Evidence map›Paper›PMID 37837353›Full record

Observational studyBJS open2023

One-year outcomes following operative or non-operative management of adhesional small bowel obstruction.

Marie R Mortensen, Mohammad Alouda, Zara Bond, Jakob Burcharth, Katrine F Finne, Thomas K Jensen, Ida Lolle, Talha Malik, Loan Ngo-Stuyt, Liv B J Nielsen and 4 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in BJS open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04750811 (A Danish Audit of Small Bowel Obstruction), which is not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

NCT04750811 unknown statusnot on this map

A Danish Audit of Small Bowel Obstruction

TypeobservationalSponsorDanish Small Bowel Obstruction CollaborativeRan2021 to 2026Enrolled540ConditionsBowel Obstruction Small
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Small bowel obstruction in older adults: similar nonoperative success but worse outcomes across management strategies - insights from the ESTES SnapSBO study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  3. Review
  4. Article
  5. Observational
  6. Observational
  7. Observational
  8. 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

14 authors at 3 institutions in 1 country.

Marie R MortensenDigestive Disease Center, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark.
Mohammad AloudaDepartment of Gastrointestinal and Hepatic Diseases, Surgical Division, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.
Zara BondDepartment of Surgery, Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark.
Jakob BurcharthDepartment of Gastrointestinal and Hepatic Diseases, Surgical Division, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.
Katrine F FinneDepartment of Surgery, Nordsjællands Hospital, University of Copenhagen, Hillerød, Denmark.
Thomas K JensenDepartment of Gastrointestinal and Hepatic Diseases, Surgical Division, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0001-9589-0955
Ida LolleDepartment of Surgery, Hvidovre Hospital, University of Copenhagen, Copenhagen, Denmark.
Talha MalikDepartment of Surgery, Slagelse Hospital, Slagelse, Denmark.ORCID 0000-0002-9169-1622
Loan Ngo-StuytDepartment of Surgery, Sjælland University Hospital, Køge, Denmark.
Liv B J NielsenDigestive Disease Center, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark.
Maria OlaussonDepartment of Surgery, Sjælland University Hospital, Køge, Denmark.
Anders P SkovsenDepartment of Surgery, Nordsjællands Hospital, University of Copenhagen, Hillerød, Denmark.
Mette A TolverDepartment of Surgery, Sjælland University Hospital, Køge, Denmark.
Henry G SmithDigestive Disease Center, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-4218-4648
University of Copenhagen · DKZealand University Hospital Køge · DKSlagelse Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA trial of initial non-operative management is recommended in stable patients with adhesional small bowel obstruction. However, recent retrospective studies have suggested that early operative management may be of benefit in reducing subsequent recurrences. This study aimed to compare recurrence rates and survival in patients with adhesional small bowel obstruction treated operatively or non-operatively.

methodsThis was a prospective cohort study conducted at six acute hospitals in Denmark, including consecutive patients admitted with adhesional small bowel obstruction over a 4-month interval. Patients were stratified into two groups according to their treatment (operative versus non-operative) and followed up for 1 year after their index admission. Primary outcomes were recurrence of small bowel obstruction and overall survival within 1 year of index admission.

resultsA total of 201 patients were included, 118 (58.7 per cent) of whom were treated operatively during their index admission. Patients undergoing operative treatment had significantly better 1-year recurrence-free survival compared with patients managed non-operatively (operative 92.5 per cent versus non-operative 66.6 per cent, P <0.001). However, when the length of index admission was taken into account, patients treated non-operatively spent significantly less time admitted to hospital in the first year (median 3 days non-operative versus 6 days operative, P <0.001). On multivariable analysis, operative treatment was associated with decreased risks of recurrence (HR 0.22 (95 per cent c.i. 0.10-0.48), P <0.001) but an increased all-cause mortality rate (HR 2.48 (95 per cent c.i. 1.13-5.46), P = 0.024).

conclusionOperative treatment of adhesional small bowel obstruction is associated with reduced risks of recurrence but increased risk of death in the first year after admission. REGISTRATION NUMBER: NCT04750811 (http://www.clinicaltrials.gov).prior (registration date: 11 February 2021).

Indexed as

Intestinal ObstructionHospitalizationHumansLength of StayProspective StudiesRetrospective Studies

Identifiers

PMID37837353
PMCPMC10576245
OpenAlexW4387644456

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.