Evidence map›Paper›PMID 36150906›Full record

ArticleAmerican journal of surgery2023

Drainage of anorectal abscesses in the operating room is associated with a decreased risk of abscess recurrence and fistula formation.

Sowmya Narayanan, Alison R Althans, Katherine M Reitz, Laura H Allen, Chareeni Kurukulasuriya, Timothy M Larkin, Nathan J Reinert, Kellie E Cunningham, Andrew R Watson, James P Celebrezze and 2 more

Abstract read
In one paragraph

Article in American journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Treatment method selection for perianal abscesses: bedside or operating room? a single center, retrospective study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  2. Review
  3. Article
  4. The Association Between Diabetes Mellitus and Perianal Abscess: A Meta-Analysis.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025
    Review
  5. Article
  6. Anorectal Abscess.Clinics in colon and rectal surgery · 2024
    Review
  7. 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

12 authors.

Sowmya NarayananDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Alison R AlthansDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Katherine M ReitzDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Laura H AllenDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Chareeni KurukulasuriyaUniversity of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Timothy M LarkinDepartment of Surgery, Keck School of Medicine of University of Southern California, Los Angeles, CA, USA.
Nathan J ReinertDepartment of Vascular Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA.
Kellie E CunninghamDivision of Colon and Rectal Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Andrew R WatsonDivision of Colon and Rectal Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
James P CelebrezzeDivision of Colon and Rectal Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
David S MedichDivision of Colon and Rectal Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Jennifer Holder-MurrayDivision of Colon and Rectal Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA. Electronic address: holdermurrayjm@upmc.edu.

Funding

Vascular Surgery Research Training (VascTrain) ProgramT32HL098036 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Edith Tzeng · 2010 to 2026
$7.2M
Postdoctoral Research Training in Biotherapy of CancerT32CA113263 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Udai S Kammula · 2006 to 2026
$3.6M
NCI NIH HHS T32 CA113263NHLBI NIH HHS T32 HL098036NIA NIH HHS L30 AG064730
6 · The paper itself

Abstract

backgroundTimely incision and drainage (I&D) is first line management for anorectal abscesses. We aimed to define current practices in anorectal abscess management and identify factors associated with abscess recurrence and fistula formation.

methodsIndex episodes of anorectal abscesses treated with I&D in 2014-2018 at a multi-hospital healthcare system were included. Association with one-year abscess recurrence or fistula formation was evaluated using Cox proportional hazard regression. Fistulae were captured only among patients without fistulae at the index operation.

resultsA total of 458 patients met study criteria. One-year rate of abscess recurrence or fistula formation was 20.3%. When compared to bedside procedures, drainage in the operating room was associated with a reduced risk of either recurrence or fistula formation (aHR 0.20 [95%CI 0.114-0.367]).

conclusionsImproved exposure and patient comfort in the operating room may allow more complete drainage contributing to decreased rates of abscess recurrence or fistula formation.

Indexed as

Anus DiseasesRectal FistulaAbscessDrainageHumansOperating RoomsRecurrence

Identifiers

PMID36150906
PMCPMC9999175

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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.