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Effect of body mass index on surgical site wound infection, mortality, and postoperative hospital stay in subjects undergoing possibly curative surgery for colorectal cancer: A meta-analysis

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机构: [1]Department of Gastrointestinal Surgery, Affiliated Hospital of Hebei University, Hebei, China
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关键词: body mass index curative surgery for colorectal cancer mortality non-obese obese postoperative hospital stay surgical site wound infection after colorectal surgery

摘要:
We performed a meta-analysis to evaluate the effect of body mass index on surgical site wound infection, mortality, and postoperative hospital stay in subjects undergoing possibly curative surgery for colorectal cancer. A systematic literature search up to March 2022 was performed and 2247 subjects with possibly curative surgery for colorectal cancer at the baseline of the studies; 2889 of them were obese, and 9358 were non-obese. Odds ratio (OR) and mean difference (MD) with 95% confidence intervals (CIs) were calculated to assess the effect of body mass index on surgical site wound infection, mortality, and postoperative hospital stay in subjects undergoing possibly curative surgery for colorectal cancer using the dichotomous or contentious methods with a random or fixed-effect model. The obese subjects had a significantly higher surgical site wound infection after colorectal surgery (OR, 1.87; 95% CI, 1.62-2.15, P < .001), and higher mortality (OR, 1.58; 95% CI, 1.07-2.32, P = .02) in subjects with possibly curative surgery for colorectal cancer compared with non-obese. However, obese did not show any significant difference in postoperative hospital stay (MD, 0.81; 95% CI, -0.030 to 1.92, P = .15) compared with non-obese in subjects with possibly curative surgery for colorectal cancer. The obese subjects had a significantly higher surgical site wound infection after colorectal surgery, higher mortality, and no significant difference in postoperative hospital stay compared with non-obese in subjects with possibly curative surgery for colorectal cancer. The analysis of outcomes should be with caution because of the low number of studies in certain comparisons.

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出版当年[2025]版:
大类 | 3 区 医学
小类 | 3 区 皮肤病学 3 区 外科
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 皮肤病学 3 区 外科
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出版当年[2023]版:
Q1 SURGERY Q2 DERMATOLOGY
最新[2023]版:
Q1 SURGERY Q2 DERMATOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2023版] 出版当年五年平均 出版前一年[2022版]

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第一作者机构: [1]Department of Gastrointestinal Surgery, Affiliated Hospital of Hebei University, Hebei, China
通讯作者:
通讯机构: [1]Department of Gastrointestinal Surgery, Affiliated Hospital of Hebei University, Hebei, China [*1]Department of Gastrointestinal Surgery, Affiliated Hospital of Hebei University, Hebei 071000, China.
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