Evidence map›Paper›PMID 36203782›Full record

ArticleDEN open2023

Palliative stenting for malignant colorectal stenosis in the elderly.

Masashi Ohno, Atsushi Nishida, Kyohei Nishino, Hisashi Hirayama, Kenichiro Takahashi, Yukihiro Morita, Yuki Kishi, Yasuhiro Morita, Hiromichi Bamba, Hisanori Shiomi and 1 more

Open access · goldAbstract read
In one paragraph

Article in DEN open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 52% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

11 authors at 4 institutions in 1 country.

Masashi OhnoDepartment of Gastroenterology and Hepatology Nagahama City Hospital Shiga Japan.ORCID https://orcid.org/0000-0003-3505-7835
Atsushi NishidaDepartment of Gastroenterology and Hepatology Nagahama City Hospital Shiga Japan.
Kyohei NishinoDepartment of Gastroenterology and Hepatology Nagahama City Hospital Shiga Japan.
Hisashi HirayamaDepartment of Gastroenterology and Hepatology Nagahama City Hospital Shiga Japan.
Kenichiro TakahashiDepartment of Gastroenterology and Hepatology Nagahama City Hospital Shiga Japan.
Yukihiro MoritaDepartment of Medicine Shiga University of Medical Science Shiga Japan.
Yuki KishiDepartment of Gastroenterology and Hepatology Hikone Municipal Hospital Shiga Japan.
Yasuhiro MoritaDepartment of Gastroenterology and Hepatology Nagahama Red Cross Hospital Shiga Japan.
Hiromichi BambaDepartment of Gastroenterology and Hepatology Nagahama Red Cross Hospital Shiga Japan.
Hisanori ShiomiDepartment of Surgery Nagahama Red Cross Hospital Shiga Japan.
Hirotsugu ImaedaDepartment of Gastroenterology and Hepatology Nagahama City Hospital Shiga Japan.
Shiga University of Medical Science · JPNagahama City Hospital · JPNagaoka Red Cross Hospital · JPHikone Central Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Self-expandable metal stents are widely used for the treatment of malignant colorectal stenosis (MCS). In elderly individuals with MCS, self-expandable metal stents are often used as a palliative treatment, but prophylactic stent placement is not recommended. We investigated the efficacy and safety of self-expandable metal stents for the elderly in a palliative setting, specifically in a prophylactic setting. Methods: Elderly patients with MCS who received a palliative stent (the stent group) or palliative stoma (the stoma group) were retrospectively enrolled between April 2017 and June 2022, and the prognosis and complication rates were assessed. Additionally, patients in the stent group were divided into symptomatic and asymptomatic subgroups, and prognosis, stent patency, and complication rates were evaluated. Results: During the study period, 31 patients with a mean age of 85.4 years and 12 patients with a mean age of 82.0 years were enrolled in the stent and stoma groups, respectively. While overall survival and complication rates were comparable, the length of hospital stay was significantly shorter in the stent group. Of the 31 patients in the stent group, 16 asymptomatic patients received prophylactic stenting, which was not associated with increased complication rates. Conclusions: Palliative stents for MCS appear to be effective and safe even in the elderly, and thus, prophylactic stents can be considered for asymptomatic patients.

Indexed as

colorectal cancerelderly patientspalliative stentsprophylactic stentsself‐expandable metal stents

Identifiers

PMID36203782
PMCPMC9523547
OpenAlexW4298143986

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.