Evidence map›Paper›PMID 34095723›Full record

ArticleAnnals of gastroenterological surgery2021

Association of day of the week with mortality after elective right hemicolectomy for colon cancer: Case analysis from the National Clinical Database.

Hiromichi Maeda, Hideki Endo, Nao Ichihara, Hiroaki Miyata, Hiroshi Hasegawa, Kinji Kamiya, Yoshihiro Kakeji, Kazuhiro Yoshida, Yasuyuki Seto, Hiroki Yamaue and 4 more

Open access · goldAbstract read
In one paragraph

Article in Annals of gastroenterological 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
1.7field-weighted citation impact, top 17% 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, 9 citations in OpenAlex.

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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

14 authors at 7 institutions in 1 country.

Hiromichi MaedaDepartment of Surgery Kochi Medical School Nankoku Japan.ORCID https://orcid.org/0000-0001-7694-8082
Hideki EndoDepartment of Healthcare Quality Assessment Graduate School of Medicine The University of Tokyo Bunkyo-ku Japan.ORCID https://orcid.org/0000-0003-0052-0332
Nao IchiharaDepartment of Healthcare Quality Assessment Graduate School of Medicine The University of Tokyo Bunkyo-ku Japan.ORCID https://orcid.org/0000-0002-6902-2342
Hiroaki MiyataDepartment of Healthcare Quality Assessment Graduate School of Medicine The University of Tokyo Bunkyo-ku Japan.
Hiroshi HasegawaProject Management Subcommittee The Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0003-1545-0509
Kinji KamiyaProject Management Subcommittee The Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0003-2501-9835
Yoshihiro KakejiDatabase Committee The Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-2727-0241
Kazuhiro YoshidaDepartment of Surgical Oncology Graduate School of Medicine Gifu University Gifu Japan.ORCID https://orcid.org/0000-0003-1408-0104
Yasuyuki SetoDepartment of Gastrointestinal Surgery Graduate School of Medicine The University of Tokyo Bunkyo-ku Japan.ORCID https://orcid.org/0000-0002-6953-8752
Hiroki YamaueSecond Department of Surgery School of Medicine Wakayama Medical University Wakayama Japan.ORCID https://orcid.org/0000-0002-6982-3457
Masakazu YamamotoDepartment of Surgery Institute of Gastroenterology Tokyo Women's Medical University Shinjuku-ku Japan.ORCID https://orcid.org/0000-0001-6027-620X
Yuko KitagawaThe Japanese Society of Gastroenterological Surgery Tokyo Japan.
Sunao UemuraDepartment of Surgery Kochi Medical School Nankoku Japan.
Kazuhiro HanazakiDepartment of Surgery Kochi Medical School Nankoku Japan.ORCID https://orcid.org/0000-0001-7986-6146
The Japanese Society of Gastroenterological Surgery · JPKochi Medical School Hospital · JPTokyo Health Care University · JPBunkyo University · JPGifu University · JPTokyo Women's Medical University · JPWakayama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimWe aimed to investigate whether later weekdays are related to worse short-term outcomes after elective right hemicolectomy for colon cancer.

methodsWe retrospectively analyzed adult patients who underwent elective right hemicolectomy for colon cancer between 2012 and 2017. Records lacking details about surgical mortality were excluded, and multiple imputation was performed for other missing data (variables). The primary endpoint was surgical mortality, defined as the sum of 30-day mortality and in-hospital deaths within 90 days postoperatively. Using 22 clinical variables, hierarchal logistic regression modeling with clustering of patients from the same institutes was performed.

resultsOf the 112 658 patients undergoing elective right hemicolectomy for colon cancer, the 30-day mortality and surgical mortality were 0.6% and 1.1%, respectively. Surgery on Friday was less frequent, accounting for 17.1% of all cases. The occurrence of severe postoperative complications, anastomotic leakage, or unadjusted odds ratio for surgical mortality did not show significant differences between weekdays. A hierarchal logistic regression model identified 19 independent factors for surgical mortality. Adjusted odds ratios for surgical mortality were 1.01 (95% confidence interval: 0.83-1.22,

conclusionThis study did not identify an evident difference in surgical mortality between weekdays; a safe elective right hemicolectomy for colon cancer is being offered throughout the week in Japan.

Indexed as

colectomycolonic neoplasmselective surgical procedureshospital mortalitytreatment outcome

Identifiers

PMID34095723
PMCPMC8164462
OpenAlexW3124595619

What OpenQuestion holds

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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.