Evidence map›Paper›PMID 36893610›Full record

ArticleThe Journal of surgical research2023

Colorectal Surgery Outcomes in the United States During the COVID-19 Pandemic.

Sophia Y Chen, Shannon N Radomski, Miloslawa Stem, Angelos Papanikolaou, Alodia Gabre-Kidan, Chady Atallah, Jonathan E Efron, Bashar Safar

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of surgical research, 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
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Temporal trends in colorectal resections for benign colorectal neoplasia: A retrospective cohort study of the ACS-NSQIP 2016-2022.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    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

8 authors.

Sophia Y ChenDepartment of Surgery, The Johns Hopkins University School of Medicine, Colorectal Research Unit, Baltimore, Maryland.
Shannon N RadomskiDepartment of Surgery, The Johns Hopkins University School of Medicine, Colorectal Research Unit, Baltimore, Maryland.
Miloslawa StemDepartment of Surgery, The Johns Hopkins University School of Medicine, Colorectal Research Unit, Baltimore, Maryland.
Angelos PapanikolaouDepartment of Surgery, The Johns Hopkins University School of Medicine, Colorectal Research Unit, Baltimore, Maryland.
Alodia Gabre-KidanDepartment of Surgery, The Johns Hopkins University School of Medicine, Colorectal Research Unit, Baltimore, Maryland.
Chady AtallahDepartment of Surgery, The Johns Hopkins University School of Medicine, Colorectal Research Unit, Baltimore, Maryland; Department of Surgery, NYU Langone Health, New York, New York.
Jonathan E EfronDepartment of Surgery, The Johns Hopkins University School of Medicine, Colorectal Research Unit, Baltimore, Maryland.
Bashar SafarDepartment of Surgery, The Johns Hopkins University School of Medicine, Colorectal Research Unit, Baltimore, Maryland; Department of Surgery, NYU Langone Health, New York, New York. Electronic address: Bashar.Safar@nyulangone.org.

Funding

Clinical and Laboratory Research Training for Surgical OncologistsT32CA126607 · NCI · JOHNS HOPKINS UNIVERSITY · PI CAMERON, ANDREW M. · 2008 to 2024
$6.0M
NCI NIH HHS T32 CA126607
6 · The paper itself

Abstract

introductionThe purpose of this study was to assess colorectal surgery outcomes, discharge destination, and readmission in the United States during the COVID-19 pandemic.

methodsAdult colorectal surgery patients in the American College of Surgeons National Surgical Quality Improvement Program database (2019-2020) and its colectomy and proctectomy procedure-targeted files were included. The prepandemic time period was defined from April 1, 2019 to December 31, 2019. The pandemic time period was defined from April 1, 2020 to December 31, 2020 in quarterly intervals (Q2 April-June; Q3 July-September; Q4 October-December). Factors associated with morbidity and in-hospital mortality were assessed using multivariable logistic regression.

resultsAmong 62,393 patients, 34,810 patients (55.8%) underwent colorectal surgery prepandemic and 27,583 (44.2%) during the pandemic. Patients who had surgery during the pandemic had higher American Society of Anesthesiologists class and presented more frequently with dependent functional status. The proportion of emergent surgeries increased (12.7% prepandemic versus 15.2% pandemic, P < 0.001), with less laparoscopic cases (54.0% versus 51.0%, P < 0.001). Higher rates of morbidity with a greater proportion of discharges to home and lesser proportion of discharges to skilled care facilities were observed with no considerable differences in length of stay or worsening readmission rates. Multivariable analysis demonstrated increased odds of overall and serious morbidity and in-hospital mortality, during Q3 and/or Q4 of the 2020 pandemic.

conclusionsDifferences in hospital presentation, inpatient care, and discharge disposition of colorectal surgery patients were observed during the COVID-19 pandemic. Pandemic responses should emphasize balancing resource allocation, educating patients and providers on timely medical workup and management, and optimizing discharge coordination pathways.

Indexed as

Colorectal SurgeryCOVID-19AdultHospitalizationHumansPandemicsPatient DischargePatient ReadmissionPostoperative ComplicationsRetrospective StudiesRisk FactorsUnited StatesColorectal surgeryCOVID-19Discharge destinationHospital length of stayMorbiditySkilled care facilities

Identifiers

PMID36893610
PMCPMC9868386

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.