Evidence map›Paper›PMID 27105616›Full record

Observational studySurgical endoscopy2016

Impact of intraoperative cholangiography on postoperative morbidity and readmission: analysis of the NSQIP database.

Hamzeh M Halawani, Hani Tamim, Farah Khalifeh, Aurélie Mailhac, Faek R Jamali

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
3.3field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 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

5 authors at 2 institutions in 1 country.

Hamzeh M HalawaniDepartment of Surgery, American University of Beirut Medical Center, Cairo Street, Riad El Solh, PO Box 11-0236, Beirut, 1107 2020, Lebanon.
Hani TamimClinical Research Institute, American University of Beirut Medical Center, Beirut, Lebanon.
Farah KhalifehDepartment of Immunology and Microbiology, American University of Beirut Medical Center, Beirut, Lebanon.
Aurélie MailhacClinical Research Institute, American University of Beirut Medical Center, Beirut, Lebanon.
Faek R JamaliDepartment of Surgery, American University of Beirut Medical Center, Cairo Street, Riad El Solh, PO Box 11-0236, Beirut, 1107 2020, Lebanon. fj03@aub.edu.lb.
American University of Beirut Medical Center · LBAmerican University of Beirut · LB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe debate regarding the merits of routine use of intraoperative cholangiography (IOC) during laparoscopic cholecystectomy (LC) continues to rage. We aim to analyze the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database to identify patterns of utilization of cholangiography during LC as well as its impact on patient outcomes. STUDY

designThis is a retrospective cohort study of patients undergoing LC with or without IOC in the 2012 and 2013 ACS NSQIP database. Only patients without any preoperative biochemical evidence of the CBD stone were included in the analysis. Comparison between two groups and data analysis focused on the following primary outcomes: 30-day mortality, readmission, return to operating room and NSQIP collected morbidity.

resultsTwenty-one percentage of patients undergoing LC without any biochemical abnormality are undergoing IOC. There were no statistically significant differences in thirty-day outcomes between two patient populations with regard to mortality, morbidity, cardiac, central nervous system, wound, deep vein thrombosis, sepsis, respiratory and urinary tract complications. Patients undergoing LC plus IOC were found to have statistically significant reduction in the rate of readmission related to the first operation (adjusted odds ratio 0.80, 95 % CI 0.70-0.92; P value = 0.002). Readmissions related to biliary complications including retained CBD following cholecystectomy were 1.61 times more likely in patients who underwent LC without cholangiography.

conclusionThe use of IOC at the time of LC appears to be associated with a statistically significant decrease in re-admission rates, especially readmissions related to biliary complications.

Indexed as

Cholecystectomy, LaparoscopicAdultAgedCholangiographyDatabases, FactualFemaleGallstonesHumansIntraoperative CareMaleMiddle AgedOdds RatioPatient ReadmissionPostoperative ComplicationsPractice Patterns, Physicians'Retrospective StudiesBile duct injuryCommon bile duct stonesIntraoperative cholangiographyLaparoscopic cholecystectomy

Identifiers

PMID27105616
OpenAlexW2341515505

What OpenQuestion holds

Textmetadata
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.