Evidence map›Paper›PMID 40474430›Full record

ArticleSaudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association2025

Surgical outcomes of curative intent management in emergency vs. elective colon cancer: A retrospective single center study.

Noura S Alhassan, Thamer A Bin Traiki, Sulaiman A Alshammari, Mohaned Makkawi, Yazeed A Alkhayyal, Mohammed A Alswayyed, Maha-Hamadien Abdulla, Ahmad M Zubaidi, Omar A Al-Obeed, Reem A Alharbi and 1 more

Abstract readComparative Study
In one paragraph

Article in Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. A preventable surge: Confronting the rising burden of colorectal cancer in Saudi Arabia through enhanced screening.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2026
    Article
  3. A chain is only as strong as its weakest link: Care pathways in colorectal cancer, from emergency interventions to preventive strategies.Saudi journal of gastroenterology : official journal of the Saudi Gastroenterology Association · 2025
    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

11 authors.

Noura S AlhassanDepartment of Surgery, College of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia.
Thamer A Bin TraikiDepartment of Surgery, College of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia.
Sulaiman A AlshammariDepartment of Surgery, College of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia.
Mohaned MakkawiDepartment of Surgery, College of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia.
Yazeed A AlkhayyalDepartment of Surgery, College of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia.
Mohammed A AlswayyedDepartment of Pathology and Laboratory Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Maha-Hamadien AbdullaDepartment of Surgery, College of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia.
Ahmad M ZubaidiDepartment of Surgery, College of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia.
Omar A Al-ObeedDepartment of Surgery, College of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia.
Reem A AlharbiDepartment of Clinical Surgery, College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
Khayal A AlKhayalDepartment of Surgery, College of Medicine, King Khalid University Hospital, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPresentation affects several surgical parameters and post-operative outcomes. This study compares emergency versus elective colon cancer outcomes and prognostic factors associated with postoperative complications.

methodsAll colon cancer patients who underwent curative resection between July 2015 and December 2019 were retrospectively reviewed and analyzed. Patients were divided into emergency and elective groups based on their presentation.

resultsA total of 215 patients were included; 70 patients (32.6%) in the emergency group. Of them, 61 patients presented with obstruction, and nine with free perforation. The elective group had a higher laparoscopic approach (82.8%) with primary anastomosis (90.3%) compared to the emergency group (57.1% and 68.6%, respectively, P < 0.001). Postoperative complications were clinically higher in the emergency group (30% vs. 20.7%, P = 0.171). ICU/HDU admission was higher in the emergency group (40% vs. 17.2%, P < 0.001), and had a longer hospital stay (15 vs. 10 days, P < 0.003). Regression analysis revealed increased risk of complications among patients with comorbidities (OR 3.21; 95% CI, P = 0.002), albumin levels <30g/dl (OR 2.20; 95% CI, P = 0.01), complete obstruction (OR 2.42; 95% CI, P = 0.017), perforation (OR 9.98; 95% CI, P < 0.001), and open surgery (OR 4.84; 95% CI, P < 0.001).

conclusionEmergency presentation rate was high among our patients with less-favorable surgical outcomes. Open surgery and stoma creation were more prevalent in the emergency group. Complete obstruction, perforation, open surgery, hypo-albuminemia, and presence of comorbidities were independent risk factors for complications.

Indexed as

ColectomyColonic NeoplasmsElective Surgical ProceduresPostoperative ComplicationsAgedEmergenciesFemaleHumansIntestinal ObstructionLaparoscopyLength of StayMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsColon cancerelective surgeryemergency surgerysurgical outcomes

Identifiers

PMID40474430
PMCPMC12352813

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.