Evidence map›Paper›PMID 37701701›Full record

ArticleWorld journal of gastrointestinal surgery2023

Changing trends in gastric and colorectal cancer among surgical patients over 85 years old: A multicenter retrospective study, 2001-2021.

Ke Chen, Ming Li, Ran Xu, Ping-Ping Zheng, Meng-Ding Chen, Liang Zhu, Wen-Bin Wang, Zheng-Guang Wang

Abstract read
In one paragraph

Article in World journal of gastrointestinal surgery, 2023. 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
–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

1 citing paper in PubMed.

  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

8 authors.

Ke ChenDepartment of Vascular Surgery, Drum Tower Hospital Affiliated to Medical School of Nanjing University, Nanjing 210000, Jiangsu Province, China.
Ming LiCollege of Pharmacy of Anhui Medical University, Hefei 230001, Anhui Province, China.
Ran XuDepartment of General Surgery, First Affiliated Hospital of Wannan Medical College, Wuhu 241000, Anhui Province, China.
Ping-Ping ZhengDepartment of General Practice, First Affiliated Hospital of Bengbu Medical College, Bengbu 233000, Anhui Province, China.
Meng-Ding ChenDepartment of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei 231000, Anhui Province, China.
Liang ZhuDepartment of General Surgery, First Affiliated Hospital of University of Science and Technology of China, Hefei 230001, Anhui Province, China.
Wen-Bin WangDepartment of General Surgery, Second Affiliated Hospital of Anhui Medical University, Hefei 231000, Anhui Province, China.
Zheng-Guang WangDepartment of General Surgery, First Affiliated Hospital of Anhui Medical University, Hefei 231000, Anhui Province, China. wangzhengguang@ahmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhether patients over 85 years old with gastrointestinal cancer should undergo surgery remains controversial. We aimed to describe the changing trends of characteristics to provide more information to decision makers, and strive to find appropriate surgical plan.

aimTo describe the changing trends of characteristics to provide more information to decision makers, and strive to find appropriate surgical plan.

methodsA total of 218 gastric cancer (GC) patients and 563 colorectal cancer (CRC) patients who underwent surgery between 2001 and 2021 were enrolled in this retrospective analysis. Changes in clinicopathological features, surgical treatments, and survival status were analyzed longitudinally at 5-year intervals.

resultsOnly 14 GC patients underwent laparoscopic surgery where 219 CRC patients had this procedure. Cardia and esophagogastric junction cancer increased in GC patients, and the proportion of sigmoid colon cancer decreased in CRC patients. Pulmonary infection gradually became the most common postoperative complication, its incidence in period 4 reached 48.79%. However, the incidence of anastomotic leakage decreased from 26.79% to 9.38% (

conclusionThe safety as well as effectiveness of surgery in ultra-elderly patients is increasing. Radical lymphadenectomy has advantages in patients with TNM I gastrointestinal cancer, but not TNM II/III.

Indexed as

Colorectal cancerGastric cancerRetrospective analysis

Identifiers

PMID37701701
PMCPMC10494600

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