Evidence map›Paper›PMID 33855312›Full record

Trial reportDiscover oncology2021

Sphincter preservation in patients with low rectal cancer: striking the right oncological balance.

Federico Luvisetto, Awad Shamali, Marieke L W Rutgers, Karen Flashman, Jim S Khan

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Discover oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

8 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
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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

5 authors at 2 institutions in 1 country.

Federico LuvisettoDepartment of Colorectal Surgery, Portsmouth Hospitals NHS Trust, Southwick Hill, Portsmouth, PO6 3LY UK.
Awad ShamaliDepartment of Colorectal Surgery, Portsmouth Hospitals NHS Trust, Southwick Hill, Portsmouth, PO6 3LY UK.
Marieke L W RutgersDepartment of Colorectal Surgery, Portsmouth Hospitals NHS Trust, Southwick Hill, Portsmouth, PO6 3LY UK.
Karen FlashmanDepartment of Colorectal Surgery, Portsmouth Hospitals NHS Trust, Southwick Hill, Portsmouth, PO6 3LY UK.
Jim S KhanDepartment of Colorectal Surgery, Portsmouth Hospitals NHS Trust, Southwick Hill, Portsmouth, PO6 3LY UK.
Portsmouth Hospitals NHS Trust · GBAnglia Ruskin University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe surgical treatment options for low rectal cancer patients include the Abdominoperineal Resection and the sphincter saving Low Anterior Resection. There is growing evidence towards better outcomes for patients being treated with a Low Anterior Resection compared to an Abdominoperineal Resection.

objectiveThe aim of this study was to evaluate the short term and oncological outcomes in low rectal cancer treatment.

designThis is a retrospective cohort study of prospectively collected data.

settingRectal cancer patients from a single center in the United Kingdom. PATIENTS: Patients included all low rectal cancer patients (≤ 6 cm from the anal verge) undergoing Low Anterior Resection or Abdominoperineal Resection between 2006 and 2016. OUTCOME MEASURES: To identify differences in postoperative complications and disease free and overall survival.

resultsA total of 262 patients were included for analysis (Low Anterior Resection n = 170, Abdominoperineal Resection n = 92). Abdominoperineal Resection patients were significantly older (69 versus 66 years), had lower tumours (3 versus 5 cm), received more neo-adjuvant radiation, had longer hospital stay and more complications (wound infections and wound dehiscence). Low Anterior Resections had a significantly higher number of harvested lymph nodes (17 versus 12) however there was no difference in nodal involvement and R0 resection rate. No significant difference was found for recurrence, overall survival and disease free survival. LIMITATION: Retrospective review of cancer database and single center data.

conclusionIn the treatment of low rectal cancer Abdominoperineal Resection is associated with higher rates of postoperative complications and longer hospital stay compared to the Low Anterior Resection, with similar oncological outcomes.

Indexed as

Abdominoperineal excisionCancer recurrenceLow anterior resectionRectal cancerSurgerySurvival

Identifiers

PMID33855312
PMCPMC7976658
OpenAlexW3155402336

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.