Evidence map›Paper›PMID 36653680›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2023

The effect of preoperative rehabilitation on the prevention of postoperative ileus in colorectal cancer patients.

Kenta Ushida, Yoshinori Yamamoto, Shinsuke Hori, Miho Shimizu, Yuki Kato, Yuji Toiyama, Yoshinaga Okugawa, Akio Shimizu, Ryo Momosaki

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

9 authors at 3 institutions in 1 country.

Kenta UshidaDepartment of Rehabilitation, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.
Yoshinori YamamotoDepartment of Rehabilitation, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.
Shinsuke HoriDepartment of Rehabilitation, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.
Miho ShimizuDepartment of Rehabilitation, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.
Yuki KatoDepartment of Rehabilitation, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan.
Yuji ToiyamaDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
Yoshinaga OkugawaDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan.
Akio ShimizuDepartment of Health Science, Faculty of Health and Human Development, University of Nagano, Nagano, Japan.
Ryo MomosakiDepartment of Rehabilitation, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, 514-8507, Japan. momosakiryo@gmail.com.
Mie University Hospital · JPMie University · JPNagano University of Health and Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrevious research suggests that the preoperative rehabilitation of colorectal cancer patients can reduce postoperative ileus. However, the evidence is insufficient and further research is warranted. This study aimed to investigate whether short-term preoperative rehabilitation, both on an outpatient and inpatient basis, can reduce the incidence of postoperative ileus after colorectal cancer surgery.

methodsThis was a retrospective cohort study that drew on data from multicenter electronic medical records. Patients with stage 1-3 colorectal cancer who underwent surgery and postoperative rehabilitation were included. The incidence of postoperative ileus was compared between patients who received short-term preoperative rehabilitation and those who did not. Propensity score adjustment using inverse probability weighting and subgroup analysis by type of surgery was performed.

resultsFour thousand seventy-six eligible patients (43.4% female; mean age 75.1 ± 10.9 years) were included; 1914 (47.0%) received short-term preoperative rehabilitation. The preoperative rehabilitation group had a significantly lower incidence of postoperative ileus than the no preoperative rehabilitation group (pre-adjustment: 5.5% vs. 9.9%, p < 0.001; post-adjustment: 5.2% vs. 9.0%, p < 0.001). Therefore, preoperative rehabilitation was significantly associated with a lower incidence of postoperative ileus (OR: 0.554, 95% CI: 0.415-0.739, p < 0.001). In an adjusted analysis of surgery type subgroups, the incidence of postoperative ileus was significantly lower in the preoperative rehabilitation group for all types of surgery.

conclusionOur study showed that short-term preoperative rehabilitation for patients with stage 1-3 colorectal cancer, both with inpatients and outpatients, significantly reduces the incidence of postoperative ileus.

Indexed as

Colorectal NeoplasmsDigestive System Surgical ProceduresIleusAgedAged, 80 and overFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesCancer surgeryColorectal cancerPostoperative ileusPreoperative rehabilitation

Identifiers

PMID36653680
OpenAlexW4317370228

What OpenQuestion holds

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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.