Evidence map›Paper›PMID 34669737›Full record

ArticlePloS one2021

Preoperative white blood cell count predicts anastomotic leakage in patients with left-sided colorectal cancer.

Masaki Morimoto, Kenjiro Taniguchi, Osamu Yamamoto, Takuji Naka, Atsushi Sugitani, Yoshiyuki Fujiwara

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
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 at 2 institutions in 1 country.

Masaki MorimotoNational Hospital Organization, Yonago Medical Center, Yonago, Japan.ORCID 0000-0001-5937-4056
Kenjiro TaniguchiNational Hospital Organization, Yonago Medical Center, Yonago, Japan.
Osamu YamamotoNational Hospital Organization, Yonago Medical Center, Yonago, Japan.
Takuji NakaNational Hospital Organization, Yonago Medical Center, Yonago, Japan.
Atsushi SugitaniNational Hospital Organization, Yonago Medical Center, Yonago, Japan.
Yoshiyuki FujiwaraFaculty of Medicine, Division of Gastrointestinal Surgery, Department of Surgery, Tottori University, Yonago, Japan.
National Institute of Technology, Yonago College · JPTottori University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To determine whether preoperative white blood cell (WBC) counts reflect risk of anastomotic leak (AL) for patients with colorectal cancer (CRC), we retrospectively examined data from records of 208 consecutive patients who had undergone resections for left-sided CRC, including their clinicopathological parameters and preoperative laboratory data. The diagnostic value of WBC count for AL was evaluated and compared with those of neutrophil-lymphocyte ratio, platelet-lymphocyte ratio, lymphocyte-monocyte ratio and platelet count × C-reactive protein level multiplier (P-CRP) value; optimal cut-off values were derived from receiver operating characteristic curves. AL was observed in 11 of the 208 patients (5.3%). Compared with the no-AL group, the AL group had a significantly higher mean WBC count and smoking rate. In multivariate analysis, WBC count and smoking were independent risk factors for AL. Compared with the other tested inflammatory indicators, the cut-off value for WBC (6,200/μL) had the highest sensitivity (81.8%) and negative predictive value (98.4%), as well as the lowest likelihood ratio (0.289). Preoperative WBC count could therefore be a convenient predictor of AL in patients with left-sided CRC.

Indexed as

AgedAged, 80 and overAnastomotic LeakBiomarkersColorectal NeoplasmsC-Reactive ProteinFemaleHumansLeukocyte CountLymphocytesMaleMiddle AgedNeutrophilsPostoperative ComplicationsPredictive Value of TestsPreoperative PeriodBiomarkersC-Reactive Protein

Identifiers

PMID34669737
PMCPMC8528338
OpenAlexW3206875021

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.