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X Demographics
Mendeley readers
Attention Score in Context
| Title |
Incidence and Risk Factors for Anastomotic Failure in 1594 Patients Treated by Transanal Total Mesorectal Excision
|
|---|---|
| Published in |
Annals of Surgery, April 2019
|
| DOI | 10.1097/sla.0000000000002653 |
| Pubmed ID | |
| Authors |
Marta Penna, Roel Hompes, Steve Arnold, Greg Wynn, Ralph Austin, Janindra Warusavitarne, Brendan Moran, George B Hanna, Neil J Mortensen, Paris P Tekkis |
| Abstract |
To determine the incidence of anastomotic-related morbidity following Transanal Total Mesorectal Excision (TaTME) and identify independent risk factors for failure. Anastomotic leak and its sequelae are dreaded complications following gastrointestinal surgery. TaTME is a recent technique for rectal resection, which includes novel anastomotic techniques. Prospective study of consecutive reconstructed TaTME cases recorded over 30 months in 107 surgical centers across 29 countries. Primary endpoint was "anastomotic failure," defined as a composite endpoint of early or delayed leak, pelvic abscess, anastomotic fistula, chronic sinus, or anastomotic stricture. Multivariate regression analysis performed identifying independent risk factors of anastomotic failure and an observed risk score developed. One thousand five hundred ninety-four cases with anastomotic reconstruction were analyzed; 96.6% performed for cancer. Median anastomotic height from anal verge was 3.0 ± 2.0 cm with stapled techniques accounting for 66.0%. The overall anastomotic failure rate was 15.7%. This included early (7.8%) and delayed leak (2.0%), pelvic abscess (4.7%), anastomotic fistula (0.8%), chronic sinus (0.9%), and anastomotic stricture in 3.6% of cases. Independent risk factors of anastomotic failure were: male sex, obesity, smoking, diabetes mellitus, tumors >25 mm, excessive intraoperative blood loss, manual anastomosis, and prolonged perineal operative time. A scoring system for preoperative risk factors was associated with observed rates of anastomotic failure between 6.3% to 50% based on the cumulative score. Large tumors in obese, diabetic male patients who smoke have the highest risk of anastomotic failure. Acknowledging such risk factors can guide appropriate consent and clinical decision-making that may reduce anastomotic-related morbidity. |
X Demographics
The data shown below were collected from the profiles of 160 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 24 | 15% |
| United Kingdom | 19 | 12% |
| Spain | 18 | 11% |
| India | 6 | 4% |
| Italy | 6 | 4% |
| Canada | 5 | 3% |
| Mexico | 4 | 3% |
| Netherlands | 3 | 2% |
| Colombia | 2 | 1% |
| Other | 20 | 13% |
| Unknown | 53 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 72 | 45% |
| Practitioners (doctors, other healthcare professionals) | 61 | 38% |
| Scientists | 23 | 14% |
| Science communicators (journalists, bloggers, editors) | 4 | 3% |
Mendeley readers
The data shown below were compiled from readership statistics for 173 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 173 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Other | 23 | 13% |
| Student > Postgraduate | 18 | 10% |
| Researcher | 17 | 10% |
| Student > Master | 16 | 9% |
| Student > Bachelor | 16 | 9% |
| Other | 39 | 23% |
| Unknown | 44 | 25% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 97 | 56% |
| Pharmacology, Toxicology and Pharmaceutical Science | 3 | 2% |
| Nursing and Health Professions | 3 | 2% |
| Business, Management and Accounting | 2 | 1% |
| Unspecified | 2 | 1% |
| Other | 8 | 5% |
| Unknown | 58 | 34% |
Attention Score in Context
This research output has an Altmetric Attention Score of 98. 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 September 2023.
All research outputs
#439,170
of 25,759,158 outputs
Outputs from Annals of Surgery
#190
of 9,076 outputs
Outputs of similar age
#9,761
of 365,591 outputs
Outputs of similar age from Annals of Surgery
#10
of 151 outputs
Altmetric has tracked 25,759,158 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 98th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 9,076 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.4. This one has done particularly well, scoring higher than 97% 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 365,591 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 97% of its contemporaries.
We're also able to compare this research output to 151 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.