Evidence map›Paper›PMID 39508967›Full record

ArticleUpdates in surgery2024

Clinical impact of multidisciplinary team management on postoperative short-term outcomes in colorectral cancer surgery.

Shota Kuwabara, Keita Ishido, Yuma Aoki, Kazuyuki Yamamoto, Yasuhito Shoji, Tatsunosuke Ichimura, Hiroto Manase, Satoshi Hirano

Abstract read
PubMed Publisher
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 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
–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 synthesis or guideline pooled it.

  1. Pooled it
  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

8 authors.

Shota KuwabaraDepartment of Surgery, Asahikawa Red Cross Hospital, 1-1 Akebono 1-jo 1-chome, Asahikawa, Hokkaido, 070-8530, Japan. medicineman424@yahoo.co.jp.ORCID http://orcid.org/0000-0002-7569-1403
Keita IshidoDepartment of Surgery, Asahikawa Red Cross Hospital, 1-1 Akebono 1-jo 1-chome, Asahikawa, Hokkaido, 070-8530, Japan.
Yuma AokiDepartment of Surgery, Asahikawa Red Cross Hospital, 1-1 Akebono 1-jo 1-chome, Asahikawa, Hokkaido, 070-8530, Japan.
Kazuyuki YamamotoDepartment of Surgery, Asahikawa Red Cross Hospital, 1-1 Akebono 1-jo 1-chome, Asahikawa, Hokkaido, 070-8530, Japan.
Yasuhito ShojiDepartment of Surgery, Asahikawa Red Cross Hospital, 1-1 Akebono 1-jo 1-chome, Asahikawa, Hokkaido, 070-8530, Japan.
Tatsunosuke IchimuraDepartment of Surgery, Asahikawa Red Cross Hospital, 1-1 Akebono 1-jo 1-chome, Asahikawa, Hokkaido, 070-8530, Japan.
Hiroto ManaseDepartment of Surgery, Asahikawa Red Cross Hospital, 1-1 Akebono 1-jo 1-chome, Asahikawa, Hokkaido, 070-8530, Japan.
Satoshi HiranoDepartment of Gastrointestinal Surgery II, Faculty of Medicine, Hokkaido University, Kita 15-jo Nishi 7-chome, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The multidisciplinary team (MDT) approach has become the standard for perioperative patient care. At our institution, a multidisciplinary perioperative care team called "Surgical, Nutrition and Rehabilitation Integrated Services for Excellence Team (SUNRISE)" was established for all patients with gastrointestinal cancer undergoing surgery. This study aimed to elucidate the significance of SUNRISE as a perioperative MDT by comparing short-term postoperative outcomes before and after the introduction of SUNRISE in patients with colorectal cancer. We included 181 patients diagnosed with colorectal who underwent radical surgical resection with regional lymphadenectomy. The patients were divided into two groups: the pre-SUNRISE group, consisting of 105 patients who underwent radical colorectal surgery before the introduction of the SUNRISE, and the SUNRISE group, consisting of 76 patients who underwent radical colorectal surgery after the introduction of the SUNRISE. We compared the short-term postoperative outcomes between these two groups and analyzed the risk factors affecting postoperative complications using logistic regression models. The incidence of postoperative complications in the SUNRISE group was significantly lower than that in the pre-SUNRISE group (22.4% vs. 41.0%, p = 0.011). Multivariate analysis identified the presence of SUNRISE (odds ratio, 0.33, 95% confidence interval, 0.15-0.73, p < 0.006) as an independent risk factor for postoperative complications. The median postoperative hospital stay in the SUNRISE group was significantly shorter than that in the pre-SUNRISE group (9 vs. 11 days, p < 0.01). The MDT approach is useful for optimizing preoperative patient care and improving short-term postoperative outcomes in patients with colorectal cancer.

Indexed as

Colorectal NeoplasmsPatient Care TeamPostoperative ComplicationsAgedFemaleHumansLymph Node ExcisionMaleMiddle AgedPerioperative CareRetrospective StudiesRisk FactorsTime FactorsTreatment OutcomeColorectal cancerMultidisciplinary teamPrehabilitationSurgery

Identifiers

What OpenQuestion holds

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Registered trials

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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.