Evidence map›Paper›PMID 39502722›Full record

ArticleAnnals of gastroenterological surgery2024

Modified oral antibiotics and mechanical bowel preparation (OAMBP) versus conventional OAMBP for sigmoid colon and rectal surgery: A multicenter randomized non-inferiority trial.

Sodai Arai, Marie Hanaoka, Shinichi Yamauchi, Hironobu Baba, Ryoichi Hanazawa, Hiroyuki Sato, Akihiro Hirakawa, Masanori Tokunaga, Yusuke Kinugasa

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2024. 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
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  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

9 authors.

Sodai AraiDepartment of Gastrointestinal Surgery Tokyo Medical and Dental University Tokyo Japan.ORCID https://orcid.org/0009-0000-6106-5551
Marie HanaokaDepartment of Gastrointestinal Surgery Tokyo Medical and Dental University Tokyo Japan.ORCID https://orcid.org/0000-0003-3380-7233
Shinichi YamauchiDepartment of Gastrointestinal Surgery Tokyo Medical and Dental University Tokyo Japan.ORCID https://orcid.org/0000-0002-2360-5323
Hironobu BabaDepartment of Surgery Edogawa Hospital Tokyo Japan.
Ryoichi HanazawaDepartment of Clinical Biostatistics, Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan.ORCID https://orcid.org/0000-0002-4230-7356
Hiroyuki SatoDepartment of Clinical Biostatistics, Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan.
Akihiro HirakawaDepartment of Clinical Biostatistics, Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan.
Masanori TokunagaDepartment of Gastrointestinal Surgery Tokyo Medical and Dental University Tokyo Japan.ORCID https://orcid.org/0000-0002-3183-349X
Yusuke KinugasaDepartment of Gastrointestinal Surgery Tokyo Medical and Dental University Tokyo Japan.ORCID https://orcid.org/0000-0002-7885-2276

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To evaluate whether the use of a laxative with reduced patient burden in oral antibiotics and mechanical bowel preparation (OAMBP) could prevent surgical site infection (SSI) in left-sided colon and rectal cancers. Methods: This multicenter, non-blinded, randomized, non-inferiority trial included patients who underwent elective colorectal surgery for colorectal cancer in a university and community hospital in Japan from April 1, 2021 to March 31, 2023. We compared conventional OAMBP (polyethylene glycol, metronidazole, and kanamycin) (cOAMBP group) with modified OAMBP (sodium picosulfate hydrate, metronidazole, and kanamycin) (mOAMBP group). The primary outcome was overall incidence of SSI. Secondary outcomes were postoperative complications, degree of patient burden, and intraoperative bowel dilatation. Results: Among 119 patients, 112 were randomly assigned to the two groups, with 56 patients in each group. SSI occurred in three (5.4%) and five patients (8.3%) in the mOAMBP and cOAMBP groups, respectively (90% confidence interval [CI]: -12.8-5.3), with a 15% margin of non-inferiority. Anastomotic leakage occurred in no patient in the mOAMBP group and three patients (5.4%) in the cOAMBP group ( Conclusion: mOAMBP is safe and less burdensome, can reduce intraoperative bowel dilatation, and is non-inferior compared with cOAMBP in preventing SSI. Therefore, mOAMBP may be more suitable for sigmoid colon and rectal cancer. Trial Registration: UMIN000043162 (http://www.umin.ac.jp/ctr/). Registered on January 28, 2021.

Indexed as

non‐inferiority trialoral antibiotics and mechanical bowel preparationrectal cancerrobotic surgerysodium picosulfate hydrate

Identifiers

PMID39502722
PMCPMC11533008

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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.