Evidence map›Paper›PMID 33573636›Full record

ArticleBMC surgery2021

Clinical indicators for the incidence of postoperative ileus after elective surgery for colorectal cancer.

Yosuke Namba, Yuzo Hirata, Shoichiro Mukai, Sho Okimoto, Seiji Fujisaki, Mamoru Takahashi, Toshikatsu Fukuda, Hideki Ohdan

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 5% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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  18. The role of beta-adrenoreceptors in postoperative ileus in rats.Naunyn-Schmiedeberg's archives of pharmacology · 2024
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  20. 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

8 authors at 2 institutions in 1 country.

Yosuke NambaDepartment of Surgery, Chugoku Rosai Hospital, 1-5-1 Hiro-Tagaya, Kure, 737-0193, Japan.
Yuzo HirataDepartment of Surgery, Saiseikai Hiroshima Hospital, 2-3-10 Kitashinchi, Saka-machi, Aki-gun, Hiroshima, 731-4311, Japan. yuzohhirata@gmail.com.
Shoichiro MukaiDepartment of Surgery, Chugoku Rosai Hospital, 1-5-1 Hiro-Tagaya, Kure, 737-0193, Japan.
Sho OkimotoDepartment of Surgery, Chugoku Rosai Hospital, 1-5-1 Hiro-Tagaya, Kure, 737-0193, Japan.
Seiji FujisakiDepartment of Surgery, Chugoku Rosai Hospital, 1-5-1 Hiro-Tagaya, Kure, 737-0193, Japan.
Mamoru TakahashiDepartment of Surgery, Chugoku Rosai Hospital, 1-5-1 Hiro-Tagaya, Kure, 737-0193, Japan.
Toshikatsu FukudaDepartment of Surgery, Chugoku Rosai Hospital, 1-5-1 Hiro-Tagaya, Kure, 737-0193, Japan.
Hideki OhdanDepartment of Gastroenterological and Transplant Surgery Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, Japan.
Chugoku Rosai Hospital · JPHiroshima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe occurrence of postoperative ileus leads to increased patient morbidity, longer hospitalization, and higher healthcare costs. No clear policy on postoperative ileus prevention exists. Therefore, we aim to evaluate the clinical factors involved in the development of postoperative ileus after elective surgery for colorectal cancer.

methodsWe retrospectively analyzed patients who underwent elective surgery involving bowel resection with or without re-anastomosis for colon cancer between April 2015 and March 2020. The primary readout was the presence or absence of postoperative ileus. Univariate and multivariate analyses were used to identify pre- and intraoperative risk factors, and the incidence of postoperative ileus was assessed using independent factors.

resultsPostoperative ileus occurred in 48 out of 356 patients (13.5%). In multivariate analysis, male sex poor performance status, and intraoperative in-out balance per body weight were independently associated with postoperative ileus development. The incidence of postoperative ileus was 2.5% in the cases with no independent factors; however, it increased to 36.1% when two factors were observed and 75.0% when three factors were matched.

conclusionsWe discovered that male gender, poor performance status, and intraoperative in-out balance per body weight were associated with the development of postoperative ileus. Of these, intraoperative in-out balance per body weight is a controllable factor. Hence it is important to control the intraoperative in-out balance to lower the risk for postoperative ileus.

Indexed as

ColonColonic NeoplasmsColorectal NeoplasmsElective Surgical ProceduresHumansIleusIncidenceMalePostoperative ComplicationsRetrospective StudiesRisk FactorsColorectal cancerElective surgeryIntraoperative in–out balancePerformance statusPostoperative ileus

Identifiers

PMID33573636
PMCPMC7879517
OpenAlexW3128053761

What OpenQuestion holds

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LicenceCC BY
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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.