Evidence map›Paper›PMID 30225654›Full record

ArticleInternational journal of colorectal disease2018

The type of stoma matters-morbidity in patients with obstructing colorectal cancer.

Adiela Correa-Marinez, Jacob Grenabo, David Bock, Anette Wedin, Eva Angenete

Abstract read
PubMed Publisher
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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Article
  3. Prolapse of intestinal stoma.Annals of coloproctology · 2022
    Review
  4. Article
  5. Current Management of Intestinal Stomas and Their Complications.Journal of the anus, rectum and colon · 2020
    Review
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 at 2 institutions in 1 country.

Adiela Correa-MarinezDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, SSORG Scandinavian Surgical Outcomes Research Group, Östra campus, 416 85, Gothenburg, Sweden. adiela-adriana.correa-marinez@vgregion.se.ORCID http://orcid.org/0000-0002-2236-2294
Jacob GrenaboKungälvs Hospital, Kungälv, Sweden.
David BockDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, SSORG Scandinavian Surgical Outcomes Research Group, Östra campus, 416 85, Gothenburg, Sweden.
Anette WedinDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, SSORG Scandinavian Surgical Outcomes Research Group, Östra campus, 416 85, Gothenburg, Sweden.
Eva AngeneteDepartment of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, SSORG Scandinavian Surgical Outcomes Research Group, Östra campus, 416 85, Gothenburg, Sweden.
Sahlgrenska University Hospital · SEKungälvs Sjukhus · SE

Funding

Agreement concerning research and education of doctors , ALF ALFGBG-493341 and 426501,Swedish cancer Society CAN 2016/509
6 · The paper itself

Abstract

purposeA loop colostomy may reduce the risk of severe intraabdominal complications in patients with obstructing colorectal cancer compared to an end colostomy. The aim of this study was to relate complications to the type of stoma, and a secondary aim was to evaluate whether the type of colostomy had an impact on time until oncological/surgical treatment.

methodsAll patients who underwent surgery and received a deviating colostomy due to obstructing colorectal cancer between January 2011 and December 2015 in five Swedish hospitals in Region Västra Götaland were included (n = 289). Patient charts were reviewed retrospectively. Patients alive in the end of 2016 were contacted and were sent a questionnaire including questions about stoma function and health-related quality of life.

resultsSome 289 patients were included; 147 received an end colostomy and 140 a loop colostomy. Two patients were excluded from the analysis due to missing data. There was no difference in complications at 90 days between the two groups, 44% (end colostomy) and 54% (loop colostomy) (odds ratio: 0.83 (95% CI: 0.49; 1.41). Time to start of treatment was similar in both groups. Patients with a loop colostomy had significantly higher stoma-related morbidity with retraction, prolapse, leakage and bandaging problems. No differences in quality of life were found.

conclusionThe hypothesis that a loop colostomy reduced complications could not be confirmed. An end colostomy should be the first choice in these patients particularly in patients who will have their colostomy for the remainder of their life to reduce stoma-related symptoms.

Indexed as

AgedColorectal NeoplasmsFemaleHumansMaleMorbidityOdds RatioPostoperative ComplicationsQuality of LifeReoperationSurgical StomasColorectal tumourDiverting stomaPostoperative complicationsQuality of lifeStoma complications

Identifiers

PMID30225654
OpenAlexW2890861683

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.