Evidence map›Paper›PMID 29092912›Full record

ArticleArchives of disease in childhood. Fetal and neonatal edition2018

One-year outcomes following surgery for necrotising enterocolitis: a UK-wide cohort study.

Benjamin Saul Raywood Allin, Anna-May Long, Amit Gupta, Kokila Lakhoo, Marian Knight, British Association of Paediatric Surgeons Congenital Anomalies Surveillance System Necrotising Enterocolitis Collaboration

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Archives of disease in childhood. Fetal and neonatal edition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

38 citing papers in PubMed, 59 citations in OpenAlex.

  1. Surgical Interventions for NEC-An Overview.Children (Basel, Switzerland) · 2026
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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

6 authors at 2 institutions in 1 country.

Benjamin Saul Raywood AllinNational Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.ORCID http://orcid.org/0000-0002-0575-2733
Anna-May LongNational Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.
Amit GuptaNeonatal Intensive Care Unit, Oxford Children's Hospital, Oxford, UK.
Kokila Lakhoo *Department of Paediatric Surgery, Oxford Children's Hospital, Oxford, UK.
Marian Knight *National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.
British Association of Paediatric Surgeons Congenital Anomalies Surveillance System Necrotising Enterocolitis Collaboration
University of Oxford · GBChurchill Hospital · GB

Funding

Department of Health DRF-2015-08-076Department of Health NIHR-RP-011-032
6 · The paper itself

Abstract

objectiveThe objective was to describe outcomes and investigate factors affecting prognosis at 1 year post intervention for infants with surgical necrotising enterocolitis (NEC).

designUsing the British Association of Paediatric Surgeons Congenital Anomalies Surveillance System, we conducted a prospective, multicentre cohort study of every infant reported to require surgical intervention for NEC in the UK and Ireland between 1 March 2013 and 28 February 2014. Association of independent variables with 1-year mortality was investigated using multivariable logistic regression analysis.

settingAll 28 paediatric surgical centres in the UK and Ireland. PATIENTS: Infants were eligible for inclusion if they were diagnosed with NEC and deemed to require surgical intervention, regardless of whether that intervention was delivered. OUTCOMES: Primary outcome was mortality within 1 year of the decision to intervene surgically.

results236 infants were included in the study. 208 (88%) infants had 1-year follow-up. 59 of the 203 infants with known survival status (29%, 95% CI 23% to 36%) died within 1 year of the decision to intervene surgically. Following adjustment, key factors associated with reduced 1-year mortality included older gestational age at birth (adjusted OR (aOR) 0.87, 95% CI 0.78 to 0.96). Being small for gestational age (SGA) (aOR 3.6, 95% CI 1.4 to 9.5) and requiring parenteral nutrition at 28 days post-decision to intervene surgically (aOR 3.5, 95% CI 1.1 to 11.03) were associated with increased 1-year mortality.

conclusionsParents of infants undergoing surgery for NEC should be counselled that there is approximately a 1:3 risk of death in the first post-operative year but that the risk is lower for infants who are of greater gestational age at birth, who are not SGA and who do not require parenteral nutrition at 28 days post-intervention.

Indexed as

Digestive System Surgical ProceduresEnterocolitis, NecrotizingCohort StudiesFemaleFollow-Up StudiesHumansInfantInfant, NewbornInfant, PrematureInfant, Very Low Birth WeightMaleParenteral NutritionPostoperative CarePostoperative ComplicationsPrognosisRisk Factorsgastroenterologynecrotising enterocolitisneonatologypaediatric surgery

Identifiers

PMID29092912
PMCPMC6109245
OpenAlexW2767180115

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.