Evidence map›Paper›PMID 37878018›Full record

Observational studyInternational journal of colorectal disease2023

Comparative study using propensity score matching analysis in patients undergoing surgery for colorectal cancer with or without multimodal prehabilitation.

Daniel Mauricio Londoño Estrada, Fábio Lopes de Queiroz, Luiza Iannotta Guerra, Paulo Rocha França-Neto, Antônio Lacerda-Filho, Simone Chaves de Miranda Silvestre, Jose Marcos Coelho

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International journal of colorectal disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. 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

7 authors at 2 institutions in 1 country.

Daniel Mauricio Londoño EstradaDepartment of Colorectal Surgery, Felicio Rocho Hospital, Av. do Contorno 9530-Barro Preto, Rua Tenente Brito Melo 496, Belo Horizonte, MG, CEP 30180070, Brazil. lon09@hotmail.com.ORCID http://orcid.org/0000-0002-2241-4509
Fábio Lopes de QueirozDepartment of Colorectal Surgery, Felicio Rocho Hospital, Av. do Contorno 9530-Barro Preto, Rua Tenente Brito Melo 496, Belo Horizonte, MG, CEP 30180070, Brazil.
Luiza Iannotta GuerraDepartment of Colorectal Surgery, Felicio Rocho Hospital, Av. do Contorno 9530-Barro Preto, Rua Tenente Brito Melo 496, Belo Horizonte, MG, CEP 30180070, Brazil.
Paulo Rocha França-NetoDepartment of Colorectal Surgery, Felicio Rocho Hospital, Av. do Contorno 9530-Barro Preto, Rua Tenente Brito Melo 496, Belo Horizonte, MG, CEP 30180070, Brazil.
Antônio Lacerda-FilhoDepartment of Colorectal Surgery, Felicio Rocho Hospital, Av. do Contorno 9530-Barro Preto, Rua Tenente Brito Melo 496, Belo Horizonte, MG, CEP 30180070, Brazil.
Simone Chaves de Miranda SilvestreDepartment of Nutrition, Felicio Rocho Hospital, Av. do Contorno, 9530-Barro Preto, Belo Horizonte, Brazil.
Jose Marcos CoelhoDepartment of Anesthesiology, Felicio Rocho Hospital, Av. do Contorno, 9530-Barro Preto, Belo Horizonte, Brazil.
Hospital Felício Rocho · BRUniversidade Federal de Minas Gerais · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe complication rate after major abdominal surgery is from 35 to 50%. The multimodal prehabilitation covers all the pre-operative problems to guarantee a faster recovery and reduce the rate of morbidity and mortality after a colorectal procedure.

methodsObservational study, in patients with CRC who underwent surgical treatment between November 2020 and September 2022. The data of the patients were placed in 2 groups: prehabilitation group (PPH) and no prehabilitation group (NPPH). Demographic data, type of cancer, operative data, and postoperative data were collected. Characteristics between the groups were compared after a propensity score matching (PSM) analysis for the detection of differences.

resultsAfter the PSM analysis, 46 patients were in PPH, and 63 patients were in NPPH. There was no significant difference in postoperative complications (p = 0.192). The median of comprehensive complication index (CCI) was 0 (p = 0.552). Patients in the NPPH had more hospital readmissions (p = 0.273) and more emergency room visits (p = 0.092). Multivariate log binomial regression adjusted for complications showed that pre-habilitation reduces the risk of a pos-operative complication (OR: 0.659, 95%CI, 0.434-1.00, p = 0.019).

conclusionsThe postoperative complication rate and LOS were similar between patients who receive operative multimodal prehabilitation for CRC surgery and those who did not. Prehabilitation was associated with reduced risk of postoperative complication after multivariate log binomial regression adjusted for complications. Patients who underwent prehabilitation had a slightly lower tendency for postoperative ER visits and hospital readmissions.

Indexed as

Colorectal NeoplasmsPreoperative ExerciseHumansPatient ReadmissionPostoperative ComplicationsPropensity ScoreColorectal cancerColorectal surgeryMultimodal prehabilitation

Identifiers

PMID37878018
OpenAlexW4387931456

What OpenQuestion holds

Textmetadata
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.