Evidence map›Paper›PMID 32928540›Full record

ArticleAmerican journal of surgery2021

Better characterization of operation for ulcerative colitis through the National surgical quality improvement program: A 2-year audit of NSQIP-IBD.

William Y Luo, Stefan D Holubar, Liliana Bordeianou, Bard C Cosman, Roxanne Hyke, Edward C Lee, Evangelos Messaris, Julia Saraidaridis, Jeffrey S Scow, Virginia O Shaffer and 5 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in American journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.6field-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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Restorative versus non-restorative total proctocolectomy: Who doesn't pouch and how do they do?Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. National Databases for Assessment of Quality.Clinics in colon and rectal surgery · 2023
    Review
  6. State-of-the-art surgery for ulcerative colitis.Langenbeck's archives of surgery · 2021
    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

15 authors at 11 institutions in 1 country.

William Y LuoUniversity of California, San Diego School of Medicine, 9500 Gilman Drive, La Jolla, CA, 92093, USA. Electronic address: wyluo@health.ucsd.edu.
Stefan D HolubarDepartment of Colon & Rectal Surgery, Cleveland Clinic, 9500 Euclid Avenue A30, Cleveland, OH, 44195, USA. Electronic address: holubas@ccf.org.
Liliana BordeianouColorectal Surgery Program, Massachusetts General Hospital, 15 Parkman Street, Boston, MA, 02114-3117, USA. Electronic address: lbordeianou@mgh.harvard.edu.
Bard C CosmanUniversity of California, San Diego School of Medicine, 9500 Gilman Drive, La Jolla, CA, 92093, USA; Department of Surgery, Veteran Affairs San Diego Healthcare System, 3350 La Jolla Village Dr, San Diego, CA, 92161, USA. Electronic address: bard.cosman@va.gov.
Roxanne HykeStanford Health Care, 500 Pasteur Dr, Palo Alto, CA, 94304, USA. Electronic address: RHyke@stanfordhealthcare.org.
Edward C LeeDivision of General Surgery, Albany Medical Center, 50 New Scotland Avenue MC-193, 5th Floor, Albany, NY, 12208, USA. Electronic address: leee@amc.edu.
Evangelos MessarisDivision of Colon and Rectal Surgery, Beth Israel Deaconess Medical Center, 330 Brookline Avenue, Shapiro Building, 3rd Floor, Boston, MA, 02215-5400, USA. Electronic address: emessari@bidmc.harvard.edu.
Julia SaraidaridisDepartment of Colon and Rectal Surgery, Lahey Hospital and Medical Center, 41 Mall Road Burlington, MA, 01805, USA. Electronic address: julia.t.saraidaridis@lahey.org.
Jeffrey S ScowDepartment of Surgery, Penn State Health, 200 Campus Dr, Suite 3100 | Entrance 4, Hershey, PA, 17033, USA. Electronic address: jscow@pennstatehealth.psu.edu.
Virginia O ShafferDepartment of Surgery, Emory University School of Medicine, Room B206, 1364 Clifton Road, NE, Atlanta, GA, 30322, USA. Electronic address: virginia.o.shaffer@emory.edu.
Radhika SmithDepartment of Surgery, Washington University School of Medicine in St. Louis, 5201 Midamerica Plaza, St. Louis, MO, 63141, USA. Electronic address: radhikasmith@wustl.edu.
Randolph M SteinhagenDepartment of Surgery, The Mount Sinai Hospital, 5 East 98th Street, 14th Floor, Suite D, Box 1259, New York, NY, 10029, USA. Electronic address: randolph.steinhagen@mountsinai.org.
Florin VaidaUniversity of California, San Diego School of Medicine, 9500 Gilman Drive, La Jolla, CA, 92093, USA. Electronic address: fvaida@health.ucsd.edu.
Samuel EisensteinUniversity of California, San Diego School of Medicine, 9500 Gilman Drive, La Jolla, CA, 92093, USA. Electronic address: seisenstein@health.ucsd.edu.
National Surgical Quality Improvement Program-Inflammatory Bowel Disease (NSQIP-IBD) Collaborative: Collaborating Institutions and Investigators
University of California San Diego · USAlbany Medical Center Hospital · USBeth Israel Deaconess Medical Center · USCleveland Clinic · USEmory University · USLahey Hospital and Medical Center · USMassachusetts General Hospital · USMount Sinai Hospital · USPenn State Milton S. Hershey Medical Center · USStanford Health Care · USWashington University in St. Louis · US

Funding

UC San Diego Clinical and Translational Research InstituteTL1TR001443 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DEPP, COLIN A. · 2015 to 2019
$3.4M
NCATS NIH HHS TL1 TR001443
6 · The paper itself

Abstract

introductionThere is little consensus of quality measurements for restorative proctocolectomy with ileal pouch-anal anastomosis(RPC-IPAA) performed for ulcerative colitis(UC). The National Surgical Quality Improvement Program(NSQIP) cannot accurately classify RPC-IPAA staged approaches. We formed an IBD-surgery registry that added IBD-specific variables to NSQIP to study these staged approaches in greater detail.

methodsWe queried our validated database of IBD surgeries across 11 sites in the US from March 2017 to March 2019, containing general NSQIP and IBD-specific perioperative variables. We classified cases into delayed versus immediate pouch construction and looked for independent predictors of pouch delay and postoperative Clavien-Dindo complication severity.

results430 patients received index surgery or completed pouches. Among completed pouches, 46(28%) and 118(72%) were immediate and delayed pouches, respectively. Significant predictors for delayed pouch surgery included higher UC surgery volume(p = 0.01) and absence of colonic dysplasia(p = 0.04). Delayed pouch formation did not significantly predict complication severity.

conclusionsOur data allows improved classification of complex operations. Curating disease-specific variables allows for better analysis of predictors of delayed versus immediate pouch construction and postoperative complication severity. SHORT SUMMARY: We applied our previously validated novel NSIP-IBD database for classifying complex, multi-stage surgical approaches for UC to a degree that was not possible prior to our collaborative effort. From this, we describe predictive factors for delayed pouch formation in UC RPC-IPAA with the largest multicenter effort to date.

Indexed as

Proctocolectomy, RestorativeAdolescentAdultAgedColitis, UlcerativeFemaleGeneral SurgeryHumansMaleMedical AuditMiddle AgedPostoperative ComplicationsQuality ImprovementRegistriesRetrospective StudiesTime FactorsInflammatory bowel diseaseNSQIPOutcomesRestorative proctocolectomyUlcerative colitis

Identifiers

PMID32928540
PMCPMC7736277
OpenAlexW3034869835

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.