Evidence map›Paper›PMID 30793242›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

Risk factors affecting hospital stay among patients undergoing colon cancer surgery: a prospective cohort study.

Miren Orive, Urko Aguirre, Nerea Gonzalez, Santiago Lázaro, Maximino Redondo, Marisa Bare, Rocío Anula, Eduardo Briones, Antonio Escobar, Cristina Sarasqueta and 3 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02488161 (Risk Factors of Adverse Outcomes at Short and Medium Term, and Development of Predictive Models, in Patients With Colorectal Cancer. IRYSS-coordinated Multicenter Study), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

NCT02488161 completednot on this map

Risk Factors of Adverse Outcomes at Short and Medium Term, and Development of Predictive Models, in Patients With Colorectal Cancer. IRYSS-coordinated Multicenter Study

TypeobservationalSponsorHospital Galdakao-UsansoloRan2010 to 2015Enrolled2,600ConditionsColorectal CancerArmsNo intervention
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Polyphenols, Mediterranean diet, and colon cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Article
  9. In response to the director letter "Polyphenols, Mediterranean diet, and colon cancer".Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Miren OriveResearch Unit, Hospital Galdakao-Usansolo, B° Labeaga s/n, 48960, Galdakao, Biscay, Spain. miren.orivecalzada@osakidetza.net.ORCID http://orcid.org/0000-0003-1848-6638
Urko AguirreResearch Unit, Hospital Galdakao-Usansolo, B° Labeaga s/n, 48960, Galdakao, Biscay, Spain.
Nerea GonzalezResearch Unit, Hospital Galdakao-Usansolo, B° Labeaga s/n, 48960, Galdakao, Biscay, Spain.
Santiago LázaroGeneral Surgery Service, Galdakao-Usansolo Hospital, Galdakao, Bizkaia, Spain.
Maximino RedondoHealth Services Research on Chronic Patients Network (REDISSEC), Barakaldo, Spain.
Marisa BareHealth Services Research on Chronic Patients Network (REDISSEC), Barakaldo, Spain.
Rocío AnulaColorectal Unit, Hospital Clínico San Carlos, Madrid, Spain.
Eduardo BrionesUDG Public Health. Distrito AP Sevilla, Sevilla, Spain.
Antonio EscobarHealth Services Research on Chronic Patients Network (REDISSEC), Barakaldo, Spain.
Cristina SarasquetaHealth Services Research on Chronic Patients Network (REDISSEC), Barakaldo, Spain.
Susana Garcia-GutierrezResearch Unit, Hospital Galdakao-Usansolo, B° Labeaga s/n, 48960, Galdakao, Biscay, Spain.
José M QuintanaResearch Unit, Hospital Galdakao-Usansolo, B° Labeaga s/n, 48960, Galdakao, Biscay, Spain.
REDISSEC-CARESS/CCR group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify and validate risk factors that contribute to prolonged length of hospital stay (LOS) in patients undergoing resection for colorectal cancer.

methodsThis prospective cohort study included 1955 patients admitted to 22 hospitals for primary resection of colorectal cancer. Multivariate analyses were used to identify and validate risk factors, randomizing patients into a derivation and a validation cohort. Multiple correspondence and cluster analysis were performed to identify clinical subtypes based on LOS.

resultsThe strongest independent predictors of prolonged LOS were postoperative reintervention, surgical site infection, open surgery, and distant metastasis. The multiple correspondence and cluster analysis provided three groups of patients in relation to prolonged LOS: patients with the longest LOS included the highest percentage of patients with open surgery, distant metastasis, deep surgical site infections, emergency admissions, additional diagnostic factors, and highly contaminated surgical sites. Patients with prolonged LOS (> 14 days) were more likely to develop adverse outcomes within 30 days after discharge.

conclusionsPatients undergoing resection of colorectal cancer cluster into different groups based on LOS of the index admission. Those with prolonged LOS were more likely to develop adverse outcomes within 30 days after discharge. Some of the strongest independent predictors of prolonged LOS, such as surgical infections or open surgery, could be modified to reduce LOS and, in turn, other adverse outcomes.

trial registrationNCT02488161.

Indexed as

AgedAged, 80 and overCohort StudiesColonic NeoplasmsDigestive System Surgical ProceduresFemaleHumansLength of StayMalePatient DischargePostoperative PeriodProspective StudiesRisk FactorsSurgical Wound InfectionColon cancerColon surgeryLength of stayProspective cohort studyRisk factors

Identifiers

PMID30793242

What OpenQuestion holds

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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.