center, 43 New Scotland Avenue, Albany, NY, 12208, USA.
Jonathan J CaneteDivision of Colon and Rectal Surgery, Albany Medical Center, 43 New Scotland Avenue, Albany, NY, 12208, USA.
A David ChismarkDivision of Colon and Rectal Surgery, Albany Medical Center, 43 New Scotland Avenue, Albany, NY, 12208, USA.
Edward C LeeDivision of Colon and Rectal Surgery, Albany Medical Center, 43 New Scotland Avenue, Albany, NY, 12208, USA. LeeE@mail.amc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA paucity of data exists on the impact of transfer status on outcomes for patients undergoing non-emergency (urgent) colorectal surgery. This study characterized transferred patients undergoing urgent colorectal surgery and determined which patient comorbidities significantly contributed to poor outcomes.

methodsThe American College of Surgeons National Surgical Quality Improvement Program database from 2012 to 2013 was used. Urgent direct admissions undergoing colon, rectum, or small bowel operations were compared to urgent transfers using bivariate and multivariable analysis models. Primary outcomes were overall complications, hospital length of stay, and mortality.

resultsA total of 82,151 admissions were analyzed. After multivariable analysis, direct admission patients had nearly similar risk of complications (RR = 0.95; 95% CI 0.91-0.99) and length of hospital stay (7% shorter; 95% CI 4-9%), as well as no difference in mortality (RR = 0.94; 95% CI 0.80-1.11).

conclusionsTransfer status alone confers minimal risk toward higher complication rates and longer hospital length of stay in patients undergoing urgent colorectal surgery, and the poor outcomes observed in this cohort are largely due to patient comorbidities and disease severity. Our results suggest that outcomes in transferred colorectal surgery patients undergoing urgent operations depend mainly on operative acuity and clinical factors, and to a lesser degree transfer status.

Indexed as

Digestive System Surgical ProceduresPatient TransferAdolescentAdultAgedAged, 80 and overCohort StudiesColonDatabases, FactualFemaleHumansIntestine, SmallLength of StayMaleMiddle AgedMultivariate Analysis

Identifiers

PMID29080082

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.