Evidence map›Paper›PMID 37806892›Full record

ArticleAmerican journal of surgery2024

Racial disparities in complications following elective colon cancer resection: Impact of laparoscopic versus robotic approaches.

Vanita Ahuja, Lucero G Paredes, Ira L Leeds, Melissa F Perkal, Ayaka Tsutsumi, Shaan Bhandarkar, Joseph T King

Abstract read
In one paragraph

Article in American journal of surgery, 2024. 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. Black-White disparities across the colorectal cancer care continuum in the USA.Nature reviews. Gastroenterology & hepatology · 2025
    Review
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

7 authors.

Vanita AhujaVA Connecticut Healthcare System, US Department of Veterans Affairs, West Haven, CT, USA; Department of Surgery, Yale University School of Medicine, New Haven, CT, USA. Electronic address: vanita.ahuja@yale.edu.
Lucero G ParedesVA Connecticut Healthcare System, US Department of Veterans Affairs, West Haven, CT, USA; National Clinician Scholars Program, Yale School of Medicine, New Haven, CT, USA; Department of Surgery, Maine Medical Center, Portland, ME, USA.
Ira L LeedsVA Connecticut Healthcare System, US Department of Veterans Affairs, West Haven, CT, USA; Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.
Melissa F PerkalVA Connecticut Healthcare System, US Department of Veterans Affairs, West Haven, CT, USA; Department of Surgery, Yale University School of Medicine, New Haven, CT, USA.
Ayaka TsutsumiDepartment of Surgery, Yale University School of Medicine, New Haven, CT, USA.
Shaan BhandarkarYale University School of Medicine, New Haven, CT, USA.
Joseph T KingVA Connecticut Healthcare System, US Department of Veterans Affairs, West Haven, CT, USA; Department of Neurosurgery, Yale School of Medicine, New Haven, CT, USA.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NRSA Training CoreTL1TR001864 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$9.9M
Intramural VA VA999999NCATS NIH HHS TL1 TR001864NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundWe sought to examine differences in outcomes for Black and White patients undergoing robotic or laparoscopic colectomy to assess the potential impact of technological advancement.

methodsWe queried the ACS-NSQIP database for elective robotic (RC) and laparoscopic (LC) colectomy for cancer from 2012 to 2020. Outcomes included 30-day mortality and complications. We analyzed the association between outcomes, operative approach, and race using multivariable logistic regression.

resultsWe identified 64,460 patients, 80.9% laparoscopic and 19.1% robotic. RC patients were most frequently younger, male, and White, with fewer comorbidities (P ​< ​0.001). After adjustment, there was no difference in mortality by approach or race. Black patients who underwent LC had higher complications (OR 1.10, 95% CI 1.03-1.08, P ​= ​0.005) than their White LC counterparts and RC patients.

conclusionsRobotic colectomy was associated with lower rates of complications in minority patients. Further investigation is required to identify the causal pathway that leads to our finding.

Indexed as

Colonic NeoplasmsLaparoscopyRobotic Surgical ProceduresColectomyHumansLength of StayMalePostoperative ComplicationsRetrospective StudiesTreatment OutcomeColectomyLaparoscopic colectomyRacial discrepanciesRobotic colectomySurgical outcomes

Identifiers

PMID37806892
PMCPMC10842593

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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.