Evidence map›Paper›PMID 26268565›Full record

Trial reportBMC gastroenterology2015

"A randomized, double-blind study of the effects of omega-3 fatty acids (Omegaven) on outcome after major liver resection".

Michael Linecker, Perparim Limani, Florin Botea, Irinel Popescu, Ruslan Alikhanov, Michail Efanov, Pavel Kim, Igor Khatkov, Dimitri Aristotele Raptis, Christoph Tschuor and 9 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC gastroenterology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01884948 (A Randomized, Double-blind Study of the Effects of Omega-3 Fatty Acids), which is not on this 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
1.1field-weighted citation impact, top 23% 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.

NCT01884948 phase3unknown statusnot on this map

A Randomized, Double-blind Study of the Effects of Omega-3 Fatty Acids (Omegaven™) on Outcome After Major Liver Resection

TypeinterventionalSponsorUniversity of ZurichRan2013 to 2016Enrolled258ConditionsMajor Liver SurgeryArmsOmegaven™
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. Pooled it
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  4. Review
  5. Review
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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

19 authors at 3 institutions in 3 countries.

Michael LineckerSwiss Hepato-Pancreato-Biliary (HPB) and Transplantation Center, University Hospital Zurich, Zurich, Switzerland. michael.linecker@usz.ch.
Perparim LimaniSwiss Hepato-Pancreato-Biliary (HPB) and Transplantation Center, University Hospital Zurich, Zurich, Switzerland. perparim.limani@usz.ch.
Florin BoteaCenter of General Surgery and Liver Transplantation, Fundeni Institute Bucharest, Bucharest, Romania. florinbotea@gmail.com.
Irinel PopescuCenter of General Surgery and Liver Transplantation, Fundeni Institute Bucharest, Bucharest, Romania. irinel.popescu220@gmail.com.
Ruslan AlikhanovDepartment of Liver and Pancreatic Surgery, Moscow Clinical Scientific Center, Moscow, Russia. r.alikhanov@mknc.ru.
Michail EfanovDepartment of Liver and Pancreatic Surgery, Moscow Clinical Scientific Center, Moscow, Russia. m.efanov@mknc.ru.
Pavel KimDepartment of Liver and Pancreatic Surgery, Moscow Clinical Scientific Center, Moscow, Russia. drpoul@yandex.ru.
Igor KhatkovDepartment of Liver and Pancreatic Surgery, Moscow Clinical Scientific Center, Moscow, Russia. i.hatkov@mknc.ru.
Dimitri Aristotele RaptisSwiss Hepato-Pancreato-Biliary (HPB) and Transplantation Center, University Hospital Zurich, Zurich, Switzerland. draptis@btinternet.com.
Christoph TschuorSwiss Hepato-Pancreato-Biliary (HPB) and Transplantation Center, University Hospital Zurich, Zurich, Switzerland. christoph.tschuor@usz.ch.
Beatrice Beck-SchimmerDepartment of Anesthesiology, University Hospital Zurich, Zurich, Switzerland. beatrice.beck@usz.ch.
John BonviniDepartment of Anesthesiology, University Hospital Zurich, Zurich, Switzerland. john.bonvini@usz.ch.
Andrea WirschingSwiss Hepato-Pancreato-Biliary (HPB) and Transplantation Center, University Hospital Zurich, Zurich, Switzerland. andrea.wirsching@usz.ch.
Philipp KronSwiss Hepato-Pancreato-Biliary (HPB) and Transplantation Center, University Hospital Zurich, Zurich, Switzerland. philipp.kron@usz.ch.
Ksenija SlankamenacSwiss Hepato-Pancreato-Biliary (HPB) and Transplantation Center, University Hospital Zurich, Zurich, Switzerland. ksenija.slankamenac@usz.ch.
Bostjan HumarSwiss Hepato-Pancreato-Biliary (HPB) and Transplantation Center, University Hospital Zurich, Zurich, Switzerland. bostjan.humar@usz.ch.
Rolf GrafSwiss Hepato-Pancreato-Biliary (HPB) and Transplantation Center, University Hospital Zurich, Zurich, Switzerland. rolf.graf@usz.ch.
Henrik PetrowskySwiss Hepato-Pancreato-Biliary (HPB) and Transplantation Center, University Hospital Zurich, Zurich, Switzerland. henrik.petrowsky@usz.ch.
Pierre-Alain ClavienSwiss Hepato-Pancreato-Biliary (HPB) and Transplantation Center, University Hospital Zurich, Zurich, Switzerland. clavien@access.uzh.ch.
University Hospital of Zurich · CHMoscow Clinical Scientific Center · RUInstitutul Clinic Fundeni · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe body is dependent on the exogenous supply of omega-3 polyunsaturated fatty acids (n3-PUFA). These essential fatty acids are key players in regulating metabolic signaling but also exert anti-inflammatory and anti-carcinogenic properties. The liver is a major metabolic organ involved in fatty acid metabolism. Under experimental conditions, n3-PUFA exert beneficial effect on hepatic steatosis, regeneration and inflammatory insults such as ischemic injury after surgery. Some of these effects have also been observed in human subjects. However, it is unclear whether perioperative administration of n3-PUFA is sufficient to protect the liver from ischemic injury. Therefore, we designed a randomized controlled trial (RCT) assessing n3-PUFA (pre-) conditioning strategies in patients scheduled for liver surgery. METHODS/

designThe Omegaven trial is a multi-centric, double-blind, randomized, placebo- controlled trial applying two single doses of Omegaven or placebo on 258 patients undergoing major liver resection. Primary endpoints are morbidity and mortality one month after hospital discharge, defined by the Clavien- Dindo classification of surgical complications (Ann Surg 240(2):205-13, 2004) as well as the Comprehensive Complication Index (CCI) (Ann Surg 258(1):1-7, 2013). Secondary outcome variables include length of Intensive Care Unit (ICU) and hospital stay, postoperative liver function tests, fatty acid and eicosanoid concentration, inflammatory markers in serum and in liver tissue. An interim analysis is scheduled after the first 30 patients per randomization group. DISCUSSION: Long-term administration of n3-PUFA have a beneficial effect on metabolism and hepatic injury. Patients often require surgery without much delay, thus long-term n3-PUFA uptake is not possible. Also, lack of compliance may lead to incomplete n3-PUFA substitution. Hence, perioperative Omegaven™ may provide an easy and controllable way to ensure hepaative application of tic protection.

trial registrationClinicalTrial.gov: ID: NCT01884948 , registered June 14, 2013; Institution Ethical Board Approval: KEK-ZH-Nr. 2010-0038; Swissmedic Notification: 2012DR3215.

Indexed as

Alanine TransaminaseAspartate AminotransferasesDouble-Blind MethodEicosanoidsFatty AcidsFatty Acids, Omega-3Fish OilsHepatectomyHumansIntensive Care UnitsIschemic PreconditioningLength of StayLiver Function TestsProspective StudiesReperfusion InjuryResearch DesignAlanine TransaminaseAspartate AminotransferasesEicosanoidsFatty AcidsFatty Acids, Omega-3Fish Oilsfish oil triglyceridesTriglycerides

Identifiers

PMID26268565
PMCPMC4535369
OpenAlexW1913484797

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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.