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Laparoscopic surgery contributes more to nutritional and immunologic recovery than fast-track care in colorectal cancer

Overview of attention for article published in World Journal of Surgical Oncology, February 2015
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Title
Laparoscopic surgery contributes more to nutritional and immunologic recovery than fast-track care in colorectal cancer
Published in
World Journal of Surgical Oncology, February 2015
DOI 10.1186/s12957-015-0445-5
Pubmed ID
Authors

Dong Xu, Jun Li, Yongmao Song, Jiaojiao Zhou, Fangfang Sun, Jianwei Wang, Yin Duan, Yeting Hu, Yue Liu, Xiaochen Wang, Lifeng Sun, Linshan Wu, Kefeng Ding

Abstract

sBackgroundMany clinical trials had repeatedly shown that fast-track perioperative care and laparoscopic surgery are both preferred in the treatment of colorectal cancer. But few studies were designed to explore the diverse biochemical impacts of the two counterparts on human immunologic and nutritional status.MethodsNinety-two cases of colorectal cancer patients meeting the inclusion criteria were randomized to four groups: laparoscopy with fast-track treatment (LAFT); open surgery with fast-track treatment (OSFT); laparoscopy with conventional treatment (LAC); open surgery with conventional treatment (OSC). Peripheral blood tests including nutritional factors (albumin, prealbumin, and transferrin), humoral immunologic factors (IgG, IgM, and IgA), and cellular immunologic factors (T and NK cells) were evaluated. Blood samples were collected preoperatively (baseline) and 12 and 96 h after surgery (indicated as POH12 and POH96, respectively).ResultsAlbumin, transferrin, prealbumin, and IgG levels were the highest in the LAFT group for both POH12 and POH96 time intervals. Repeated measures (two-way ANOVA) indicated that the difference of albumin, transferrin, and IgG level were attributed to surgery type (P¿<¿0.05) and not perioperative treatment (P¿>¿0.05). Only in the laparoscopy-included groups, the relative albumin and IgG levels of POH96 were obviously higher than that of POH12.ConclusionLaparoscopic surgery accelerated postoperative nutrition and immune levels rising again while fast-track treatment retarded the drop of postoperative nutrition and immune levels. Laparoscopic surgery might play a more important role than fast-track treatment in the earlier postoperative recovery of nutritional and immunologic status. Combined laparoscopic surgery with fast-track treatment provided best postoperative recovery of nutrition and immune status. These results should be further compared with the clinical outcomes of our FTMDT trial (clinicaltrials.gov: NCT01080547).

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The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 65 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 65 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 10 15%
Researcher 10 15%
Student > Bachelor 8 12%
Student > Postgraduate 7 11%
Student > Ph. D. Student 6 9%
Other 9 14%
Unknown 15 23%
Readers by discipline Count As %
Medicine and Dentistry 34 52%
Biochemistry, Genetics and Molecular Biology 3 5%
Nursing and Health Professions 3 5%
Agricultural and Biological Sciences 1 2%
Pharmacology, Toxicology and Pharmaceutical Science 1 2%
Other 4 6%
Unknown 19 29%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. 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 20 January 2016.
All research outputs
#14,213,344
of 22,786,087 outputs
Outputs from World Journal of Surgical Oncology
#436
of 2,042 outputs
Outputs of similar age
#187,262
of 352,275 outputs
Outputs of similar age from World Journal of Surgical Oncology
#24
of 149 outputs
Altmetric has tracked 22,786,087 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 2,042 research outputs from this source. They receive a mean Attention Score of 2.1. This one has done well, scoring higher than 75% 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 352,275 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 44th percentile – i.e., 44% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 149 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 80% of its contemporaries.