Evidence map›Paper›PMID 37152784›Full record

ArticleAnnals of gastroenterological surgery2023

Effects of the COVID-19 pandemic on gastroenterological surgeries in 2020: A study using the National Clinical Database of Japan.

Hiromichi Maeda, Hideki Endo, Hiroyuki Yamamoto, Hiroaki Miyata, Masaya Munekage, Akinobu Taketomi, Yoshihiro Kakeji, Yasuyuki Seto, Kazuhiro Yoshida, Hiroki Yamaue and 4 more

Open access · goldAbstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 5% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
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  14. Clinical epidemiology of the endoscopic, laparoscopic, and surgical resection of malignant gastric tumors in Japan, 2014-2021: a retrospective study using open data from a national claims database.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Observational
  15. IMPACT OF COVID-19 PANDEMIC ON THE SURGICAL TREATMENT OF GASTRIC CANCER: A 3-YEAR ANALYSIS.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2025
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  16. 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

14 authors at 9 institutions in 1 country.

Hiromichi MaedaDepartment of Surgery Kochi Medical School Kochi Japan.ORCID https://orcid.org/0000-0001-7694-8082
Hideki EndoDepartment of Healthcare Quality Assessment, Graduate School of Medicine The University of Tokyo Tokyo Japan.ORCID https://orcid.org/0000-0003-0052-0332
Hiroyuki YamamotoDepartment of Healthcare Quality Assessment, Graduate School of Medicine The University of Tokyo Tokyo Japan.ORCID https://orcid.org/0000-0003-3337-7595
Hiroaki MiyataDepartment of Healthcare Quality Assessment, Graduate School of Medicine The University of Tokyo Tokyo Japan.
Masaya MunekageDepartment of Surgery Kochi Medical School Kochi Japan.
Akinobu TaketomiDepartment of Gastroenterological Surgery I Hokkaido University Hospital Hokkaido Japan.
Yoshihiro KakejiDatabase Committee, The Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-2727-0241
Yasuyuki SetoDepartment of Gastrointestinal Surgery, Graduate School of Medicine The University of Tokyo Tokyo Japan.ORCID https://orcid.org/0000-0002-6953-8752
Kazuhiro YoshidaDepartment of Gastroenterological and Pediatric Surgery, Graduate School of Medicine Gifu University Gifu Japan.ORCID https://orcid.org/0000-0003-1408-0104
Hiroki YamaueSecond Department of Surgery, School of Medicine Wakayama Medical University Wakayama Japan.ORCID https://orcid.org/0000-0002-6982-3457
Masakazu YamamotoUtsunomiya Memorial Hospital Tochigi Japan.
Yuko KitagawaThe Japanese Society of Gastroenterological Surgery, Tokyo, Japan & Department of Surgery Keio University School of Medicine Tokyo Japan.
Mori MasakiSchool of Medicine Tokai University Kanagawa Japan.
Kazuhiro HanazakiKochi Medical School Hospital Kochi Japan.
The University of Tokyo · JPKochi Medical School Hospital · JPGifu University · JPHokkaido University Hospital · JPKeio University · JPSaiseikai Utsunomiya hospital · JPThe Japanese Society of Gastroenterological Surgery · JPTokai University · JPWakayama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: This study aimed to investigate the effect of the coronavirus disease pandemic on the number of surgeries for gastroenterological cancer cases in Japan. Methods: The data recorded in the National Clinical Database of Japan between 2018 and 2020 were utilized for this study. Five specific surgeries for primary cancers and surgery for acute diffuse peritonitis were considered the primary endpoints. We divided the study period into the prepandemic and postpandemic (after April 2020) periods and examined the number of surgeries in relation to clinical factors. Results: Overall, 228 860 surgeries were analyzed. Among the five primary cancer surgeries, the number of distal gastrectomies for gastric cancer decreased the most (to 81.0% of the monthly number in the prepandemic period), followed by that of low anterior resections for rectal cancer (91.4%). In contrast, the number of pancreaticoduodenectomies for pancreatic cancer increased by 7.1%, while that of surgeries for peritonitis remained stable. This trend was observed nationwide. We also noted a marked reduction in the number of distal gastrectomy (to 72.5%), low anterior resection (84.0%), and esophagectomy (88.8%) procedures for T1 tumors. The noncurative resection rate and mortalities were low despite the increased proportion of T4 tumors and older patients. Conclusion: A marked reduction in surgeries for gastric and rectal cancers with early T factors may reflect prioritization of surgeries and reduction in cancer screenings. Although the quality of the surgery was maintained in terms of reduced mortalities and morbidities, the long-term effects of this pandemic should be monitored.

Indexed as

cancerCOVID‐19National Clinical Database of Japannovel coronavirussurgery

Identifiers

PMID37152784
PMCPMC10154870
OpenAlexW4309288380

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.