Evidence map›Paper›PMID 30863928›Full record

ArticleSurgical endoscopy2020

Long-term results after elective laparoscopic surgery for colorectal cancer in octogenarians.

Benjamin W P Rossi, Peter Labib, Elizabeth Ewers, Samantha Leong, Mark Coleman, Sebastian Smolarek

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.4field-weighted citation impact, top 35% 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

7 citing papers in PubMed, 13 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Benjamin W P RossiColorectal Department, University Hospital Plymouth NHS Trust, Plymouth, UK. b.rossi@nhs.net.ORCID 0000-0002-2702-514X
Peter LabibColorectal Department, University Hospital Plymouth NHS Trust, Plymouth, UK.
Elizabeth EwersColorectal Department, University Hospital Plymouth NHS Trust, Plymouth, UK.
Samantha LeongColorectal Department, University Hospital Plymouth NHS Trust, Plymouth, UK.
Mark ColemanColorectal Department, University Hospital Plymouth NHS Trust, Plymouth, UK.
Sebastian SmolarekColorectal Department, University Hospital Plymouth NHS Trust, Plymouth, UK.
University Hospitals Plymouth NHS Trust · GBDerriford Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to investigate the short- and long-term outcomes after elective laparoscopic surgery (LPS) for colorectal cancer patients over 80 years of age.

methodsThis was a retrospective study of all patients of 80 and above, who underwent elective colorectal resection, between January 2007 and January 2016. Data were analysed from a prospectively collected cancer database and cross checked with patient records. Determinants of survival were analysed using log-rank test and Kaplan-Meier curves.

resultsWe identified 293 patients; 110 underwent LPS. LPS had significantly better overall survival (p = 0.0065) and disease-free survival (DFS) (p = 0.006). The LPS group also had a shorter length of stay (LOS)-9 vs 11 days (p < 0.00001), 90-day mortality-5.5 vs 13.7% (p = 0.03) and required fewer blood transfusions 22.7 vs 40.4% (p = 0.002), when compared to open surgery (OPS). There was no difference in 30-day mortality 1.8 vs 4.9% (p = 0.22), anastomotic leakage 2.3 vs 6% (p = 0.20) or post-operative complication rates 44.5 vs 50.8% (p = 0.30).

conclusionsLPS for patients in their 80s is characterised by better overall and DFS compared to open procedures and is associated with shorter post-operative LOS, and significantly lower 90-day mortality. Patients operated on laparoscopically also required fewer post-operative blood transfusions.

Indexed as

Colorectal NeoplasmsElective Surgical ProceduresLaparoscopyLong Term Adverse EffectsPostoperative ComplicationsAged, 80 and overDisease-Free SurvivalFemaleHumansMaleRetrospective StudiesSurvival AnalysisTreatment OutcomeColorectal cancerLaparoscopic surgeryOver 80s

Identifiers

PMID30863928
OpenAlexW2921537737

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.