Evidence map›Paper›PMID 20976846›Full record

ArticleWorld journal of gastroenterology2010

Survival of geriatric patients after percutaneous endoscopic gastrostomy in Japan.

Yutaka Suzuki, Seryna Tamez, Akihiko Murakami, Akihiko Taira, Akihiro Mizuhara, Akira Horiuchi, Chie Mihara, Eiji Ako, Hirohito Muramatsu, Hitoshi Okano and 39 more

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastroenterology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% of its field
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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.

  1. Factors Associated with Mortality after Percutaneous Endoscopic Gastrostomy.JSLS : Journal of the Society of Laparoendoscopic Surgeons
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  4. Factors predicting major complications, mortality, and recovery in percutaneous endoscopic gastrostomy.JGH open : an open access journal of gastroenterology and hepatology · 2021
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  11. Clinical Features and Advantages of a Novel Percutaneous Endoscopic Gastrostomy Method.Medical science monitor : international medical journal of experimental and clinical research · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

49 authors at 1 institution in 1 country.

Yutaka SuzukiDepartment of Surgery, International University of Health and Welfare Hospital, 537-3 Iguchi, Nasushiobara-shi, Tochigi 329-2763, Japan.
Seryna Tamez
Akihiko Murakami
Akihiko Taira
Akihiro Mizuhara
Akira Horiuchi
Chie Mihara
Eiji Ako
Hirohito Muramatsu
Hitoshi Okano
Hitoshi Suenaga
Kazuaki Jomoto
Junya Kobayashi
Katsunari Takifuji
Kazuhiro Akiyama
Koh Tahara
Koji Onishi
Makoto Shimazaki
Masami Matsumoto
Masashi Ijima
Masato Murakami
Masato Nakahori
Michiaki Kudo
Michio Maruyama
Mikako Takahashi
Naohiro Washizawa
Shigeru Onozawa
Satoshi Goshi
Satoyoshi Yamashita
Shigeki Ono
Shin Imazato
Shinji Nishiwaki
Shuichirou Kitahara
Takao Endo
Takao Iiri
Takeshi Nagahama
Takuto Hikichi
Tatsuya Mikami
Tetsuo Yamamoto
Tetsushi Ogawa
Tomoko Ogawa
Tomoyuki Ohta
Toshifumi Matsumoto
Toshiroh Kura
Tsutomu Kikuchi
Tsuyoshi Iwase
Tsuyotoshi Tsuji
Yukio Nishiguchi
Mitsuyoshi Urashima
International University of Health and Welfare · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo examine the long term survival of geriatric patients treated with percutaneous endoscopic gastrostomy (PEG) in Japan.

methodsWe retrospectively included 46 Japanese community and tertiary hospitals to investigate 931 consecutive geriatric patients (≥ 65 years old) with swallowing difficulty and newly performed PEG between Jan 1st 2005 and Dec 31st 2008. We set death as an outcome and explored the associations among patient's characteristics at PEG using log-rank tests and Cox proportional hazard models.

resultsNine hundred and thirty one patients were followed up for a median of 468 d. A total of 502 deaths were observed (mortality 53%). However, 99%, 95%, 88%, 75% and 66% of 931 patients survived more than 7, 30, 60 d, a half year and one year, respectively. In addition, 50% and 25% of the patients survived 753 and 1647 d, respectively. Eight deaths were considered as PEG-related, and were associated with lower serum albumin levels (P = 0.002). On the other hand, among 28 surviving patients (6.5%), PEG was removed. In a multivariate hazard model, older age [hazard ratio (HR), 1.02; 95% confidence interval (CI), 1.00-1.03; P = 0.009], higher C-reactive protein (HR, 1.04; 95% CI: 1.01-1.07; P = 0.005), and higher blood urea nitrogen (HR, 1.01; 95% CI: 1.00-1.02; P = 0.003) were significant poor prognostic factors, whereas higher albumin (HR, 0.67; 95% CI: 0.52-0.85; P = 0.001), female gender (HR, 0.60; 95% CI: 0.48-0.75; P < 0.001) and no previous history of ischemic heart disease (HR, 0.69; 95% CI: 0.54-0.88, P = 0.003) were markedly better prognostic factors.

conclusionThese results suggest that more than half of geriatric patients with PEG may survive longer than 2 years. The analysis elucidated prognostic factors.

Indexed as

Endoscopy, GastrointestinalGastrostomyAgedAged, 80 and overAge FactorsAlbuminuriaBlood Urea NitrogenCohort StudiesC-Reactive ProteinDeglutition DisordersFemaleHumansJapanMalePrognosisRetrospective StudiesC-Reactive Protein

Identifiers

PMID20976846
PMCPMC2965286
OpenAlexW2164843378

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.