Evidence map›Paper›PMID 36357790›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023

Management and short-term outcomes of patients with small bowel obstruction in Denmark: a multicentre prospective cohort study.

M Olausson, M P Aerenlund, M Azzam, T Bjerke, J F H Burcharth, C B Dibbern, T K Jensen, J Q Jordhøj, I Lolle, L Ngo-Stuyt and 5 more

Registry-linked trialOpen access · bronzeAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04750811 (A Danish Audit of Small Bowel Obstruction), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.8field-weighted citation impact, top 9% 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.

NCT04750811 unknown statusnot on this map

A Danish Audit of Small Bowel Obstruction

TypeobservationalSponsorDanish Small Bowel Obstruction CollaborativeRan2021 to 2026Enrolled540ConditionsBowel Obstruction Small
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
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  5. Review
  6. What influences emergency general surgeons' treatment preferences for patients requiring nutritional support? A discrete choice experiment.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
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  9. Observational
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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

15 authors at 3 institutions in 1 country.

M OlaussonDepartment of Surgery, Sjælland University Hospital, Køge, Denmark.
M P AerenlundDepartment of Surgery, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark.
M AzzamDepartment of Surgery, Slagelse Hospital, Slagelse, Denmark.
T BjerkeDigestive Disease Center, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark.
J F H BurcharthDepartment of Surgery, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark.
C B DibbernDepartment of Surgery, Nordsjællands Hospital, University of Copenhagen, Copenhagen, Denmark.
T K JensenDepartment of Surgery, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark.
J Q JordhøjDepartment of Surgery, Slagelse Hospital, Slagelse, Denmark.
I LolleDepartment of Surgery, Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark.
L Ngo-StuytDepartment of Surgery, Sjælland University Hospital, Køge, Denmark.
E Ø NielsenDepartment of Surgery, Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark.
L B J NielsenDigestive Disease Center, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark.
A P SkovsenDepartment of Surgery, Nordsjællands Hospital, University of Copenhagen, Copenhagen, Denmark.
M A TolverDepartment of Surgery, Sjælland University Hospital, Køge, Denmark.
H G SmithDigestive Disease Center, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark. henry.george.smith@regionh.dk.ORCID http://orcid.org/0000-0003-4218-4648
University of Copenhagen · DKZealand University Hospital Køge · DKSlagelse Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe optimal management of small bowel obstruction (SBO) remains a matter of debate and treatment varies internationally. In Denmark, a more surgically aggressive strategy has traditionally been used, but to what extent patient outcomes differ from international reports is unknown. This study aimed to describe the current management and outcomes of patients admitted with SBO in Denmark.

methodsThis was a prospective cohort study conducted at six acute hospitals in Denmark over a 4-month period. Patients aged ≥ 18 years with a clinical or radiological diagnosis of SBO were eligible. Primary outcomes were 30 day morbidity and mortality rates.

results316 patients were included during the study period. The median age was 72 years and 56% were female. Diagnosis was made by computed tomography (CT) in 313 patients (99.1%), with the remaining three diagnosed clinically. Non-operative management was the initial strategy in 152 patients (48.1%) and successful in 119 (78.3%). Urgent surgery was performed in the remaining 164 (51.9%), with a laparoscopic approach used in 84 patients (51.2%). The entire cohort had a 30 day mortality rate of 7.3% and a 30 day morbidity rate of 17.1%.

conclusionsThe management of SBO in Denmark differs markedly to previous international reports, with an almost ubiquitous use of CT for diagnosis and a high proportion of patients undergoing urgent surgery. Despite higher rates of surgery, patient outcomes are broadly similar to reports of more conservative strategies, perhaps due to a reduction in delayed operations.

trial registrationTrial registration number: NCT04750811. Trial registration date: 11/02/2021.

Indexed as

Intestinal ObstructionAgedDenmarkFemaleHumansIntestine, SmallMaleMorbidityProspective StudiesEmergency general surgeryPeri-operative outcomesSmall bowel obstruction

Identifiers

PMID36357790
PMCPMC9648885
OpenAlexW4308770450

What OpenQuestion holds

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Registered trials

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.