Evidence map›Paper›PMID 26172830›Full record

SynthesisPloS one2015

Nutritional Risk Screening 2002 as a Predictor of Postoperative Outcomes in Patients Undergoing Abdominal Surgery: A Systematic Review and Meta-Analysis of Prospective Cohort Studies.

Zhen Sun, Xin-Juan Kong, Xue Jing, Run-Jun Deng, Zi-Bin Tian

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03606603 (Nutrition Insights Day Asia to Assess Hospital Malnutrition and the Routine Use of Enteral and Parenteral Nutrition in Patients Following Major Gastrointestinal Surgery), which is not on this map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03606603 completednot on this mapstarted 2019, after this paper: background citation

Nutrition Insights Day Asia to Assess Hospital Malnutrition and the Routine Use of Enteral and Parenteral Nutrition in Patients Following Major Gastrointestinal Surgery

TypeobservationalSponsorFresenius KabiRan2019 to 2019Enrolled590ConditionsNutritional Status, Malnutrition, Caloric Deficit, Protein Deficiency
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  14. PREVALENCE OF MALNUTRITION, ACCORDING TO THE GLIM CRITERIA, IN PATIENTS WHO ARE THE CANDIDATES FOR GASTROINTESTINAL TRACT SURGERY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022
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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

5 authors.

Zhen SunDepartment of Gastroenterology, Affiliated Hospital of Medical College of Qingdao University, Qingdao, 266003, Shandong Province, China.
Xin-Juan KongDepartment of Gastroenterology, Affiliated Hospital of Medical College of Qingdao University, Qingdao, 266003, Shandong Province, China.
Xue JingDepartment of Gastroenterology, Affiliated Hospital of Medical College of Qingdao University, Qingdao, 266003, Shandong Province, China.
Run-Jun DengDepartment of Gastroenterology, Affiliated Hospital of Medical College of Qingdao University, Qingdao, 266003, Shandong Province, China.
Zi-Bin TianDepartment of Gastroenterology, Affiliated Hospital of Medical College of Qingdao University, Qingdao, 266003, Shandong Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe nutritional risk screening (NRS 2002) has been applied increasingly in patients who underwent abdominal surgery for nutritional risk assessment. However, the usefulness of the NRS 2002 for predicting is controversial. This meta-analysis was to examine whether a preoperative evaluation of nutritional risk by NRS 2002 provided prediction of postoperative outcomes in patients undergoing abdominal surgery.

methodsA systematic literature search for published papers was conducted using the following online databases: MEDLINE, EMBASE, the Cochrane library, EBSCO, CRD databases, Cinahl, PsycInfo and BIOSIS previews. The pooled odds ratio (OR) or weight mean difference (WMD) was calculated using a random-effect model or a fix-effect model.

resultsEleven studies with a total of 3527 patients included in this study. Postoperative overall complications were more frequent in nutritional risk patients versus patients without nutritional risk (the pooled OR 3.13 [2.51, 3.90] p<0.00001). The pooled OR of mortality for the nutritional risk group and non-nutritional risk group was 3.61 [1.38, 9.47] (p = 0.009). Furthermore, the postoperative hospital stay was significant longer in the preoperative nutritional risk group than in the nutritional normal group (WMD 5.58 [4.21, 6.95] p<0.00001).

conclusionsThe present study has demonstrated that patients at preoperative nutritional risk have increased complication rates, high mortality and prolonged hospital stay after surgery. However, NRS 2002 needs to be validated in larger samples of patients undergoing abdominal surgery by better reference method.

Indexed as

AbdomenAdolescentAdultAgedAged, 80 and overFemaleHumansLength of StayMaleMiddle AgedNutritional StatusNutrition AssessmentPostoperative ComplicationsPostoperative PeriodPreoperative CareProspective Studies

Identifiers

PMID26172830
PMCPMC4501793

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Registered trials

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.