Evidence map›Paper›PMID 42477218›Full record

ArticleSurgical endoscopy2026

Recovery of physical and mental health within 4 weeks after colorectal surgery: a prospective cohort study.

Aylin Mansimova, Francesca Fermi, Samin Shirzadi, Ghadeer Olleik, Maxime Lapointe-Gagner, Philip Nguyen-Powanda, Marylise Boutros, Lawrence Lee, Liane S Feldman, Julio F Fiore

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Aylin MansimovaDepartment of Surgery, Montreal General Hospital, McGill University, 1650 Cedar Ave, R2-104, Montreal, QC, H3G 1A4, Canada.
Francesca FermiVita-Salute San Raffaele University, Milan, Italy.
Samin ShirzadiPerioperative Care and Outcomes Research (PCOR) Lab, McGill University, Montreal, QC, Canada.
Ghadeer OlleikDepartment of Surgery, Montreal General Hospital, McGill University, 1650 Cedar Ave, R2-104, Montreal, QC, H3G 1A4, Canada.
Maxime Lapointe-GagnerDepartment of Surgery, Montreal General Hospital, McGill University, 1650 Cedar Ave, R2-104, Montreal, QC, H3G 1A4, Canada.
Philip Nguyen-PowandaDepartment of Surgery, Montreal General Hospital, McGill University, 1650 Cedar Ave, R2-104, Montreal, QC, H3G 1A4, Canada.
Marylise BoutrosDepartment of Surgery, Montreal General Hospital, McGill University, 1650 Cedar Ave, R2-104, Montreal, QC, H3G 1A4, Canada.
Lawrence LeeDepartment of Surgery, Montreal General Hospital, McGill University, 1650 Cedar Ave, R2-104, Montreal, QC, H3G 1A4, Canada.
Liane S FeldmanDepartment of Surgery, Montreal General Hospital, McGill University, 1650 Cedar Ave, R2-104, Montreal, QC, H3G 1A4, Canada.
Julio F FioreDepartment of Surgery, Montreal General Hospital, McGill University, 1650 Cedar Ave, R2-104, Montreal, QC, H3G 1A4, Canada. julio.fiorejunior@mcgill.ca.ORCID http://orcid.org/0000-0002-0019-8673

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal surgery substantially impacts patients' physical and mental health. However, the timeframe for recovery in contemporary care settings remains poorly understood. This study aimed to (1) estimate the proportion of patients who return to baseline health within 4 weeks after colorectal surgery and (2) identify predictors of incomplete recovery.

methodsIn this prospective cohort study, adults undergoing elective colorectal surgery were recruited at two university-affiliated hospitals where procedures are predominantly minimally invasive and care follows enhanced recovery principles. Participants completed the PROMIS-29 survey preoperatively and weekly through postoperative week (POW) 4. Physical Health Summary (PHS) and Mental Health Summary (MHS) scores were derived. Recovery was defined as achieving a PHS or MHS score within 3 points (minimally important difference) of the baseline value by POW4. Descriptive statistics estimated the proportion of patients recovering to baseline. Generalized estimating equations (GEE) identified predictors of incomplete recovery (decline ≥ 3 points through POW4).

results282 patients were included (58 ± 15; 48% female; 78% laparoscopic; 20% new stoma; 34% complications). By POW4, 74% of patients (n = 209) met the recovery threshold for physical health and 87% (n = 245) for mental health. Delayed physical recovery was associated with female sex (OR 1.93; 95%CI 1.25-2.99; p = 0.003), ASA class III-IV (OR 1.91; 95%CI 1.13-3.23; p = 0.016), open surgical approach (OR 2.10; 95%CI 1.14-3.86; p = 0.017) and 30-day complications (OR 1.68; 95% CI 1.02-2.76; p = 0.042). Delayed mental recovery was associated with ASA class III-IV (OR 1.96; 95%CI 1.12-3.43; p = 0.019) and 30-day complications (OR 1.75; 95% CI 1.02-3.01; p = 0.044).

conclusionIn the context of enhanced recovery and widespread minimally invasive surgery, most patients undergoing colorectal surgery regained baseline physical and mental health within 4 weeks after surgery. Patients at risk of slower recovery may warrant closer follow-up and tailored strategies to optimize outcomes.

Indexed as

Health StatusMental HealthRecovery of FunctionAgedColorectal Surgical ProceduresFemaleHumansMaleMiddle AgedProspective StudiesTime FactorsColorectal surgeryMental health statusPatient-reported outcome measuresPhysical health statusPostoperative recoveryPredictive factors

Identifiers

PMID42477218

What OpenQuestion holds

Textmetadata
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.