Evidence map›Paper›PMID 40092925›Full record

ArticleWorld journal of gastrointestinal oncology2025

New scoring system for the evaluation obstructive degrees based on computed tomography for obstructive colorectal cancer.

Xin-Chang Shang-Guan, Jun-Rong Zhang, Chao-Nan Lin, Shuai Chen, Yong Wei, Wen-Xuan Chen, Lin Pan, Li-Qin Huang, Shao-Hua Zheng, Xian-Qiang Chen

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Article in World journal of gastrointestinal oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. 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.

Xin-Chang Shang-GuanDepartment of Emergency Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, Fujian Province, China.
Jun-Rong ZhangDepartment of Emergency Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, Fujian Province, China.
Chao-Nan LinCollege of Physics and Information Engineering, Fuzhou University, Fuzhou 350001, Fujian Province, China.
Shuai ChenDepartment of Emergency Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, Fujian Province, China.
Yong WeiDepartment of Emergency Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, Fujian Province, China.
Wen-Xuan ChenDepartment of Emergency Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, Fujian Province, China.
Lin PanCollege of Physics and Information Engineering, Fuzhou University, Fuzhou 350001, Fujian Province, China.
Li-Qin HuangCollege of Physics and Information Engineering, Fuzhou University, Fuzhou 350001, Fujian Province, China.
Shao-Hua ZhengCollege of Physics and Information Engineering, Fuzhou University, Fuzhou 350001, Fujian Province, China.
Xian-Qiang ChenDepartment of Emergency Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, Fujian Province, China. cxq760818@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe degree of obstruction plays an important role in decision-making for obstructive colorectal cancer (OCRC). The existing assessment still relies on the colorectal obstruction scoring system (CROSS) which is based on a comprehensive analysis of patients' complaints and eating conditions. The data collection relies on subjective descriptions and lacks objective parameters. Therefore, a scoring system for the evaluation of computed tomography-based obstructive degree (CTOD) is urgently required for OCRC.

aimTo explore the relationship between CTOD and CROSS and to determine whether CTOD could affect the short-term and long-term prognosis.

methodsOf 173 patients were enrolled. CTOD was obtained using k-means, the ratio of proximal to distal obstruction, and the proportion of nonparenchymal areas at the site of obstruction. CTOD was integrated with the CROSS to analyze the effect of emergency intervention on complications. Short-term and long-term outcomes were compared between the groups.

resultsCTOD severe obstruction (CTOD grade 3) was an independent risk factor [odds ratio (OR) = 3.390, 95% confidence interval (CI): 1.340-8.570,

conclusionCTOD was useful in preoperative decision-making to avoid unnecessary emergency interventions and complications.

Indexed as

Colorectal obstruction scoring systemComputed tomography-based obstructive degreeEmergency interventionObstructive colorectal cancerScoring system

Identifiers

PMID40092925
PMCPMC11866252

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