Evidence map›Paper›PMID 35948668›Full record

ArticleInternational journal of colorectal disease2022

Impact of preoperative body mass index and weight loss on morbidity and mortality following colorectal cancer-a retrospective cohort study.

Steffen Axt, Peter Wilhelm, Ricarda Spahlinger, Jens Rolinger, Jonas Johannink, Lena Axt, Andreas Kirschniak, Claudius Falch

Open access · hybridAbstract read
In one paragraph

Article in International journal of colorectal disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.4field-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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
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

8 authors at 3 institutions in 1 country.

Steffen AxtDepartment of General, Visceral and Transplant Surgery, Tübingen University Hospital, Hoppe-Seyler-Straße 3, 72076, Tübingen, Germany. Steffen.Axt@med.uni-tuebingen.de.ORCID http://orcid.org/0000-0002-6809-2840
Peter WilhelmGeneral and Visceral Surgery, Maria Hilf Hospital, Mönchengladbach, Germany.
Ricarda SpahlingerDepartment of General, Visceral and Transplant Surgery, Tübingen University Hospital, Hoppe-Seyler-Straße 3, 72076, Tübingen, Germany.
Jens RolingerGeneral and Visceral Surgery, Maria Hilf Hospital, Mönchengladbach, Germany.
Jonas JohanninkDepartment of General, Visceral and Transplant Surgery, Tübingen University Hospital, Hoppe-Seyler-Straße 3, 72076, Tübingen, Germany.
Lena AxtDepartment of Internal Medicine I, Hospital Reutlingen, Steinenbergstr. 31, 72764, Reutlingen, Germany.
Andreas KirschniakGeneral and Visceral Surgery, Maria Hilf Hospital, Mönchengladbach, Germany.
Claudius FalchGeneral and Visceral Surgery, Vorarlberg State Hospitals, Bregenz, Austria.
Kliniken Maria Hilf · DEUniversity Children's Hospital Tübingen · DEKreiskliniken Reutlingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBody weight and preoperative weight loss (WL) are controversially discussed as risk factors for postoperative morbidity and mortality in colorectal cancer surgery. The objective of this study is to determine whether body mass index (BMI) or WL is associated with a higher postoperative complication rate.

methodsIn this retrospective cohort study, data analysis of 1241 consecutive patients undergoing colorectal cancer surgery in an 11-year period was performed. The main outcome measures were wound infections (WI), anastomotic leakages (AL), and in-house mortality.

resultsA total of 697 (56%) patients with colon and 544 (44%) with rectum carcinoma underwent surgery. The rate of WI for each location increased with rising BMI. The threshold value was 28.8 kg/m

conclusionsIncreased preoperative BMI is associated with a higher WI rate. AL rate after colon resection was significantly higher in patients showing preoperative WL. Preoperative BMI and WL are therefore risk factors for postoperative morbidity in this study. Nevertheless, this has to be further clarified by means of prospective studies. Trial registration DRKS00025359, 21.05.2021, retrospectively registered.

Indexed as

Rectal NeoplasmsWeight LossAnastomotic LeakBody Mass IndexHumansMorbidityObesityProspective StudiesRetrospective StudiesColorectal cancer surgeryPreoperative body mass indexPreoperative weight lossRisk factors

Identifiers

PMID35948668
PMCPMC9436834
OpenAlexW4290988051

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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.