ArticleColorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland2019
Better survival for patients with colon cancer operated on by specialized colorectal surgeons - a nationwide population-based study in Sweden 2007-2010.
Article in Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04550156 (Evaluation of the Introduction of a Colorectal Bundle in Left Sided Colorectal Resections), which is not on this map. Cited by 10 papers.
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.
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.
Evaluation of the Introduction of a Colorectal Bundle in Left Sided Colorectal Resections
Who cites it
10 citing papers in PubMed, 25 citations in OpenAlex.
- Decision-making in emergency colorectal surgery for cancer.Annals of medicine and surgery (2012) · 2026Article
- Pattern of colorectal surgery and long-term survival: 10-year experience from a single center.World journal of gastrointestinal oncology · 2024Article
- Review
- Global survey on the surgical management of patients affected by colorectal cancer with synchronous liver metastases: impact of surgical specialty and geographic region.Surgical endoscopy · 2023Article
- Short term results in a population based study indicate advantage for laparoscopic colon cancer surgery versus open.Scientific reports · 2023Article
- Who should operate patients presenting with emergent colon cancer? A comparison of short- and long-term outcome depending on surgical sub-specialization.World journal of emergency surgery : WJES · 2023Article
- The Colorectal Anastomosis: A Timeless Challenge.Clinics in colon and rectal surgery · 2023Review
- Long-term survival among colorectal cancer patients in Finland, 1991-2015: a nationwide population-based registry study.BMC cancer · 2022Article
- Evaluation of the Introduction of a Colorectal Bundle in Left Sided Colorectal Resections (EvaCol): Study Protocol of a Multicentre, Observational Trial.International journal of surgery protocols · 2022Article
- Differences in organization of care are associated with mortality, severe complication and failure to rescue in emergency colon cancer surgery.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimMortality and complication rates after surgery for colon cancer are high, especially after emergency procedures. The aim of the present study was to evaluate the importance of the formal competence of surgeons for survival and morbidity.
methodThe Swedish Colorectal Cancer Registry prospectively records data on patients diagnosed with cancer within the colon and rectum. A cohort of patients operated on for colon cancer between 2007 and 2010 were followed 5 years after surgery. Data on postoperative morbidity, mortality and long-term survival were compared with regard to formal competency of the most senior surgeon attending the procedure.
resultsThis analysis includes 13 365 patients operated on for colon cancer, including 10 434 elective procedures and 2931 emergency cases. The overall 5-year survival was higher for those operated on by subspecialist colorectal surgeons compared with general surgeons (60% vs 48%; P < 0.001). Five-year survival after elective surgery was 63% vs 55% (P < 0.001) and 35% vs 31% (P < 0.05) after emergency procedures when performed by colorectal surgeons compared with general surgeons. Postoperative 30-day mortality was 3% after surgery performed by colorectal surgeons compared with 7% when performed by general surgeons. Mortality at 90 days was 6% after surgery performed by colorectal surgeons compared with 11% for patients operated on by general surgeons (P < 0.001).
conclusionSubspecialization in colorectal surgery is associated with better outcome for patients operated on for colon cancer, and effort should be made to increase the availability of colorectal surgeons for both acute and elective colon cancer surgery.
Indexed as
Identifiers
What OpenQuestion holds
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.