Evidence map›Paper›PMID 38534670›Full record

ArticleAntibiotics (Basel, Switzerland)2024

Oral Antibiotics Alone versus Oral Antibiotics Combined with Mechanical Bowel Preparation for Elective Colorectal Surgery: A Propensity Score-Matching Re-Analysis of the iCral 2 and 3 Prospective Cohorts.

Marco Catarci, Stefano Guadagni, Francesco Masedu, Massimo Sartelli, Leonardo Antonio Montemurro, Gian Luca Baiocchi, Giovanni Domenico Tebala, Felice Borghi, Pierluigi Marini, Marco Scatizzi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Article
  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

11 authors at 8 institutions in 1 country.

Marco CatarciGeneral Surgery Unit, Sandro Pertini Hospital, ASL Roma 2, 00157 Roma, Italy.ORCID 0000-0002-6338-0114
Stefano GuadagniGeneral Surgery Unit, University of L'Aquila, 67100 L'Aquila, Italy.ORCID 0000-0001-8525-084X
Francesco MaseduDepartment of Applied Clinical Sciences and Biotechnology, University of L'Aquila, 67100 L'Aquila, Italy.ORCID 0000-0003-0290-5324
Massimo SartelliGeneral Surgery Unit, Santa Lucia Hospital, 62100 Macerata, Italy.
Leonardo Antonio MontemurroGeneral Surgery Unit, Sandro Pertini Hospital, ASL Roma 2, 00157 Roma, Italy.
Gian Luca BaiocchiGeneral Surgical Unit, Department of Clinical and Experimental Sciences, University of Brescia at the Azienda Socio Sanitaria Territoriale (ASST), 26100 Cremona, Italy.ORCID 0000-0003-2402-2178
Giovanni Domenico TebalaDigestive & Emergency Surgery Unit, Santa Maria Hospital, 05100 Terni, Italy.ORCID 0000-0001-7152-4096
Felice BorghiOncologic Surgery Unit, Candiolo Cancer Institute, FPO-IRCCS, 10060 Candiolo, Italy.ORCID 0000-0002-2431-2020
Pierluigi MariniGeneral & Emergency Surgery Unit, San Camillo-Forlanini Hospital, 00152 Roma, Italy.
Marco ScatizziGeneral Surgery Unit, Santa Maria Annunziata & Serristori Hospital, 50012 Firenze, Italy.
The Italian ColoRectal Anastomotic Leakage iCral Study Group
ASL Roma · ITUniversity of L'Aquila · ITCandiolo Cancer Institute · ITCarlo Forlanini Hospital · ITOspedale Santa Maria Annunziata · ITSanta Maria Nuova Hospital · ITUniversity of Brescia · ITUniversity of Macerata · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The evidence regarding the role of oral antibiotics alone (oA) or combined with mechanical bowel preparation (MoABP) for elective colorectal surgery remains controversial. A prospective database of 8359 colorectal resections gathered over a 32-month period from 78 Italian surgical units (the iCral 2 and 3 studies), reporting patient-, disease-, and procedure-related variables together with 60-day adverse events, was re-analyzed to identify a subgroup of 1013 cases (12.1%) that received either oA or MoABP. This dataset was analyzed using a 1:1 propensity score-matching model including 20 covariates. Two well-balanced groups of 243 patients each were obtained: group A (oA) and group B (MoABP). The primary endpoints were anastomotic leakage (AL) and surgical site infection (SSI) rates. Group A vs. group B showed a significantly higher AL risk [14 (5.8%) vs. 6 (2.5%) events; OR: 3.77; 95%CI: 1.22-11.67;

Indexed as

anastomotic leakagecolorectal surgerymechanical bowel preparationmorbidityoral antibioticssurgical site infections

Identifiers

PMID38534670
PMCPMC10967405
OpenAlexW4392377134

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.