Evidence map›Paper›PMID 39755827›Full record

ArticleScientific reports2025

Development and validation of a nomogram for predicting postoperative fever after endoscopic submucosal dissection for colorectal lesions.

Jiayu Qiu, Yanhong Xia, Yanxia Zhang, Qingping Ouyang, Liping Wang, Ruiying Ding, Xu Shu, Xiaolin Pan

Abstract readValidation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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.

Jiayu Qiu *Department of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Yanhong Xia *Department of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Yanxia Zhang *Department of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Qingping OuyangDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Liping WangDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Ruiying DingDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Xu ShuDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Xiaolin PanDepartment of Gastroenterology, Jiangxi Provincial Key Laboratory of Digestive Diseases, Jiangxi Clinical Research Center for Gastroenterology, Digestive Disease Hospital, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China. xlpan16@ncu.edu.cn.

Funding

Science and Technology Department of Jiangxi Province 20192BAB215034Science and Technology Foundation of the Department of Education of Jiangxi Province GJJ210230Scientific Research of Health Commission of Jiangxi Province 202310393
6 · The paper itself

Abstract

Fever is a complication after colorectal endoscopic submucosal dissection (ESD). The objective of this study was to explore the incidence and risk factors of fever after colorectal ESD and establish a predictive nomogram model. This retrospective analysis encompassed patients with colorectal lesions who underwent ESD between June 2008 and December 2021 in our center. Multivariate analyses were performed to identify the independent risk factors of fever after colorectal ESD based on univariate analysis, and derived predictive nomogram model was constructed. The performance of nomogram model was evaluated through the receiver operating characteristic curve, calibration curve, decision curve analysis (DCA) and clinical impact curve (CIC). Among the 1096 enrolled patients with colorectal lesions, fever after colorectal ESD occurred in 204 (18.6%) patients. Multivariate logistic regression revealed that tumor size (P < 0.001), ESD procedure time > 30 min (P < 0.001), injury to muscle layer (P < 0.001) and intraoperative perforation (P = 0.046) were estimated to be independent risk factors of fever after colorectal ESD. A predictive nomogram model, incorporating these four predictors, were established and performed well in both training and validation groups. Both DCA and CIC showed this nomogram model had a good potential for clinical practicability.

Indexed as

Colorectal NeoplasmsEndoscopic Mucosal ResectionFeverNomogramsPostoperative ComplicationsAgedFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsROC CurveColorectal lesionEndoscopic submucosal dissectionFeverNomogramRisk factor

Identifiers

PMID39755827
PMCPMC11700111

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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.