Evidence map›Paper›PMID 29411120›Full record

ArticleInternational journal of colorectal disease2018

Nomogram for predicting anastomotic leakage after low anterior resection for rectal cancer.

Nobuaki Hoshino, Koya Hida, Yoshiharu Sakai, Shunichi Osada, Hitoshi Idani, Toshihiko Sato, Yasumasa Takii, Hiroyuki Bando, Akio Shiomi, Norio Saito

Abstract read
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In one paragraph

Article in International journal of colorectal disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 4 pooled it
3.3field-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.

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

65 citing papers in PubMed, 4 syntheses or guidelines pooled it, 120 citations in OpenAlex.

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5 more citing papers are in PubMed but not listed here.

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

10 authors at 8 institutions in 1 country.

Nobuaki HoshinoDepartment of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Koya HidaDepartment of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan. hidakoya@kuhp.kyoto-u.ac.jp.
Yoshiharu SakaiDepartment of Surgery, Kyoto University Graduate School of Medicine, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan.
Shunichi OsadaDivision of Surgery, Yokohama City Minato Red Cross Hospital, Kanagawa, Japan.
Hitoshi IdaniDivision of Surgery, Fukuyama City Hospital, Fukuyama, Japan.
Toshihiko SatoDivision of Surgery, Yamagata Prefectural Central Hospital, Yamagata, Japan.
Yasumasa TakiiDivision of Gastroenterological Surgery, Niigata Cancer Center Hospital, Niigata, Japan.
Hiroyuki BandoDivision of Gastroenterological Surgery, Ishikawa Prefectural Central Hospital, Ishikawa, Japan.
Akio ShiomiDivision of Colon and Rectal Surgery, Shizuoka Cancer Center Hospital, Shizuoka, Japan.
Norio SaitoDivision of Colorectal Surgery, National Cancer Center Hospital East, Chiba, Japan.
Kyoto University · JPFukuyama City Hospital · JPIshikawa Prefectural Central Hospital · JPNational Cancer Center Hospital East · JPNiigata Cancer Center Hospital · JPShizuoka Cancer Center · JPYamagata Prefectural Central Hospital · JPYokohama Municipal Minato Red Cross Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAnastomotic leakage after low anterior resection for rectal cancer is a critical problem. Many risk factors have been suggested and surgical techniques have improved, but anastomotic leakage remains a major postoperative challenge. This study sought to create a nomogram for precise prediction of anastomotic leakage after low anterior resection for rectal cancer.

methodsWe used data of 936 patients that had been prospectively collected by the Japanese Society for Colon and Rectal Cancer between June 2010 and February 2013. Risk factors for anastomotic leakage were identified by multivariate logistic regression analysis and used to create a nomogram. The performance of the nomogram was evaluated by using a bootstrapped-concordance index and calibration plots.

resultsSex, preoperative serum albumin, tumor location and diameter, and simultaneous resection of other organs were identified as significantly associated factors that could be combined for accurate prediction of anastomotic leakage. We created a nomogram for anastomotic leakage by using these risk factors. The area under the curve was 0.72 (95% confidence interval 0.67-0.76). The nomogram had a bootstrapped-concordance index of 0.72 and was well calibrated.

conclusionsOur nomogram was a useful tool for precise prediction of anastomotic leakage after low anterior resection for rectal cancer.

Indexed as

NomogramsAgedAged, 80 and overAnastomotic LeakCalibrationDigestive System Surgical ProceduresFemaleHumansMaleMiddle AgedRectal NeoplasmsROC CurveAnastomotic leakageLow anterior resectionNomogramRectal neoplasms

Identifiers

PMID29411120
OpenAlexW2793884781

What OpenQuestion holds

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Read underepoch 390

Registered trials

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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.