Evidence map›Paper›PMID 34387106›Full record

ArticleCancer control : journal of the Moffitt Cancer Center

Comparison of Urban-Rural Readmission Rates After Colorectal Cancer Surgery: Findings From a Privately Insured Population.

Mesnad Alyabsi, Mary Charlton, Jane Meza, K M Monirul Islam, Amr Soliman, Shinobu Watanabe-Galloway

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cancer control : journal of the Moffitt Cancer Center. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

6 authors.

Mesnad AlyabsiPopulation Health Research Section, King Abdullah International Medical Research Center 309817(KAIMRC), Riyadh, Saudi Arabia.ORCID https://orcid.org/0000-0001-7763-9572
Mary CharltonDepartment of Epidemiology, 4083University of Iowa College of Public Health, Iowa City, IA, USA.
Jane MezaDepartment of Biostatistics, 12284University of Nebraska Medical Center, College of Public Health, Omaha, NE, USA.
K M Monirul IslamDepartment of Epidemiology, 12284University of Nebraska Medical Center, College of Public Health, Omaha, NE, USA.
Amr SolimanCommunity Health and Social Medicine, 2009City University of New York School of Medicine, New York, NY, USA.
Shinobu Watanabe-GallowayDepartment of Epidemiology, 12284University of Nebraska Medical Center, College of Public Health, Omaha, NE, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe assessed the 30-day readmission rate of a privately insured population diagnosed with colorectal cancer (CRC) who had primary tumor resection in rural and urban communities.

methodsClaims data of people aged <65 with a diagnosis of CRC between 2012 and 2016 and enrolled in a private health plan administered by BlueCross BlueShield of Nebraska were analyzed. Readmission was defined as the number of discharged patients who were readmitted within 30 days, divided by all discharged patients. Multivariate logistic regression was used to estimate the factors associated with readmission.

resultsThe urban population had a higher readmission rate (11%) than the rural population (8%). Although the adjusted odds ratio showed that there is no difference in readmission between rural and urban residents, patients with a Charlson Comorbidity Index (CCI) of >1 were more likely than those without CCI to be readmitted (OR 3.59, 1.41-9.11). Patients with open vs. laparoscopic surgery (OR 2.80, 1.39-5.63) and those with an obstructed or perforated colon vs. none (OR 7.17, 3.75-13.72) were more likely to be readmitted.

conclusionsReadmission after CRC surgery occurs frequently. Interventions that target the identified risk factors should reduce readmission rates in this privately insured population.

Indexed as

Colorectal NeoplasmsComorbidityDigestive System Surgical ProceduresFemaleHumansInsurance, HealthLogistic ModelsMaleMiddle AgedPatient AcuityPatient ReadmissionRetrospective StudiesRisk FactorsRural PopulationSociodemographic FactorsTime Factorsaccess to carecolorectal cancergeographyhealth services researchprivate insurancereadmission

Identifiers

PMID34387106
PMCPMC8369964

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LicenceCC BY-NC
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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.