Evidence map›Paper›PMID 31624871›Full record

ArticleInternational journal of colorectal disease2019

Colon cancer in the young: contributing factors and short-term surgical outcomes.

Kamil Hanna, Muhammad Zeeshan, Mohammad Hamidi, Viraj Pandit, Pamela Omesiete, Alejandro Cruz, Agnes Ewongwo, Bellal Joseph, Valentine Nfonsam

Abstract read
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In one paragraph

Article in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-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

10 citing papers in PubMed, 18 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

9 authors at 1 institution in 1 country.

Kamil HannaDepartment of Surgery, University of Arizona Medical Center, Tucson, AZ, USA.
Muhammad ZeeshanDepartment of Surgery, University of Arizona Medical Center, Tucson, AZ, USA.
Mohammad HamidiDepartment of Surgery, University of Arizona Medical Center, Tucson, AZ, USA.
Viraj PanditDepartment of Surgery, University of Arizona Medical Center, Tucson, AZ, USA.
Pamela OmesieteDepartment of Surgery, University of Arizona Medical Center, Tucson, AZ, USA.
Alejandro CruzDepartment of Surgery, University of Arizona Medical Center, Tucson, AZ, USA.
Agnes EwongwoDepartment of Surgery, University of Arizona Medical Center, Tucson, AZ, USA.
Bellal JosephDepartment of Surgery, University of Arizona Medical Center, Tucson, AZ, USA.
Valentine NfonsamDepartment of Surgery, University of Arizona Medical Center, Tucson, AZ, USA. vnfonsam@surgery.arizona.edu.ORCID http://orcid.org/0000-0002-1213-8053
Banner - University Medical Center Tucson · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence in young patients has increased significantly over the last few decades. The aim of this study is to evaluate demographic and tumor characteristics of young patients and analyze the short-term surgical outcomes of patients undergoing surgery.

methodsWe performed a 2-year review (2015-2016) of the ACS-NSQIP and included all patients with CC who underwent surgical management. Patients were stratified into two groups: early-onset CC (< 50 years old) and late-onset CC (≥ 50 years old). Outcome measures were hospital length of stay, 30-day complications, mortality, and readmission.

resultsWe included a total of 15,957 patients in the analysis. Mean age was 65 ± 13 years, and 52% were male. Overall 10% of the patients had early-onset CC. Patients with early-onset CC were more likely to be black (11% vs 7%, p = 0.04) and Hispanic (8% vs 4%, p = 0.02). Additionally, they presented with a more aggressive tumor and higher TNM staging. Patients with early onset CC had lower 30-day complications (18% vs 22%, p = 0.02), shorter hospital length of stay (6[3-8] vs 8[5-11], p = 0.03) and lower 30-day mortality (0.4% vs 1.8%, p = 0.04) compared to their counterparts. However, there was no difference between the two groups regarding 30-day readmission. On regression analysis, there was no difference between the two groups regarding study outcomes.

conclusionsRacial disparity does exist in the incidence of colon cancer in the young with higher incidence in blacks. Younger patients with CC tend to have better surgical outcomes on univariate analysis. On regression analysis, the surgical outcomes between the two groups are comparable.

Indexed as

Colonic NeoplasmsFemaleHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisNeoplasm StagingRisk FactorsTime FactorsTreatment OutcomeColon cancerEthnic disparitiesNationwide Surgical Quality Improvement ProgramRacial disparitiesYoung patients

Identifiers

PMID31624871
OpenAlexW2980696731

What OpenQuestion holds

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Registered trials

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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.