Evidence map›Paper›PMID 26605340›Full record

ArticleBioMed research international2015

The Preoperative CT-Scan Can Help to Predict Postoperative Complications after Pancreatoduodenectomy.

Femke F Schröder, Feike de Graaff, Donald E Bouman, Marjolein Brusse-Keizer, Kees H Slump, Joost M Klaase

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2015. 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
0.7field-weighted citation impact, top 28% 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, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. The association between preoperative body composition and aerobic fitness in patients scheduled for colorectal surgery.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2022
    Article
  5. Article
  6. Postoperative Pancreatic Fistula Following Pancreaticoduodenectomy-Stratification of Patient Risk.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019
    Article
  7. Article
  8. Article
  9. Observational
  10. Article
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 2 institutions in 1 country.

Femke F SchröderDepartment of Surgery, Medical Spectrum Twente, Haaksbergerstraat 55, 7513 ER Enschede, Netherlands ; Faculty of Science and Technology, University of Twente, Netherlands.
Feike de GraaffDepartment of Surgery, Medical Spectrum Twente, Haaksbergerstraat 55, 7513 ER Enschede, Netherlands ; Faculty of Science and Technology, University of Twente, Netherlands.
Donald E BoumanDepartment of Radiology, Medical Spectrum Twente (MST), Enschede, Netherlands.
Marjolein Brusse-KeizerTwente Medical School, Medical Spectrum Twente (MST), Enschede, Netherlands.
Kees H SlumpFaculty of Science and Technology, University of Twente, Netherlands.
Joost M KlaaseDepartment of Surgery, Medical Spectrum Twente, Haaksbergerstraat 55, 7513 ER Enschede, Netherlands.
Medisch Spectrum Twente · NLUniversity of Twente · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

After pancreatoduodenectomy, complication rates are up to 40%. To predict the risk of developing postoperative pancreatic fistula or severe complications, various factors were evaluated. 110 consecutive patients undergoing pancreatoduodenectomy at our institute between January 2012 and September 2014 with complete CT scan were retrospectively identified. Pre-, per-, and postoperative patients and pathological information were gathered. The CT-scans were analysed for the diameter of the pancreatic duct, attenuation of the pancreas, and the visceral fat area. All data was statistically analysed for predicting POPF and severe complications by univariate and multivariate logistic regression analyses. The POPF rate was 18%. The VFA measured at umbilicus (OR 1.01; 95% CI = 1.00-1.02; P = 0.011) was an independent predictor for POPF. The severe complications rate was 33%. Independent predictors were BMI (OR 1.24; 95% CI = 1.10-1.42; P = 0.001), ASA class III (OR 17.10; 95% CI = 1.60-182.88; P = 0.019), and mean HU (OR 0.98; 95% CI = 0.96-1.00; P = 0.024). In conclusion, VFA measured at the umbilicus seems to be the best predictor for POPF. BMI, ASA III, and the mean HU of the pancreatic body are independent predictors for severe complications following PD.

Indexed as

Preoperative CareTomography, X-Ray ComputedAgedFemaleHumansMaleMiddle AgedPancreatic NeoplasmsPancreaticoduodenectomyPostoperative ComplicationsPredictive Value of Tests

Identifiers

PMID26605340
PMCPMC4641955
OpenAlexW1847255767

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.