Evidence map›Paper›PMID 26384793›Full record

ArticleAmerican journal of surgery2015

Early hospital readmission for gastrointestinal-related complications predicts long-term mortality after pancreatectomy.

Caitlin W Hicks, Jeffrey J Tosoian, Rebecca Craig-Schapiro, Vicente Valero, John L Cameron, Frederic E Eckhauser, Kenzo Hirose, Martin A Makary, Timothy M Pawlik, Nita Ahuja and 2 more

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Article in American journal of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 10 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

12 authors at 1 institution in 1 country.

Caitlin W HicksDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Jeffrey J TosoianDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Rebecca Craig-SchapiroDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Vicente ValeroDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
John L CameronDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Frederic E EckhauserDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Kenzo HiroseDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Martin A MakaryDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Timothy M PawlikDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Nita AhujaDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Matthew J WeissDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Christopher L WolfgangDepartment of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. Electronic address: cwolfga2@jhmi.edu.
Johns Hopkins University · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI WILLIAM George NELSON · 1985 to 2026
$208.6M
NCI NIH HHS P30 CA006973
6 · The paper itself

Abstract

backgroundThe purpose of this study was to investigate the prognostic significance of early (30-day) hospital readmission (EHR) on mortality after pancreatectomy.

methodsUsing a prospectively collected institutional database linked with a statewide dataset, we evaluated the association between EHR and overall mortality in all patients undergoing pancreatectomy at our tertiary institution (2005 to 2010).

resultsOf 595 pancreatectomy patients, EHR occurred in 21.5%. Overall mortality was 29.4% (median follow-up 22.7 months). Patients with EHR had decreased survival compared with those who were not readmitted (P = .011). On multivariate analysis adjusting for baseline group differences, EHR for gastrointestinal-related complications was a significant independent predictor of mortality (hazard ratio 2.30, P = .001).

conclusionsIn addition to known risk factors, 30-day readmission for gastrointestinal-related complications following pancreatectomy independently predicts increased mortality. Additional studies are necessary to identify surgical, medical, and social factors contributing to EHR, as well as interventions aimed at decreasing postpancreatectomy morbidity and mortality.

Indexed as

Patient ReadmissionAgedDatabases, FactualFemaleGastrointestinal DiseasesHospital MortalityHumansMaleMiddle AgedPancreatectomyPancreatic DiseasesRetrospective StudiesRisk FactorsSurvival RateTime FactorsMortalityOutcomesPancreatectomyReadmission

Identifiers

PMID26384793
PMCPMC4634566
OpenAlexW1897989793

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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.