Evidence map›Paper›PMID 29094063›Full record

ArticleSurgery research and practice2017

A Single Centre Experience of Day Case Laparoscopic Cholecystectomy Outcomes by Body Mass Index Group.

Kirk Bowling, Samantha Leong, Sarah El-Badawy, Erfan Massri, Jaideep Rait, Jay Atkinson, Gandrapu Srinivas, Stuart Andrews

Abstract read
In one paragraph

Article in Surgery research and practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Single-Port Laparoscopic and Robotic Cholecystectomy in Obesity (>25 kg/mJSLS : Journal of the Society of Laparoendoscopic Surgeons
    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

8 authors.

Kirk BowlingPeninsula Deanery, Torbay Hospital, South Devon Healthcare Trust, Lawes Bridge, Torquay TQ2 7AA, UK.ORCID 0000-0002-0938-9951
Samantha LeongPeninsula Deanery, Derriford Hospital, Plymouth Healthcare Trust, Derriford Road, Plymouth PL6 8DH, UK.
Sarah El-BadawyPeninsula Deanery, Derriford Hospital, Plymouth Healthcare Trust, Derriford Road, Plymouth PL6 8DH, UK.
Erfan MassriPeninsula Deanery, Torbay Hospital, South Devon Healthcare Trust, Lawes Bridge, Torquay TQ2 7AA, UK.
Jaideep RaitPeninsula Deanery, Torbay Hospital, South Devon Healthcare Trust, Lawes Bridge, Torquay TQ2 7AA, UK.
Jay AtkinsonPeninsula Deanery, Torbay Hospital, South Devon Healthcare Trust, Lawes Bridge, Torquay TQ2 7AA, UK.
Gandrapu SrinivasPeninsula Deanery, Torbay Hospital, South Devon Healthcare Trust, Lawes Bridge, Torquay TQ2 7AA, UK.
Stuart AndrewsPeninsula Deanery, Torbay Hospital, South Devon Healthcare Trust, Lawes Bridge, Torquay TQ2 7AA, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe purpose of this study was to evaluate whether patients with a high BMI can undergo safe day case LC for cholecystitis compared to groups of patients with a lower BMI.

settingNHS District General Hospital, UK.

methodsA retrospective review of 2391 patients who underwent an attempted day case LC between 1 January 2009 and 15 August 2015 was performed. Patients were divided into five groups depending on their BMI. Inclusion criteria were patients undergoing elective day case laparoscopic cholecystectomy with cholecystitis on histology. The endpoints were complication requiring readmission and postoperative length of stay (LOS).

resultsThere were 2391 LCs performed in the time period of which 1646 were eligible for inclusion. These LCs were classified as 273 (16.9%), 608 (37.8%), 428 (26.6%), 208 (12.9%), and 91 (5.66%) patients in the groups with BMI values of 18.5-24.9, 25-29.9, 30-34.9, 35-39.9, and >40, respectively. Average BMI was 30.0 (±5.53, 19-51) with an average postoperative LOS of 0.86, and there was no difference between the BMI groups. Overall complication rate was 4.3%; there was no significance between BMI groups.

conclusionsIncreased BMI was not associated with worse outcomes after day case LC.

Identifiers

PMID29094063
PMCPMC5637831

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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.