Evidence map›Paper›PMID 37031376›Full record

ArticleAnnals of Saudi medicine

Deterioration in renal function after stoma creation: a retrospective review from a Middle Eastern tertiary care center.

Shimaa Saad Al Khaldi, Reem Al Harbi, Sara Albastaki, Neamat Al Turki, Luai Ashari, Khuloud Alhassan, Alaa Abduljabbar, Denise Hibbert, Asim Almughamsi, Samar Al Homoud and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of Saudi medicine. 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
1.0field-weighted citation impact, top 26% 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, 3 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 2 countries.

Shimaa Saad Al KhaldiFrom the Section of Colorectal Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Reem Al HarbiFrom the Department of Clinical Sciences, College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.ORCID 0000-0003-1485-5336
Sara AlbastakiFrom the Department of Colorectal Surgery, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
Neamat Al TurkiFrom the Section of Colorectal Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Luai AshariFrom the Section of Colorectal Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Khuloud AlhassanFrom the Section of Colorectal Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Alaa AbduljabbarFrom the Section of Colorectal Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Denise HibbertFrom the Department of Clinical Sciences, College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Asim AlmughamsiFrom the College of Medicine, Taibah University, Madinah, Saudi Arabia.
Samar Al HomoudFrom the Section of Colorectal Surgery, Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Nasser AlsaneaFrom the Director of General Health Affairs, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
King Faisal Specialist Hospital & Research Centre · SAPrincess Nourah bint Abdulrahman University · SAShaikh Khalifa Medical City · AETaibah University · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStomas are associated with multiple complications including dehydration which ultimately affects renal function. These complications begin with changes in the estimated glomerular filtration rate (GFR).

objectivesEvaluate changes in GFR after stoma creation by stoma type and identify how different types of stoma affect GFR.

designRetrospective, analytical cohort

settingTertiary care center in Saudi Arabia PATIENTS AND

methodsThe colorectal surgery database was reviewed for all adult patients who underwent stoma creation (permanent and temporary ileostomies and colostomies) or reversal in 2000-2015. GFR was estimated at the first encounter, before the index surgery, at the time of stoma reversal, and upon the last follow-up. Patients with renal impairment, including low GFR before stoma creation, patients who had a temporary stoma converted to a permanent stoma, and patients who died with a stoma were excluded. We studied the association of several demographic and clinical factors on changes in GFR by univariate and multivariate analysis.

main outcome measuresEstimated GFR at the last clinic visit for the permanent stoma group and at stoma closure for the temporary stoma group. SAMPLE SIZE: 394 patients (149 ileostomates, 245 colostomates)

resultsThirty-three (8.4%) of the 394 patients had a low GFR: 11 (7.4%) in the ileostomy group and 22 (9%) in the colostomy group (

conclusionIleostomies were not associated with a high rate of renal function deterioration in comparison to colostomies, but had a significantly higher rate of readmission due to dehydration and electrolytes imbalance possibly due to the hot climate in Saudi Arabia. LIMITATIONS: Retrospective nature and limited sample size which may have resulted in a type 2 statistical error. CONFLICTS OF INTEREST: None.

Indexed as

DehydrationSurgical StomasAdultColostomyHumansIleostomyKidneyPostoperative ComplicationsRetrospective StudiesTertiary Care Centers

Identifiers

PMID37031376
PMCPMC10082943
OpenAlexW4362719100

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.