Evidence map›Paper›PMID 30957069›Full record

Observational studyBJS open2019

National cohort study on postoperative risks after surgery for submucosal invasive colorectal cancer.

N C A Vermeer, Y Backes, H S Snijders, E Bastiaannet, G J Liefers, L M G Moons, C J H van de Velde, K C M J Peeters, Dutch T1 Colorectal Cancer Working Group

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in BJS open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 16% 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it, 71 citations in OpenAlex.

  1. Pooled it
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  14. DNA methylation biomarkers for predicting lymph node metastasis in colorectal cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2025
    Review
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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

9 authors at 4 institutions in 1 country.

N C A VermeerDepartment of Surgery Leiden University Medical Centre Leiden The Netherlands.ORCID 0000-0002-6903-1599
Y BackesDepartment of Gastroenterology, University Medical Centre Utrecht Utrecht The Netherlands.
H S SnijdersDepartment of Surgery, Groene Hart Ziekenhuis Gouda The Netherlands.
E BastiaannetDepartment of Surgery Leiden University Medical Centre Leiden The Netherlands.
G J LiefersDepartment of Surgery Leiden University Medical Centre Leiden The Netherlands.
L M G MoonsDepartment of Gastroenterology, University Medical Centre Utrecht Utrecht The Netherlands.
C J H van de VeldeDepartment of Surgery Leiden University Medical Centre Leiden The Netherlands.
K C M J PeetersDepartment of Surgery Leiden University Medical Centre Leiden The Netherlands.
Dutch T1 Colorectal Cancer Working Group
Leiden University · NLUniversity Medical Center Utrecht · NLGroene Hart Ziekenhuis · NLLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The decision to perform surgery for patients with T1 colorectal cancer hinges on the estimated risk of lymph node metastasis, residual tumour and risks of surgery. The aim of this observational study was to compare surgical outcomes for T1 colorectal cancer with those for more advanced colorectal cancer. Methods: This was a population-based cohort study of patients treated surgically for pT1-3 colorectal cancer between 2009 and 2016, using data from the Dutch ColoRectal Audit. Postoperative complications (overall, surgical, severe complications and mortality) were compared using multivariable logistic regression. A risk stratification table was developed based on factors independently associated with severe complications (reintervention and/or mortality) after elective surgery. Results: Of 39 813 patients, 5170 had pT1 colorectal cancer. No statistically significant differences were observed between patients with pT1 and pT2-3 disease in the rate of severe complications (8·3 Conclusion: Elective bowel resection was associated with similar morbidity and mortality rates in patients with pT1 and those with pT2-3 colorectal carcinoma.

Indexed as

AgedCarcinomaColonColorectal NeoplasmsElective Surgical ProceduresFemaleHospital MortalityHumansIntestinal MucosaLogistic ModelsLymphatic MetastasisMaleMiddle AgedNeoplasm InvasivenessNeoplasm StagingNetherlands

Identifiers

PMID30957069
PMCPMC6433330
OpenAlexW2906348214

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.