Evidence map›Paper›PMID 31617097›Full record

Observational studySurgical endoscopy2020

Impact of laparoscopic approach on the short-term outcomes of elderly patients with colorectal cancer: a nationwide Italian experience.

Andrea Barina, Marco Nardelli, Nicola Gennaro, Maria Chiara Corti, Francesco Marchegiani, Cristina Basso, Eliana Ferroni, Ugo Fedeli, Gaya Spolverato, Salvatore Pucciarelli

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 47% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
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

10 authors at 2 institutions in 1 country.

Andrea Barina *1st Surgical Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Via Giustiniani 2, 35121, Padua, Italy.
Marco Nardelli *1st Surgical Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Via Giustiniani 2, 35121, Padua, Italy.
Nicola GennaroRegional Epidemiology Service, Padua, Azienda Zero, Italy.
Maria Chiara CortiRegional Epidemiology Service, Padua, Azienda Zero, Italy.
Francesco Marchegiani1st Surgical Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Via Giustiniani 2, 35121, Padua, Italy.
Cristina BassoRegional Epidemiology Service, Padua, Azienda Zero, Italy.
Eliana FerroniRegional Epidemiology Service, Padua, Azienda Zero, Italy.
Ugo FedeliRegional Epidemiology Service, Padua, Azienda Zero, Italy.
Gaya Spolverato1st Surgical Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Via Giustiniani 2, 35121, Padua, Italy. gaya.spolverato@unipd.it.
Salvatore Pucciarelli1st Surgical Clinic, Department of Surgical, Oncological and Gastroenterological Sciences, University of Padova, Via Giustiniani 2, 35121, Padua, Italy.
University of Padua · ITServizio Sanitario Nazionale · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe laparoscopic approach is increasingly adopted in colorectal cancer surgery; however, its role in elderly patients is controversial. We sought to examine the relationship between age and short-term outcomes following laparoscopic surgery for colorectal cancer (CRC).

methodsData of patients 65 + years old who underwent laparoscopic surgery for CRC between 2002 and 2014 were retrieved from the administrative National Italian Hospital Discharge Dataset. Patients were divided into three age categories (65-74, 75-84, and 85  +). The impact of age on length of stay, 30-day readmission, in-hospital mortality, and postoperative complications was evaluated.

resultsDuring the study period, 47,704 patients underwent laparoscopic surgery for CRC. The median postoperative length of stay was 9 days, and 30-day readmission and in-hospital mortality were 4.4% and 0.9%, respectively. Age was found to be an independent risk factor of prolonged length of stay and increased in-hospital mortality. With respect to patients in 65-74 years age category, patients aged 75-84 years and those aged 85 + years had a higher risk of complications (OR 1.43, 95% CI 1.36-1.50, and OR 2.00, 95% CI 1.83-2.17, respectively). However, no statistically significant association was found between age and anastomotic leakage or surgical site infection (p = 0.29, and p = 0.58, respectively).

conclusionsIn patients with CRC who underwent laparoscopic surgery, age was found to be an independent risk factor for prolonged length of stay, in-hospital mortality, and global postoperative complications. These findings should be considered when planning laparoscopic surgery in elderly patients.

Indexed as

LaparoscopyAgedAged, 80 and overAnastomotic LeakColorectal NeoplasmsFemaleHospital MortalityHumansIncidenceItalyLength of StayLogistic ModelsMaleMultivariate AnalysisRisk FactorsSurgical Wound DehiscenceColorectal surgeryElderlyLaparoscopic surgeryShort-term outcomes

Identifiers

PMID31617097
OpenAlexW2980704566

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.