Evidence map›Paper›PMID 40046531›Full record

ArticleAnnals of gastroenterological surgery2025

Identification of risk factors for postoperative complications after right colectomy and low anterior resection in patients ≥85 years old with colorectal cancer using the National Clinical Database.

Tomonori Akagi, Shiori Nishimura, Yoshitake Ueda, Masafumi Inomata, Hidefumi Shiroshita, Shuji Takiguchi, Yoshiharu Sakai, Hiraku Kumamaru, Hideki Ueno, Yuko Kitagawa

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2025. 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. 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.

Tomonori AkagiAcademic Committee of the Japan Society for Endoscopic Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-0722-0343
Shiori NishimuraDepartment of Healthcare Quality Assessment The University of Tokyo Graduate School of Medicine Tokyo Japan.
Yoshitake UedaAcademic Committee of the Japan Society for Endoscopic Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-1454-2033
Masafumi InomataAcademic Committee of the Japan Society for Endoscopic Surgery Tokyo Japan.
Hidefumi ShiroshitaAcademic Committee of the Japan Society for Endoscopic Surgery Tokyo Japan.ORCID https://orcid.org/0000-0003-2800-8314
Shuji TakiguchiAcademic Committee of the Japan Society for Endoscopic Surgery Tokyo Japan.
Yoshiharu SakaiAcademic Committee of the Japan Society for Endoscopic Surgery Tokyo Japan.
Hiraku KumamaruDepartment of Healthcare Quality Assessment The University of Tokyo Graduate School of Medicine Tokyo Japan.
Hideki UenoDatabase Committee The Japanese Society of Gastroenterological Surgery Tokyo Japan.ORCID https://orcid.org/0000-0002-8600-1199
Yuko KitagawaThe Japanese Society of Gastroenterological Surgery Tokyo Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: The purpose of this study was to evaluate factors associated with surgical outcomes and postoperative complications (Grade ≥3 by Clavien-Dindo classification) of right hemicolectomy (RH) and low anterior resection (LAR) for colorectal cancer in patients ≥85 years old. Methods: We retrospectively analyzed National Clinical Database (NCD) data on patients aged ≥85 years who underwent RH and LAR for colorectal cancer between 2017 and 2020. All possible preoperative factors were used to explore the risk factors for serious postoperative complication in these very elderly patients with colorectal cancer. Results: For RH, the operative mortality rate was 1.1% (98 cases), and the rate of serious postoperative complications was 5.2% (480 cases). Similarly, the mortality rate was 1.1% (27 cases), and the rate of serious complications (Clavien-Dindo Grade ≥3) was 8.7% (206 cases) for LAR. Based on multivariate analysis, independent risk factors for serious postoperative complications were male sex, ADL (partially dependent), hypertension, platelets (<150 000/μL), serum Na (<138 mEq/L), and PT-INR (>1.1) for RH, and ASA-PS (Grade ≥3), history of pneumonia, creatinine (>1.2 mg/day), and serum Na (<138 mEq/L) for LAR. Conclusions: The present results for RH and LAR suggest that surgical treatment for patients aged ≥85 years old is safe and feasible. Surgeons need to pay special attention more to physical status and past medical history than to tumor factors to prevent serious postoperative complications in these older patients with colorectal cancer.

Indexed as

elderly patientslow anterior resectionNational Clinical Databasepostoperative complicationsright hemicolectomy

Identifiers

PMID40046531
PMCPMC11877333

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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.