Evidence map›Paper›PMID 23412514›Full record

ArticleSurgery today2013

Preventive effect of sivelestat on postoperative respiratory disorders after thoracic esophagectomy.

Yohei Nagai, Masayuki Watanabe, Yoshihumi Baba, Masaaki Iwatsuki, Kotaro Hirashima, Ryuichi Karashima, Jyunji Kurashige, Koichi Kinoshita, Hideo Baba

Abstract readEvaluation Study
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In one paragraph

Article in Surgery today, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

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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

9 authors at 1 institution in 1 country.

Yohei NagaiDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, Kumamoto 860-8556, Japan. gookojapan@yahoo.co.jp
Masayuki Watanabe
Yoshihumi Baba
Masaaki Iwatsuki
Kotaro Hirashima
Ryuichi Karashima
Jyunji Kurashige
Koichi Kinoshita
Hideo Baba
Kumamoto University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSivelestat, a selective inhibitor of neutrophil elastase, has been reported to reduce acute lung injury associated with systemic inflammatory response syndrome. This study retrospectively investigated the effect of sivelestat on respiratory function in patients who underwent esophagectomy.

methodsPatients who underwent esophagectomy for thoracic esophageal cancer between 2005 and 2010 were included in this study. Forty-two were treated perioperatively with sivelestat (4.8 mg/kg/day; sivelestat group) and the remaining 35 were not (control group). Sivelestat was administered continuously from the beginning of surgery until postoperative day 3. All patients were administered methylprednisolone for 3 days. The perioperative clinical and laboratory data, total sequential organ failure assessment score, PaO2/FiO2 ratio (P/F ratio) and postoperative complications were compared between the two groups.

resultsThere were no significant differences between the groups in the patients' background data. The P/F ratio immediately after surgery was significantly higher in the sivelestat group than in the control group (p < 0.05). The respiratory rate immediately after surgery and the temperature on postoperative day 2 were significantly lower in the sivelestat group than in the control group (p < 0.05). There were no differences in any of the other clinical data or complications.

conclusionsPerioperative administration of sivelestat improves postoperative respiratory function in patients after esophagectomy.

Indexed as

EsophagectomyAcute Lung InjuryAdultAgedAged, 80 and overAnti-Inflammatory AgentsDrug Administration ScheduleDrug Therapy, CombinationEsophageal NeoplasmsFemaleGlycineHumansIntraoperative CareMaleMethylprednisoloneMiddle AgedAnti-Inflammatory AgentsGlycineMethylprednisoloneSerine Proteinase InhibitorssivelestatSulfonamides

Identifiers

PMID23412514
OpenAlexW1974489879

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.