Evidence map›Paper›PMID 31832590›Full record

Observational studyBJS open2019

Effect of preoperative oral antibiotics in combination with mechanical bowel preparation on inflammatory response and short-term outcomes following left-sided colonic and rectal resections.

A M Golder, C W Steele, D Conn, G J MacKay, D C McMillan, P G Horgan, C S Roxburgh, S T McSorley

Open access · goldAbstract readObservational 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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Has network meta-analysis resolved the controversies related to bowel preparation in elective colorectal surgery?Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022
    Review
  8. Observational
  9. Review
  10. Article
  11. Article
  12. The use of oral antibiotics and mechanical bowel preparation in elective colorectal resection for the reduction of surgical site infection.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2020
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

A M GolderAcademic Unit of Surgery, Glasgow Royal Infirmary Glasgow UK.ORCID 0000-0002-0293-139X
C W SteeleAcademic Unit of Surgery, Glasgow Royal Infirmary Glasgow UK.ORCID 0000-0001-8518-1223
D ConnAcademic Unit of Surgery, Glasgow Royal Infirmary Glasgow UK.
G J MacKayAcademic Unit of Surgery, Glasgow Royal Infirmary Glasgow UK.
D C McMillanAcademic Unit of Surgery, Glasgow Royal Infirmary Glasgow UK.
P G HorganAcademic Unit of Surgery, Glasgow Royal Infirmary Glasgow UK.
C S RoxburghAcademic Unit of Surgery, Glasgow Royal Infirmary Glasgow UK.
S T McSorleyAcademic Unit of Surgery, Glasgow Royal Infirmary Glasgow UK.ORCID 0000-0002-5459-8445
Glasgow Royal Infirmary · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Preoperative oral antibiotics in addition to intravenous antibiotics and mechanical bowel preparation (MBP) may influence the gut microbiome and reduce both the postoperative systemic inflammatory response to surgery and postoperative infective complications following colorectal resection. This propensity score-matched study compared outcomes of patients undergoing left-sided colonic or rectal resection with or without a combination of oral antibiotics and MBP. Methods: The addition of oral antibiotics and MBP to prophylactic intravenous antibiotics in left-sided colonic and rectal resections was introduced in 2015-2016 at a single institution. Propensity score matching was undertaken to compare the effects of oral antibiotics plus MBP Results: Of 396 patients who had propensity score matching for host, anaesthetic and operative factors, 204 matched patients were identified. The addition of oral antibiotics and MBP was associated with a significantly reduced postoperative inflammatory response (reduced postoperative Glasgow Prognostic Score) on day 3 (odds ratio (OR) 0·66, 95 per cent c.i. 0·44 to 0·99; Conclusion: Preoperative oral antibiotics and MBP in addition to prophylactic intravenous antibiotics were associated with a reduction in the postoperative systemic inflammatory response and postoperative complications in patients undergoing resectional left-sided colonic or rectal surgery.

Indexed as

Administration, IntravenousAdministration, OralAgedAnti-Bacterial AgentsAntibiotic ProphylaxisCatharticsColectomyElective Surgical ProceduresFemaleHumansLongitudinal StudiesMaleMiddle AgedPreoperative CareProctectomySurgical Wound InfectionAnti-Bacterial AgentsCathartics

Identifiers

PMID31832590
PMCPMC6887908
OpenAlexW2980864645

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.