Evidence map›Paper›PMID 27339026›Full record

ArticleUrology2016

A Critical Analysis of Perioperative Outcomes in Morbidly Obese Patients Following Renal Mass Surgery.

Matthew D Grimes, Michael L Blute, Tyler A Wittmann, Michael A Mann, Kristin Zorn, Tracy M Downs, Fangfang Shi, David F Jarrard, Sara L Best, Kyle A Richards and 2 more

Abstract read
In one paragraph

Article in Urology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

12 authors at 1 institution in 1 country.

Matthew D GrimesDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Michael L BluteDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Tyler A WittmannDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Michael A MannDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Kristin ZornDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Tracy M DownsDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Fangfang ShiDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
David F JarrardDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Sara L BestDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Kyle A RichardsDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
Stephen Y NakadaDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
E Jason AbelDepartment of Urology, University of Wisconsin School of Medicine and Public Health, Madison, WI. Electronic address: abel@urology.wisc.edu.
University of Wisconsin–Madison · US

Funding

Surgery Summer Research Experience for Medical StudentsT35DK062709 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI MEZRICH, JOSHUA D · 2006 to 2023
$870k
NIDDK NIH HHS T35 DK062709
6 · The paper itself

Abstract

objectiveTo evaluate if body mass index (BMI) ≥ 40 is associated with risk of postoperative complications, receipt of perioperative blood transfusion (PBT), length of hospital stay (LOS), perioperative death, or hospital readmission rate following renal mass surgery. MATERIALS AND

methodsAfter Institutional Review Board approval, comprehensive information was collected for patients treated with surgery for renal mass from 2000 to 2015 at one institution. Univariable and multivariable analyses were used to evaluate the association of BMI ≥ 40 among other putative risk factors for perioperative outcomes.

resultsA total of 1048 patients were treated surgically, including 115 (11%) with BMI > 40. Minimally invasive and open surgical approaches were used for 480 (45.8%) and 568 (54.2%) patients, respectively. Morbid obesity was not associated with risk of major complications, overall complications, receipt of PBT, LOS, hospital readmission rate, or perioperative death. Charlson comorbidity index was the only independent predictor of major complications following renal mass surgery, P = .0006, per point odds ratio 1.2 (95%C.I. 1.08-1.32). Surgical site infections (SSIs) were more common in patients with BMI ≥ 40 vs BMI < 40 (10.5% vs 4.8%, P = .01). Following multivariable analysis, BMI ≥ 40 was the only independent predictor of SSIs, odds ratio 2.6, 95% confidence interval 1.32-5.13; P = .006.

conclusionMorbid obesity (BMI ≥ 40) is an independent predictor of developing SSIs following renal mass surgery. Morbid obesity is not predictive of risk for major complications, receipt of PBT, hospital readmission, perioperative death, or LOS.

Indexed as

AgedBlood TransfusionBody Mass IndexHumansKidney NeoplasmsLength of StayMiddle AgedObesity, MorbidPatient ReadmissionPostoperative ComplicationsRetrospective StudiesRisk AssessmentTreatment Outcome

Identifiers

PMID27339026
PMCPMC6919966
OpenAlexW2468335538

What OpenQuestion holds

Textmetadata
LicenceTDM
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.