Evidence map›Paper›PMID 29459787›Full record

ArticleEuropean journal of clinical nutrition2018

Nutritional risk screening score is an independent predictive factor of anastomotic leakage after rectal cancer surgery.

Soo Young Lee, Mi Ran Jung, Chang Hyun Kim, Young Jin Kim, Hyeong Rok Kim

Registry-linked trialAbstract read
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In one paragraph

Article in European journal of clinical nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06128798 (A Randomized Controlled Trial on Effect of Preoperative Immunonutrition Versus Standard Oral Nutrition in Patient Undergoing Colorectal Surgery.), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–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.

NCT06128798 naunknown statusnot on this mapstarted 2023, after this paper: background citation

A Randomized Controlled Trial on Effect of Preoperative Immunonutrition Versus Standard Oral Nutrition in Patient Undergoing Colorectal Surgery.

TypeinterventionalSponsorHospital Universiti Sains MalaysiaRan2023 to 2024Enrolled58ConditionsColorectal NeoplasmsArmsOral Impact, Nutren Optimum
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

5 authors.

Soo Young LeeDepartment of Surgery, Chonnam National University Hwasun Hospital and Medical School, Hwasun, Korea.ORCID http://orcid.org/0000-0002-9200-7933
Mi Ran JungDepartment of Surgery, Chonnam National University Hwasun Hospital and Medical School, Hwasun, Korea.
Chang Hyun KimDepartment of Surgery, Chonnam National University Hwasun Hospital and Medical School, Hwasun, Korea.
Young Jin KimDepartment of Surgery, Chonnam National University Hwasun Hospital and Medical School, Hwasun, Korea.
Hyeong Rok KimDepartment of Surgery, Chonnam National University Hwasun Hospital and Medical School, Hwasun, Korea. drkhr@chonnam.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesNutritional risk screening (NRS) score has been reported as a predictor of postoperative outcomes in patients undergoing abdominal surgery, although the correlation between NRS and anastomotic leakage (AL) after rectal cancer surgery is uncertain. This study aimed to evaluate the association between NRS score and AL following rectal cancer surgery. SUBJECT/

methodsWe retrospectively reviewed data of rectal cancer patients from a tertiary referral center in South Korea, and included 1063 patients with primary rectal cancer who underwent sphincter-preserving surgery between January 2011 and December 2015. We utilized the Chonnam National University Hwasun Hospital-Nutritional Risk Screening Tool (CNUHH-NRST), which was developed and cross-validated on the basis of the NRS 2002 and MST, as a screening tool of nutritional risk. Patients with NRS scores ≥4 were compared with those with NRS scores <4, and the risk factors for AL were analyzed.

resultsOne-hundred-nineteen (11.2%) patients had high nutritional risk (NRS score ≥4). The patients with a nutritional risk had more advanced tumor stages than those without nutritional risk. AL occurred in 69 (6.5%) patients. The multivariate logistic regression analysis showed high American Society of Anesthesiologists score (odds ratio (OR) = 2.435, 95% confidence interval (CI) = 1.085-5.469), long operative time (OR = 1.975, 95% CI = 1.177-3.313), and high NRS score (OR = 2.044, 95% CI = 1.085-3.851) as independent risk factors of AL.

conclusionsThe NRS score was an independent predictive factor of AL after rectal cancer surgery. Patients with nutritional risks who require rectal cancer surgery should be carefully managed.

Indexed as

AgedAnastomotic LeakDigestive System Surgical ProceduresFemaleHumansIncidenceMaleMiddle AgedNutritional StatusRectal NeoplasmsRectumRepublic of KoreaRetrospective StudiesRisk Factors

Identifiers

PMID29459787

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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.