Evidence map›Paper›PMID 27478403›Full record

ArticleSarcoma2016

Immediate versus Delayed Sarcoma Reconstruction: Impact on Outcomes.

Kyle J Sanniec, Cristine S Velazco, Lyndsey A Bryant, Nan Zhang, William J Casey, Raman C Mahabir, Alanna M Rebecca

Abstract read
In one paragraph

Article in Sarcoma, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
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  5. Review
  6. Observational
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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

7 authors.

Kyle J SanniecDepartment of Plastic Surgery, University of Texas Southwestern, 1801 Inwood Road, Dallas, TX 75390, USA.
Cristine S VelazcoDivision of General Surgery, Mayo Clinic in Arizona, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USA.ORCID 0000-0002-5366-1270
Lyndsey A BryantDivision of Plastic and Reconstructive Surgery, Mayo Clinic in Arizona, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USA.ORCID 0000-0001-6878-2342
Nan ZhangDivision of Health Sciences Research, Mayo Clinic in Arizona, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA.
William J CaseyDivision of Plastic and Reconstructive Surgery, Mayo Clinic in Arizona, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USA.
Raman C MahabirDivision of Plastic and Reconstructive Surgery, Mayo Clinic in Arizona, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USA.ORCID 0000-0002-9145-4563
Alanna M RebeccaDivision of Plastic and Reconstructive Surgery, Mayo Clinic in Arizona, 5777 E. Mayo Boulevard, Phoenix, AZ 85054, USA.ORCID 0000-0002-4920-2442

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background. Sarcoma is a rare malignancy, and more recent management algorithms emphasize a multidisciplinary approach and limb salvage, which has resulted in an increase in overall survival and limb preservation. However, limb salvage has resulted in a higher rate of wound complications. Objective. To compare the complications between immediate and delayed (>three weeks) reconstruction in the multidisciplinary limb salvage sarcoma patient population. Methods. A ten-year retrospective review of patients who underwent sarcoma resection was performed. The outcome of interest was wound complication in the postoperative period based on timing of reconstruction. We defined infection as any infection requiring intravenous antibiotics, partial flap failure as any flap requiring a debridement or revision, hematoma/seroma as any hematoma/seroma requiring drainage, and wound dehiscence as a wound that was not completely intact by three weeks postoperatively. Results. 70 (17 delayed, 53 immediate) patients who underwent sarcoma resection and reconstruction met the inclusion criteria. Delayed reconstruction significantly increased the incidence of postoperative wound infection and wound dehiscence. There was no difference in partial or total flap loss, hematoma, or seroma between the two groups. Discussion and Conclusion. Immediate reconstruction results in decreased wound complications may reduce the morbidity associated with multidisciplinary treatment in the limb salvage sarcoma patient.

Identifiers

PMID27478403
PMCPMC4961807

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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.