Evidence map›Paper›PMID 38805172›Full record

ArticleUpdates in surgery2024

Postoperative outcomes of surgical delay in inflammatory bowel disease patients: a multicenter cohort study.

Ellen de Bock, Eline S Herman, Vincent Meij, Thijs A Burghgraef, Bas Oldenburg, Paul M Verheijen, Apollo Pronk, Mando D Filipe, Menno R Vriens, Milan C Richir

Abstract readMulticenter Study
In one paragraph

Article in Updates in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The impact of COVID-19 on inflammatory bowel disease surgery: a systematic review.Annals of the Royal College of Surgeons of England · 2026
    Pooled it
  2. 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

10 authors.

Ellen de BockDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands. E.deBock-3@umcutrecht.nl.ORCID http://orcid.org/0000-0002-5796-1617
Eline S HermanDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Vincent MeijDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Thijs A BurghgraefDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Bas OldenburgDepartment of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht, The Netherlands.
Paul M VerheijenDepartment of Surgery, Meander Medical Center, Amersfoort, The Netherlands.
Apollo PronkDepartment of Surgery, Diakonessenhuis, Utrecht, The Netherlands.
Mando D FilipeDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Menno R VriensDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
Milan C RichirDepartment of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postponement of surgical inflammatory bowel disease (IBD) care may lead to disease progression. This study aims to determine the influence of delayed surgical IBD procedures on clinical outcomes. This multicenter retrospective cohort study included IBD patients who underwent a surgical procedure during the Coronavirus disease 2019 (COVID-19) pandemic from March 16, 2020, to December 31, 2020, and were compared to a pre-COVID-19 cohort. The primary endpoint was determining the number of (major) postoperative complications. Secondary endpoints were the time interval between surgical indication and performance of the surgical procedure and the risk factors of postoperative complications using multivariate analysis. Eighty-one IBD patients who underwent a surgical procedure were included. The median time interval between surgical indication and performance of the surgical procedure did not differ between the COVID-19 and pre-COVID-19 cohorts (34 vs. 33.5 days, p = 0.867). Multivariate analysis revealed a longer time interval between surgical indication and surgical procedure significantly correlated with the risk of developing postoperative complications [odds ratio (OR) 1.03, p = 0.034]. Moreover, previous surgery was identified as an independent predictor (OR 4.25, p = 0.018) for an increased risk of developing major postoperative complications. There was no significant surgical delay for patients with IBD in the COVID-19 pandemic cohort compared to the pre-pandemic cohort. However, a longer time interval between surgical indication and surgical procedure significantly correlated with the risk of developing postoperative complications. In the event of future scarcity in healthcare, efforts should be made to continue surgical procedures in IBD patients.

Indexed as

COVID-19Inflammatory Bowel DiseasesPostoperative ComplicationsAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedPandemicsRetrospective StudiesRisk FactorsTime FactorsTime-to-TreatmentCOVID-19Inflammatory bowel diseasesPostoperative complicationsSurgery

Identifiers

PMID38805172
PMCPMC11341736

What OpenQuestion holds

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LicenceCC BY
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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.