Evidence map›Paper›PMID 32231422›Full record

Observational studyWorld journal of gastroenterology2020

Preoperative albumin levels predict prolonged postoperative ileus in gastrointestinal surgery.

Wen-Quan Liang, Ke-Cheng Zhang, Hua Li, Jian-Xin Cui, Hong-Qing Xi, Ji-Yang Li, Ai-Zhen Cai, Yu-Hua Liu, Wang Zhang, Lan Zhang and 2 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in World journal of gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

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  14. Prolonged preoperative sedentary time is a risk factor for postoperative ileus in patients with colorectal cancer: a propensity score-matched retrospective study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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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

12 authors at 4 institutions in 1 country.

Wen-Quan LiangDepartment of General Surgery & Institute of General Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Ke-Cheng ZhangDepartment of General Surgery & Institute of General Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Hua LiDepartment of Surgical Oncology, Xing Tai People's Hospital, Xingtai 054001, Hebei Province China.
Jian-Xin CuiDepartment of General Surgery & Institute of General Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Hong-Qing XiDepartment of General Surgery & Institute of General Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Ji-Yang LiDepartment of General Surgery & Institute of General Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Ai-Zhen CaiDepartment of General Surgery & Institute of General Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Yu-Hua LiuInstitute of Army Hospital Management, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Wang ZhangDepartment of General Surgery & Institute of General Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Lan ZhangDepartment of General Surgery & Institute of General Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Bo WeiDepartment of General Surgery & Institute of General Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Lin ChenDepartment of General Surgery & Institute of General Surgery, Chinese People's Liberation Army General Hospital, Beijing 100853, China. chenlin@301hospital.com.cn.
Xingtai People's Hospital · CNHebei Medical University · CNPeople's Liberation Army No. 150 Hospital · CNChinese People's Liberation Army · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProlonged postoperative ileus (PPOI) is a prolonged state of "pathological" gastrointestinal (GI) tract dysmotility. There are relatively few studies examining the influence of preoperative nutritional status on the development of PPOI in patients who underwent GI surgery. The association between preoperative albumin and PPOI has not been fully studied. We hypothesized that preoperative albumin may be an independent indicator of PPOI.

aimTo analyze the role of preoperative albumin in predicting PPOI and to establish a nomogram for clinical risk evaluation.

methodsPatients were drawn from a prospective hospital registry database of GI surgery. A total of 311 patients diagnosed with gastric or colorectal cancer between June 2016 and March 2017 were included. Potential predictors of PPOI were analyzed by univariate and multivariable logistic regression analyses, and a nomogram for quantifying the presence of PPOI was developed and internally validated.

resultsThe overall PPOI rate was 21.54%. Advanced tumor stage and postoperative opioid analgesic administration were associated with PPOI. Preoperative albumin was an independent predictor of PPOI, and an optimal cutoff value of 39.15 was statistically calculated. After adjusting multiple variables, per unit or per SD increase in albumin resulted in a significant decrease in the incidence of PPOI of 8% (OR = 0.92, 95%CI: 0.85-1.00,

conclusionPreoperative albumin is an independent predictive factor of PPOI in patients who underwent GI surgery. The nomogram provided a model to screen for early indications in the clinical setting.

Indexed as

NomogramsAgedColorectal NeoplasmsDigestive System Surgical ProceduresFemaleHumansIleusIncidenceMaleMiddle AgedPostoperative ComplicationsPredictive Value of TestsPreoperative PeriodReference ValuesRetrospective StudiesRisk AssessmentSerum Albumin, HumanAlbuminComplicationsGastrointestinal surgeryNomogramProlonged postoperative ileus

Identifiers

PMID32231422
PMCPMC7093316
OpenAlexW3011382457

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.