Evidence map›Paper›PMID 29123584›Full record

ArticlePrzeglad gastroenterologiczny2017

Analysis of postoperative morbidity and mortality following surgery for gastric cancer. Surgeon volume as the most significant prognostic factor.

Maciej Ciesielski, Wiesław J Kruszewski, Jakub Walczak, Mariusz Szajewski, Jarosław Szefel, Jacek Wydra, Tomasz Buczek, Maksymilian Czerepko

Open access · goldAbstract read
In one paragraph

Article in Przeglad gastroenterologiczny, 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
1.4field-weighted citation impact, top 17% 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, 17 citations in OpenAlex.

  1. Article
  2. Current status of lymph node dissection in gastric cancer.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2021
    Article
  3. 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

8 authors at 1 institution in 1 country.

Maciej CiesielskiDepartment of Oncological Surgery, Gdynia Oncology Centre, Gdynia, Poland.
Wiesław J KruszewskiDepartment of Oncological Surgery, Gdynia Oncology Centre, Gdynia, Poland.
Jakub WalczakDepartment of Oncological Surgery, Gdynia Oncology Centre, Gdynia, Poland.
Mariusz SzajewskiDepartment of Oncological Surgery, Gdynia Oncology Centre, Gdynia, Poland.
Jarosław SzefelDepartment of Oncological Surgery, Gdynia Oncology Centre, Gdynia, Poland.
Jacek WydraDepartment of Oncological Surgery, Gdynia Oncology Centre, Gdynia, Poland.
Tomasz BuczekDepartment of Oncological Surgery, Gdynia Oncology Centre, Gdynia, Poland.
Maksymilian CzerepkoDepartment of Oncological Surgery, Gdynia Oncology Centre, Gdynia, Poland.
Gdańsk Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgical resection is the only potentially curative modality for gastric cancer and it is associated with substantial morbidity and mortality.

aimTo determine risk factors for postoperative morbidity and mortality following major surgery for gastric cancer. MATERIAL AND

methodsBetween 1.08.2006 and 30.11.2014 in the Department of Oncological Surgery of Gdynia Oncology Centre 162 patients underwent gastric resection for adenocarcinoma. All procedures were performed by 13 surgeons. Five of them performed at least two gastrectomies per year (

resultsOverall morbidity was 23.5%, including 4.3% rate of proximal anastomosis leak. Mortality rate was 4.3%. Morbidity and mortality were not dependent on: age, gender, body mass index, tumour location, extent of surgery, splenectomy performance, or pTNM stage. The rates of morbidity (50% vs. 21.3%) and mortality (16.7% vs. 3.3%) were significantly higher in cases of tumour infiltration to adjacent organs (pT4b). Perioperative morbidity and mortality were 37.5% and 8.9% for surgeons performing less than two gastrectomies per year and 16% and 0.9% for surgeons performing more than two resections annually. The differences were statistically significant (

conclusionsAnnual surgeon case load and adjacent organ infiltration (pT4b) were significant risk factors for morbidity and mortality following major surgery for gastric cancer. The most common complications leading to perioperative death were cardiac failure and proximal anastomosis leak.

Indexed as

gastrectomygastric cancermorbiditymortalityrisk factor

Identifiers

PMID29123584
PMCPMC5672710
OpenAlexW2762868501

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.