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Factors associated with failure of enhanced recovery programs after laparoscopic colon cancer surgery: a single-center retrospective study

Overview of attention for article published in Surgical Endoscopy, August 2015
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About this Attention Score

  • In the top 25% of all research outputs scored by Altmetric
  • Good Attention Score compared to outputs of the same age (78th percentile)
  • High Attention Score compared to outputs of the same age and source (93rd percentile)

Mentioned by

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12 tweeters
facebook
1 Facebook page

Citations

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12 Dimensions

Readers on

mendeley
30 Mendeley
Title
Factors associated with failure of enhanced recovery programs after laparoscopic colon cancer surgery: a single-center retrospective study
Published in
Surgical Endoscopy, August 2015
DOI 10.1007/s00464-015-4302-y
Pubmed ID
Authors

Heung-Kwon Oh, Myong Hun Ihn, Il Tae Son, Jin Taek Park, Jaebong Lee, Duck-Woo Kim, Sung-Bum Kang

Abstract

Although enhanced recovery programs (ERPs) have been proven to be beneficial after laparoscopic colon surgery, they may result in adverse clinical outcomes following failure. This study analyzed risk factors associated with ERP failure after laparoscopic colon cancer surgery. We analyzed the outcomes of 208 patients who underwent ERPs following laparoscopic colon cancer surgery between June 2007 and April 2013. The ERP included early oral feeding, early ambulation, and regular laxative administration. ERP failure was defined as postoperative hospital stay of more than 5 days related to postoperative complications, unplanned readmission within 30 days of surgery, or death. Surgical procedures included anterior resection (n = 101), right hemicolectomy (n = 90), and left hemicolectomy (n = 17). The mean postoperative hospital stay was 6.5 ± 2.3 days (range 3-24 days). ERP failure occurred in 36 patients (17.3 %), with no mortality; reasons included ileus (n = 14), wound infection (n = 4), chylous drainage (n = 3), anastomotic bleeding (n = 3), pneumonia (n = 1), or readmission (n = 11) owing to delayed complications. Univariable analysis showed that ERP failure was associated with proximal colon cancer, side-to-side anastomosis, longer operation time, increased blood loss, and longer resected specimen length. Multivariable analysis showed that side-to-side anastomosis [odds ratio (OR) 4.534; 95 % confidence interval (CI) 1.902-10.811; P = 0.001] and increased blood loss (OR 1.004; 95 % CI 1.001-1.008; P = 0.041) were independent risk factors for ERP failure. We showed that increased blood loss and side-to-side anastomosis in comparison with end-to-end anastomosis were independent risk factors associated with ERP failure after laparoscopic colon cancer surgery. This suggests that intraoperative elements may be important determinants to obtain successful postoperative recovery in the era of ERP.

Twitter Demographics

The data shown below were collected from the profiles of 12 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 30 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 30 100%

Demographic breakdown

Readers by professional status Count As %
Unspecified 7 23%
Student > Master 6 20%
Student > Ph. D. Student 5 17%
Student > Postgraduate 3 10%
Student > Doctoral Student 2 7%
Other 7 23%
Readers by discipline Count As %
Medicine and Dentistry 14 47%
Unspecified 9 30%
Nursing and Health Professions 3 10%
Pharmacology, Toxicology and Pharmaceutical Science 2 7%
Economics, Econometrics and Finance 1 3%
Other 1 3%

Attention Score in Context

This research output has an Altmetric Attention Score of 6. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 August 2015.
All research outputs
#2,951,178
of 13,526,749 outputs
Outputs from Surgical Endoscopy
#495
of 3,951 outputs
Outputs of similar age
#49,548
of 234,363 outputs
Outputs of similar age from Surgical Endoscopy
#9
of 133 outputs
Altmetric has tracked 13,526,749 research outputs across all sources so far. Compared to these this one has done well and is in the 78th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,951 research outputs from this source. They receive a mean Attention Score of 3.8. This one has done well, scoring higher than 87% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 234,363 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 78% of its contemporaries.
We're also able to compare this research output to 133 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 93% of its contemporaries.