Evidence map›Paper›PMID 32502042›Full record

Observational studyMedicine2020

Analysis of risk factors associated bowel resection in patients with incarcerated groin hernia.

Peng Chen, Wenming Yang, Jianhao Zhang, Cun Wang, Yongyang Yu, Yong Wang, Lie Yang, Zongguang Zhou

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2020. 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
2.7field-weighted citation impact, top 10% 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. Observational
  4. High bilirubin and blood urea nitrogen predict intestinal necrosis in incarcerated groin hernia.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. A new groin hernia classification with clinical relevance.Hernia : the journal of hernias and abdominal wall surgery · 2024
    Article
  10. Article
  11. Article
  12. Evaluation and clinical significance of predictors for strangulation and intestinal resection in emergency anterior abdominal wall hernia surgery.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
    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

8 authors at 2 institutions in 1 country.

Peng ChenDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan University.
Wenming YangDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan University.
Jianhao ZhangDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan University.
Cun WangDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan University.
Yongyang YuDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan University.
Yong WangDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan University.
Lie YangDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan University.
Zongguang ZhouDepartment of Gastrointestinal Surgery, West China Hospital, Sichuan University.
Sichuan University · CNWest China Hospital of Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncarcerated groin hernia (IGH) is a common surgical emergency. However, there are few accurate and applicable predictors for differentiating patients with strangulated groin hernia from those with IGH. In this study, we aimed to identify the independent risk factors for bowel resection in patients with IGH.

methodsWe retrospectively collected 323 patients who underwent emergency hernia repair surgery for IGH between January 2010 and October 2019. The patients were categorized into those who received bowel resection and those who did not require bowel resection. The receiver-operating characteristic curve was used to identify the best cutoff values for continuous variables. Following this, univariate and multivariate analyses were performed to identify potential risk factors for bowel resection in these patients.

resultsUnivariate analysis identified 6 variables that were significantly associated with bowel resection among patients with IGH. On multivariate analysis, neutrophil-to-lymphocyte ratio (NLR) (odds ratio [OR] = 3.362, 95% confidence interval [CI] 1.705-6.628, P = .000) and bowel obstruction (OR = 3.191, 95% CI 1.873-5.437, P = 0.000) were identified as independent risk factors for bowel resection among patients with IGH.

conclusionIn this study, an elevated NLR and those with bowel obstruction are associated with an increased risk of bowel resection among patients with IGH. Based on our findings, surgeons should prioritize prompt emergency surgical repair for patients who present with elevated NLR and bowel obstruction concurrent with IGH.

Indexed as

Case-Control StudiesEmergenciesFemaleHernia, InguinalHerniorrhaphyHumansIntestinal ObstructionLymphocytesMaleNeutrophilsRetrospective StudiesRisk Factors

Identifiers

PMID32502042
PMCPMC7306359
OpenAlexW3033721559

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.