Evidence map›Paper›PMID 29795690›Full record

ArticlePloS one2018

The weekend effect in liver transplantation.

Felix Becker, Thomas Vogel, Thekla Voß, Anne-Sophie Mehdorn, Katharina Schütte-Nütgen, Stefan Reuter, Annika Mohr, Iyad Kabar, Eike Bormann, Thorsten Vowinkel and 4 more

Abstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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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

14 authors.

Felix BeckerDepartment of General, Visceral and Transplant Surgery, University Hospital Münster, Münster, Germany.ORCID 0000-0002-1945-3128
Thomas VogelDepartment of General, Visceral and Transplant Surgery, University Hospital Münster, Münster, Germany.
Thekla VoßDepartment of General, Visceral and Transplant Surgery, University Hospital Münster, Münster, Germany.
Anne-Sophie MehdornDepartment of General, Visceral and Transplant Surgery, University Hospital Münster, Münster, Germany.
Katharina Schütte-NütgenDepartment of Internal Medicine D, Division of General Internal Medicine, Nephrology and Rheumatology, University Hospital Münster, Münster, Germany.
Stefan ReuterDepartment of Internal Medicine D, Division of General Internal Medicine, Nephrology and Rheumatology, University Hospital Münster, Münster, Germany.
Annika MohrDepartment of General, Visceral and Transplant Surgery, University Hospital Münster, Münster, Germany.
Iyad KabarDepartment of Internal Medicine B, Gastroenterology and Hepatology, University Hospital Münster, Münster, Germany.
Eike BormannInstitute of Biostatistics and Clinical Research, University Hospital Münster, Münster, Germany.
Thorsten VowinkelDepartment of General, Visceral and Transplant Surgery, University Hospital Münster, Münster, Germany.
Daniel PalmesDepartment of General, Visceral and Transplant Surgery, University Hospital Münster, Münster, Germany.
Norbert SenningerDepartment of General, Visceral and Transplant Surgery, University Hospital Münster, Münster, Germany.
Ralf BahdeDepartment of General, Visceral and Transplant Surgery, University Hospital Münster, Münster, Germany.
Linus KebschullDepartment of General, Visceral and Transplant Surgery, University Hospital Münster, Münster, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe weekend effect describes a phenomenon whereby patients admitted to hospitals on weekends are at higher risk of complications compared to those admitted during weekdays. However, if a weekend effect exists in orthotopic liver transplantation (oLT).

methodsWe analyzed oLT between 2006 and 2016 and stratified patients into weekday (Monday to Friday) and weekend (Saturday, Sunday) groups. Primary outcome measures were one-year patient and graft survival.

results364 deceased donor livers were transplanted into 329 patients with 246 weekday (74.77%) and 83 weekend (25.23%) patients. Potential confounders (e.g. age, ischemia time, MELD score) were comparable. One-year patient and graft survival were similar. Frequencies of rejections, primary-non function or re-transplantation were not different. The day of transplantation was not associated with one-year patient and graft survival in multivariate analysis.

conclusionsWe provide the first data for the Eurotransplant region on oLT stratified for weekend and weekday procedures and our findings suggest there was no weekend effect on oLT. While we hypothesize that the absent weekend effect is due to standardized transplant procedures and specialized multidisciplinary transplant teams, our results are encouraging showing oLT is a safe and successful procedure, independent from the day of the week.

Indexed as

Graft SurvivalFemaleHospitalizationHumansLength of StayLiver TransplantationMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesRisk FactorsSurvival RateTime FactorsTreatment Outcome

Identifiers

PMID29795690
PMCPMC5967797

What OpenQuestion holds

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Registered trials

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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.