Evidence map›Paper›PMID 28255633›Full record

ArticleSurgery today2017

Impact of comorbidities on the postoperative outcomes of acute cholecystitis following early cholecystectomy.

Ryusuke Saito, Tomoyuki Abe, Keiji Hanada, Tomoyuki Minami, Nobuaki Fujikuni, Tsuyoshi Kobayashi, Hironobu Amano, Hideki Ohdan, Toshio Noriyuki, Masahiro Nakahara

Abstract read
PubMed Publisher
In one paragraph

Article in Surgery today, 2017. 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
1.0field-weighted citation impact, top 23% 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, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Frailty Predicts Morbidity and Mortality After Laparoscopic Cholecystectomy for Acute Cholecystitis: An ACS-NSQIP Cohort Analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
    Article
  4. 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

10 authors at 2 institutions in 1 country.

Ryusuke SaitoDepartment of Surgery, Onomichi General Hospital, 1-10-23, Onomichi, Hiroshima, Japan.
Tomoyuki AbeDepartment of Surgery, Onomichi General Hospital, 1-10-23, Onomichi, Hiroshima, Japan. t.abe.hiroshima@gmail.com.
Keiji HanadaDepartment of Gastroenterology, Onomichi General Hospital, Onomichi, Hiroshima, Japan.
Tomoyuki MinamiDepartment of Gastroenterology, Onomichi General Hospital, Onomichi, Hiroshima, Japan.
Nobuaki FujikuniDepartment of Surgery, Onomichi General Hospital, 1-10-23, Onomichi, Hiroshima, Japan.
Tsuyoshi KobayashiDepartment of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Hironobu AmanoDepartment of Surgery, Onomichi General Hospital, 1-10-23, Onomichi, Hiroshima, Japan.
Hideki OhdanDepartment of Gastroenterological and Transplant Surgery, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Toshio NoriyukiDepartment of Surgery, Onomichi General Hospital, 1-10-23, Onomichi, Hiroshima, Japan.
Masahiro NakaharaDepartment of Surgery, Onomichi General Hospital, 1-10-23, Onomichi, Hiroshima, Japan.
Onomichi General Hospital · JPHiroshima University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposesThe purpose of this study was to evaluate the influence of comorbidities on the surgical outcomes of early cholecystectomy for acute cholecystitis.

methodsData were retrospectively collected for patients with acute cholecystitis who underwent early cholecystectomy. Patients were separated into three groups based on the cholecystitis severity grade, and the surgical outcomes of early cholecystectomy were analyzed. Patients with mild and moderate cholecystitis were subdivided into a comorbidity group (n = 10) and a non-comorbidity group (n = 83).

resultsThere were 57 (55.3%) patients with mild cholecystitis, 36 (35.0%) with moderate cholecystitis, and 10 (9.7%) with severe cholecystitis. The surgical outcomes were significantly worse for patients with severe cholecystitis than for patients with mild or moderate cholecystitis. There were no postoperative deaths after cholecystectomy. There were no significant differences in the complication rate (P = 0.629), conversion rate (P = 0.114), or intraoperative blood loss (P = 0.147) between the comorbidity and non-comorbidity groups.

conclusionOur findings suggest that early cholecystectomy can be performed safely for patients with mild and moderate cholecystitis even if comorbidities are present. Early cholecystectomy may be an alternative treatment strategy for patients with severe cholecystitis who are candidates for anesthesia and surgery.

Indexed as

CholecystectomyAdolescentAdultAgedAged, 80 and overChildCholecystitis, AcuteComorbidityFemaleHumansMaleMiddle AgedPractice Guidelines as TopicRetrospective StudiesSeverity of Illness IndexTreatment Outcome2013 Tokyo guidelineAcute cholecystitisComorbidityEarly cholecystectomySevere cholecystitis

Identifiers

PMID28255633
OpenAlexW2593084229

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.