Evidence map›Paper›PMID 40188405›Full record

ArticleDiscover oncology2025

Variation in perioperative practice in elective colorectal cancer surgery: opportunities for quality improvement.

John C Taylor, Hannah Rossington, Rina George, Sarah L Alderson, Philip Quirke, Caroline Thomas, Simon Howell, YCR BCIP Study Group

Abstract read
In one paragraph

Article in Discover 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

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

1 citing paper in PubMed.

  1. Review
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.

John C TaylorLeeds Institute of Medical Research at St James's, University of Leeds, Worsley Building, Leeds, LS2 9 NL, UK. j.c.taylor@leeds.ac.uk.
Hannah RossingtonLeeds Institute of Medical Research at St James's, University of Leeds, Worsley Building, Leeds, LS2 9 NL, UK.
Rina GeorgeDoncaster and Bassetlaw Teaching Hospitals NHS Foundation Trust, Doncaster, UK.
Sarah L AldersonLeeds Institute of Health Sciences, University of Leeds, Leeds, UK.
Philip QuirkeLeeds Institute of Medical Research at St James's, University of Leeds, Worsley Building, Leeds, LS2 9 NL, UK.
Caroline ThomasLeeds Teaching Hospitals NHS Trust, Leeds, UK.
Simon HowellLeeds Institute of Medical Research at St James's, University of Leeds, Worsley Building, Leeds, LS2 9 NL, UK.
YCR BCIP Study Group

Funding

Cancer Research UK C23434/A23706Yorkshire Cancer Research L394
6 · The paper itself

Abstract

backgroundUnderstanding the variation in perioperative care across a population is fundamental to improving the management and outcomes of patients with colorectal cancer. Currently, there is limited individual patient level data available to assess this variation. Therefore, as part of an improvement programme, we conducted an audit to understand perioperative care.

methodsAudit items were developed to cover the pre, intra and postoperative phases of the colorectal cancer surgical pathway and collected for patients undergoing an elective procedure. The audit was conducted at 14 Hospital Trusts, participating in the Yorkshire Cancer Research Bowel Cancer Improvement Programme, located in the Yorkshire and Humber region, North of England.

resultsInformation on 216 patients were collected. Functional assessment by Cardiopulmonary Exercise Testing varied across the region (performed in 100% patients at three Trusts, but not at all in six Trusts, P < 0.001). The provision of postoperative high dependency and critical care also varied across the region (in seven Trusts ≥ 80% of patients went to a monitored bed or higher level of care; in three Trusts ≥ 90% of patients received ward care, P < 0.001). The median duration of preoperative starvation varied by Trust (2 to 13 h, P < 0.001). The intraoperative dose of opiate administered to patients varied significantly between Trusts (P < 0.001).

conclusionsThere is wide variation in both the provision and practice of perioperative care across a large region in the North of England. The findings are informing a programme of improvement science-based work to improve the management and outcomes of patients with colorectal cancer.

Indexed as

AnaestheticsERASMultidisciplinary teamOpioidsPostoperative carePreassessment

Identifiers

PMID40188405
PMCPMC11972997

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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.