Evidence map›Paper›PMID 34898556›Full record

ArticleCurrent oncology (Toronto, Ont.)2021

Do Preoperative Transfusions Impact Prognosis in Moderate to Severe Anaemic Surgical Patients with Colon Cancer?

Nicolò Tamini, Luca Gianotti, Shadya Darwish, Salvatore Petitto, Davide Bernasconi, Massimo Oldani, Fabio Uggeri, Marco Braga, Luca Nespoli

Open access · goldAbstract read
In one paragraph

Article in Current oncology (Toronto, Ont.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.2field-weighted citation impact, top 55% 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

4 citing papers in PubMed, 4 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

9 authors at 2 institutions in 1 country.

Nicolò TaminiDepartment of Surgery, ASST Monza-San Gerardo Hospital, 20900 Monza, Italy.ORCID 0000-0003-3917-6831
Luca GianottiDepartment of Medicine and Surgery, University of Milano-Bicocca, 20126 Milano, Italy.ORCID 0000-0001-7335-8394
Shadya DarwishDepartment of Medicine and Surgery, University of Milano-Bicocca, 20126 Milano, Italy.
Salvatore PetittoDepartment of Medicine and Surgery, University of Milano-Bicocca, 20126 Milano, Italy.
Davide BernasconiBicocca Bioinformatics Biostatistics and Bioimaging Centre-B4, School of Medicine and Surgery, University of Milano-Bicocca, 20126 Milano, Italy.ORCID 0000-0001-8771-5428
Massimo OldaniDepartment of Surgery, ASST Monza-San Gerardo Hospital, 20900 Monza, Italy.
Fabio UggeriDepartment of Medicine and Surgery, University of Milano-Bicocca, 20126 Milano, Italy.
Marco BragaDepartment of Medicine and Surgery, University of Milano-Bicocca, 20126 Milano, Italy.
Luca NespoliDepartment of Medicine and Surgery, University of Milano-Bicocca, 20126 Milano, Italy.
University of Milano-Bicocca · ITAzienda Ospedaliera San Gerardo · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Anaemia is a common finding in patients with colon cancer and is commonly corrected by blood transfusion prior to surgery. However, the prognostic role of perioperative transfusions is still debated. The aim of the present study was to investigate the role of preoperative anaemia and preoperative blood transfusion in influencing the prognosis in colon cancer. (2) Patients and Methods: Patients undergoing elective surgery for colon cancer at a tertiary referral university hospital between January 2010 and December 2018 were included in a retrospective review of a prospectively collected database. Univariate and regression analyses were performed to identify the prognostic role of preoperative anaemia and preoperative transfusions in this homogeneous cohort of patients. (3) Results: A total of 780 patients were included in the final analysis. The estimated five-year overall survival rate was significantly worse in the anaemic group (83.8% in non-anaemic patients, 60.6% in mild anaemic patients, 61.3% in moderate anaemic patients and 58.4% in severe anaemic patients; log-rank < 0.001 vs. non-anaemic patients). Anaemic status was found to be an independent adverse prognostic factor (hazard ratio (HR): 1.46; 95% confidence interval (CI): 1.02-2.07) during multivariate analysis. Among moderate to severe anaemic patients, no significant association was found between preoperative transfusions and the risk of mortality or recurrence. (4) Conclusions: Preoperative anaemia, regardless of its severity, and not preoperative blood transfusion, was independently associated with a worse prognosis after surgery in patients with colonic cancer.

Indexed as

AnemiaColonic NeoplasmsBlood TransfusionElective Surgical ProceduresHumansPrognosisanaemiablood transfusioncolon cancercolon surgeryoncologic outcomes

Identifiers

PMID34898556
PMCPMC8628678
OpenAlexW3213956764

What OpenQuestion holds

Textmetadata
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.