Evidence map›Paper›PMID 8633912›Full record

Trial reportAnnals of surgery1996

Postoperative stay associated with prognosis of patients with colorectal cancer.

P I Tartter

Abstract readClinical Trial
In one paragraph

Trial report in Annals of surgery, 1996. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Perioperative blood transfusions for the recurrence of colorectal cancer.The Cochrane database of systematic reviews · 2006
    Pooled it
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

P I TartterDepartment of Surgery, Mount Sinai Medical Center, New York, 10029, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe author's objective was to determine whether the length of postoperative stay for patients after colorectal cancer surgery is associated with prognosis. SUMMARY BACKGROUND DATA: Financial pressure to reduce hospital costs has caused physicians to reduce hospital stays by changes in patient care, which reduce hospital stay but may compromise long-term results.

methodsUsing multivariate analysis, the author examined the relationship between postoperative stay and prognosis in a consecutive series of 341 prospectively studied patients with colorectal cancer undergoing potentially curative surgery.

resultsIn multivariate analysis, patients staying beyond the median of 11 days had more complications (p=0.000), more left hemicolectomies and procedures with colostomies (p=0.000), were older (p=0.002), and lost more blood (p=0.012) than patients staying less than the median. Disease-free survival was significantly and independently related to Dukes' stage (p=0.000), postoperative stay (p=0.001), and blood transfusion (p=0.011). The mean postoperative stay for the 98 patients who later developed recurrence was 15 days compared to 12 days for the 243 patients who remained disease free (p=0.0008). Cumulative disease-free survival of the 142 patients who stayed more than the median of 11 days was 60% compared to 77% for the 199 patients with shorter stays (p=0.000).

conclusionsThese data indicate that shorter hospital stays do not compromise disease-free survival of patients with colorectal cancer.

Indexed as

Length of StayAgedColorectal NeoplasmsDisease-Free SurvivalFemaleHumansMaleMultivariate AnalysisNeoplasm Recurrence, LocalPostoperative ComplicationsPrognosisProspective Studies

Identifiers

PMID8633912
PMCPMC1235129

What OpenQuestion holds

Textmetadata
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Registered trials

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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.