Evidence map›Paper›PMID 25013372›Full record

ArticleInternational journal of medical sciences2014

Renal transplantation: relationship between hospital/surgeon volume and postoperative severe sepsis/graft-failure. a nationwide population-based study.

Shih-Feng Weng, Chin-Chen Chu, Chih-Chiang Chien, Jhi-Joung Wang, Yi-Chen Chen, Shang-Jyh Chiou

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of medical sciences, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. The impact of surgeon volume on patient outcome in spine surgery: a systematic review.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018
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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

6 authors at 3 institutions in 1 country.

Shih-Feng Weng1. Departments of Medical Research, Chi-Mei Medical Center, Tainan, Taiwan. ; 4. Department of Hospital and Health Care Administration, Chia Nan University of Pharmacy and Science, Tainan, Taiwan.
Chin-Chen Chu2. Departments of Anesthesiology, Chi-Mei Medical Center, Tainan, Taiwan.
Chih-Chiang Chien3. Departments of Nephrology, Chi-Mei Medical Center, Tainan, Taiwan. ; 5. Department of Food Nutrition, Chung Hwa University of Medical Technology, Tainan, Taiwan.
Jhi-Joung Wang1. Departments of Medical Research, Chi-Mei Medical Center, Tainan, Taiwan.
Yi-Chen Chen1. Departments of Medical Research, Chi-Mei Medical Center, Tainan, Taiwan.
Shang-Jyh Chiou6. Department of Health Care Management, National Taipei University of Nursing and Health Sciences, Taiwan.
Chi Mei Medical Center · TWChung Hwa University of Medical Technology · TWNational Taipei University of Nursing and Health Science · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledBACKGROUND AND OBJECTS: We explored the relationship between hospital/surgeon volume and postoperative severe sepsis/graft-failure (including death).

methodsThe Taiwan National Health Insurance Research Database claims data for all patients with end-stage renal disease patients who underwent kidney transplantation between January 1, 1999, and December 31, 2007, were reviewed. Surgeons and hospitals were categorized into two groups based on their patient volume. The two primary outcomes were severe sepsis and graft failure (including death). The logistical regressions were done to compute the Odds ratios (OR) of outcomes after adjusting for possible confounding factors. Kaplan-Meier analysis was used to calculate the cumulative survival rates of graft failure after kidney transplantation during follow-up (1999-2008).

resultsThe risk of developing severe sepsis in a hospital in which surgeons do little renal transplantation was significant (odds ratio [OR]; p = 0.0115): 1.65 times (95% CI: 1.12-2.42) higher than for a hospital in which surgeons do many. The same trend was true for hospitals with a low volume of renal transplantations (OR = 2.39; 95% CI: 1.62-3.52; p < 0.0001). The likelihood of a graft failure (including death) within one year for the low-volume surgeon group was 3.1 times higher than for the high-volume surgeon group (p < 0.0001); the trend was similar for hospital volume. Female patients had a lower risk than did male patients, and patients ≥ 55 years old and those with a higher Charlson comorbidity index score, had a higher risk of severe sepsis.

conclusionsWe conclude that the risk of severe sepsis and graft failure (including death) is higher for patients treated in hospitals and by surgeons with a low volume of renal transplantations. Therefore, the health authorities should consider exporting best practices through educational outreach and regulation and then providing transparent information for public best interest.

Indexed as

AdultDatabases, FactualFemaleGraft RejectionHospitalsHumansKaplan-Meier EstimateKidney Failure, ChronicKidney TransplantationLogistic ModelsMaleMiddle AgedPostoperative ComplicationsSepsisSurgeonsTaiwangraft failurepopulation-basedrenal transplantationsepsisvolume-outcome relationship.

Identifiers

PMID25013372
PMCPMC4081314
OpenAlexW2164473486

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.