Evidence map›Paper›PMID 29541987›Full record

ArticleTechniques in coloproctology2018

The effect of metabolic syndrome on postoperative outcomes following laparoscopic colectomy.

A Zarzavadjian Le Bian, C Denet, N Tabchouri, H Levard, R Besson, T Perniceni, R Costi, P Wind, D Fuks, B Gayet

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Article in Techniques in coloproctology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. 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

10 authors at 4 institutions in 2 countries.

A Zarzavadjian Le BianDepartment of Digestive Surgery, Avicenne Hospital, Paris XIII University, 125, Rue de Stalingrad, 93000, Bobigny, France. spleen2008@live.fr.ORCID 0000-0002-7384-1148
C DenetDepartment of Digestive Diseases, Mutualiste Montsouris Institute Paris, Paris, France.
N TabchouriDepartment of Digestive Diseases, Mutualiste Montsouris Institute Paris, Paris, France.
H LevardDepartment of Digestive Diseases, Mutualiste Montsouris Institute Paris, Paris, France.
R BessonDepartment of Digestive Diseases, Mutualiste Montsouris Institute Paris, Paris, France.
T PerniceniDepartment of Digestive Diseases, Mutualiste Montsouris Institute Paris, Paris, France.
R CostiDepartment of Surgery, University of Parma, Parma, Italy.
P WindDepartment of Digestive Surgery, Avicenne Hospital, Paris XIII University, 125, Rue de Stalingrad, 93000, Bobigny, France.
D FuksDepartment of Digestive Diseases, Mutualiste Montsouris Institute Paris, Paris, France.
B GayetDepartment of Digestive Diseases, Mutualiste Montsouris Institute Paris, Paris, France.
Institute Mutualiste Montsouris · FRDélégation Paris 5 · FRUniversité Sorbonne Paris Nord · FRUniversity of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAmong the criteria used to diagnose metabolic syndrome (MS), obesity and diabetes mellitus (DM) are associated with poor postoperative outcomes following colectomy. MS is also associated with colorectal cancer (CRC) and diverticulosis, both of which may be treated with colectomy. However, the effect of MS on postoperative outcomes following laparoscopic colectomy has yet to be clarified.

methodsIn an academic tertiary hospital, data from all consecutive patients undergoing laparoscopic colectomy from 2005 to 2014 were prospectively recorded and analysed. Patients presenting with MS [defined by the presence of three or more of the following criteria: elevated blood pressure, body mass index > 28 kg/m

resultsOverall, 1236 patients were included: 508 (41.1%) right colectomies and 728 (58.9%) left colectomies. Seven hundred seventy-two (62.4%) of these procedures were performed for CRC. MS was diagnosed in 85 (6.9%) patients, who were significantly older than the others (70 vs. 64.2 years, p < 0.001), and presented with more cardiac comorbidities (p < 0.001). MS was associated with increased blood loss (122.5 vs. 79.9 mL p = 0.001) and blood transfusion requirement (5.9 vs. 1.7%, p = 0.021). The anastomotic leak rate was 6.6% (with 2.2% of anastomotic leaks requiring surgical treatment), and the overall reoperation rate was 6.9%. The incidence of severe postoperative complications was 11.5%, and the overall mortality rate 0.6%. No differences were found between the groups in overall postoperative morbidity and mortality. Median length of stay was similar in both groups (7 days).

conclusionsMS does not jeopardize postoperative outcomes following laparoscopic colectomy.

Indexed as

AdolescentAdultAgedAged, 80 and overAnastomotic LeakBlood Loss, SurgicalBlood TransfusionCase-Control StudiesColectomyFemaleHumansLaparoscopyLength of StayMaleMetabolic SyndromeMiddle AgedDiabetes mellitusLaparoscopic colectomyMetabolic syndromeObesityPostoperative outcomes

Identifiers

PMID29541987
OpenAlexW2789331393

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.