Evidence map›Paper›PMID 38026825›Full record

ArticleSurgery open science2023

More problems, more money: Identifying and predicting high-cost rescue after colorectal surgery.

Ira L Leeds, Miranda S Moore, Kurt Schultz, Joseph K Canner, Haddon J Pantel, Anne K Mongiu, Vikram Reddy, Eric Schneider

Open access · goldAbstract read
In one paragraph

Article in Surgery open science, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 27% 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, 3 citations in OpenAlex.

  1. Article
  2. Article
  3. For whom the bell tolls: assessing the incremental costs associated with failure to rescue after elective colorectal surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2024
    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 at 1 institution in 1 country.

Ira L LeedsYale School of Medicine, Department of Surgery, Division of Colon & Rectal Surgery, New Haven, CT, United States.
Miranda S MooreYale School of Medicine, Department of Surgery, Division of Colon & Rectal Surgery, New Haven, CT, United States.
Kurt SchultzYale School of Medicine, Department of Surgery, Division of Colon & Rectal Surgery, New Haven, CT, United States.
Joseph K CannerYale School of Medicine, Department of Surgery, Division of Colon & Rectal Surgery, New Haven, CT, United States.
Haddon J PantelYale School of Medicine, Department of Surgery, Division of Colon & Rectal Surgery, New Haven, CT, United States.
Anne K MongiuYale School of Medicine, Department of Surgery, Division of Colon & Rectal Surgery, New Haven, CT, United States.
Vikram ReddyYale School of Medicine, Department of Surgery, Division of Colon & Rectal Surgery, New Haven, CT, United States.
Eric SchneiderYale School of Medicine, Department of Surgery, Division of Colon & Rectal Surgery, New Haven, CT, United States.
Yale University · US

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
NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

Background: Successful rescue after elective surgery is associated with increased healthcare costs, but costs vary widely. Treating all rescue events the same may overlook targeted opportunities for improvement. The purpose of this study was to predict high-cost rescue after elective colorectal surgery. Methods: We identified adult patients in the National Inpatient Sample (2016-2021) who underwent elective colectomy or proctectomy. Rescued patients were defined as those who underwent additional major procedures. Three groups were stratified: 1) uneventful recovery; 2) Low-cost rescue; 3) High-cost rescue. Multivariable Poisson regression was used to identify preoperative clinical predictors of high-cost versus low-cost rescue. Results: We identified 448,590 elective surgeries, and rescued patients composed 4.8 %(21,635) of the total sample. The median increase in costs in rescued patients was $25,544( Conclusions: High-cost rescue after colorectal surgery is associated with disproportionately greater healthcare utilization and reoperation. For cost-conscious care, preemptive strategies that reduce reoperation-related complications can be prioritized.

Indexed as

Colorectal surgeryComplicationCost analysisLogistic regression

Identifiers

PMID38026825
PMCPMC10656212
OpenAlexW4388193086

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.