Evidence map›Paper›PMID 29846827›Full record

ArticleGastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association2019

International consensus on a complications list after gastrectomy for cancer.

Gian Luca Baiocchi, Simone Giacopuzzi, Daniele Marrelli, Daniel Reim, Guillaume Piessen, Paulo Matos da Costa, John V Reynolds, Hans-Joachim Meyer, Paolo Morgagni, Ines Gockel and 26 more

Registry-linked trialAbstract readConsensus Statement
PubMed Publisher
In one paragraph

Article in Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06362070 (Comparison of Outcomes of Multiple Platforms for Assisted Robotic - Gastrectomy), which is not on this map. Cited by 69 papers.

0numbers the graph read from it
0cells of the map it votes in
69citing 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.

NCT06362070 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Comparison of Outcomes of Multiple Platforms for Assisted Robotic - Gastrectomy (COMPAR-G) in Gastric Cancer Patient.

TypeinterventionalSponsorAzienda Ospedaliera Universitaria Integrata VeronaRan2024 to 2025Enrolled75ConditionsGastric Cancer, Gastrointestinal Cancer, Neoplasms, Gastric Diffuse AdenocarcinomaArmsDaVinci® Surgical System, Hugo™ RAS System, Versius® Robotic Surgery System
3 · Its place in the literature

Who cites it

69 citing papers in PubMed.

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  13. Comparison of short- and long-term outcomes of roboticChinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2025
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9 more citing papers are in PubMed but not listed here.

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

36 authors.

Gian Luca BaiocchiDepartment of Clinical and Experimental Sciences, Surgical Clinic, University of Brescia, Brescia, Italy. gianluca.baiocchi@unibs.it.ORCID http://orcid.org/0000-0003-2402-2178
Simone GiacopuzziDepartment of Surgery, General and Upper G.I. Surgery Division, University of Verona, Verona, Italy.
Daniele MarrelliDepartment of Medicine, Surgery and Neurosciences, Unit of General Surgery and Surgical Oncology, University of Siena, Siena, Italy.
Daniel ReimSurgical Department, Klinikum Rechts der Isar, Technical University Munich, Munich, Germany.
Guillaume PiessenDepartment of Digestive and Oncological Surgery, Univ. Lille, and Claude Huriez University Hospital, Lille, France.
Paulo Matos da CostaFaculdade Medicina, Universidade Lisboa, Lisbon, Portugal.
John V ReynoldsDepartment of Surgery, St. James's Hospital and Trinity College Dublin, Dublin, Ireland.
Hans-Joachim MeyerGeneralsekretär, Deutsche Gesellschaft für Chirurgie, Berlin, Germany.
Paolo MorgagniGB Morgagni-L Pierantoni Surgical Department, Forlì, Italy.
Ines GockelDepartment of Visceral, Transplant, Thoracic and Vascular Surgery, University Hospital of Leipzig, Leipzig, Germany.
Lucio Lara SantosExperimental Pathology and Therapeutics Group and Surgical Oncology Department, Portuguese Institute of Oncology, Porto, Portugal.
Lone Susanne JensenDepartment of Surgery, Aarhus University Hospital, Aarhus C, Denmark.
Thomas MurphyDepartment of Surgery, Mercy University Hospital, Cork City, Ireland.
Shaun R PrestonOesophageal Gastric Unit, Royal Surrey County Hospital NHS Foundation Trust, Guilford, UK.
Mikhail Ter-OvanesovOncological and Haematological RUPF, Moscow Municipal Oncological Hospital, Moscow, Russia.
Uberto Fumagalli Romario2nd Division of General Surgery, Spedali Civili, Brescia, Italy.
Maurizio DegiuliDepartment of Oncology, Head, Digestive and Surgical Oncology, University of Torino, and San Luigi University Hospital, Orbassano, Italy.
Wojciech Kielan2nd Department of General and Oncological Surgery, Wroclaw Medical University, Wrocław, Poland.
Stefan MönigDivision of Abdominal Surgery, University Hospital of Geneva, Geneva, Switzerland.
Piotr KołodziejczykDepartment of Surgery I, Jagiellonian University, Krakow, Poland.
Wojciech PolkowskiDepartment of Surgical Oncology, Medical University of Lublin, Lublin, Poland.
Richard HardwickSpire Cambridge Lea Hospital, Cambridge, UK.
Manuel PeraDepartment of Surgery, Section of Gastrointestinal Surgery, Hospital Universitario del Mar, Universitat Autònoma de Barcelona, and Hospital Universitario del Mar Medical Research Institute (IMIM), Barcelona, Spain.
Jan JohanssonDepartment of Clinical Sciences, Surgery, Faculty of Medicine, Lund University, Lund, Sweden.
Paul M SchneiderCenter for Visceral, Thoracic and Specialized Tumor Surgery, Hirslanden Medical Center, Zurich, Switzerland.
Wobbe O de SteurDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Suzanne S GisbertzDepartment of Surgery, Academic Medical Center, Amsterdam, The Netherlands.
Henk HartgrinkDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Joanna W van SandickDepartment of Surgery, Netherlands Cancer Institute, and Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
Nazario PortolaniDepartment of Clinical and Experimental Sciences, Surgical Clinic, University of Brescia, Brescia, Italy.
Arnulf H HölscherGerman Center for Esophageal and Gastric Surgery, Agaplesion Markuskrankenhaus, Frankfurt, Germany.
Maristella BotticiniIGIER, Università Bocconi, Milan, Italy.
Franco RovielloDepartment of Medicine, Surgery and Neurosciences, Unit of General Surgery and Surgical Oncology, University of Siena, Siena, Italy.
Christophe MarietteDepartment of Digestive and Oncological Surgery, Univ. Lille, and Claude Huriez University Hospital, Lille, France.
William AllumDepartment of Surgery, Royal Marsden NHS Foundation Trust, London, UK.
Giovanni De ManzoniDepartment of Surgery, General and Upper G.I. Surgery Division, University of Verona, Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerioperative complications can affect outcomes after gastrectomy for cancer, with high mortality and morbidity rates ranging between 10 and 40%. The absence of a standardized system for recording complications generates wide variation in evaluating their impacts on outcomes and hinders proposals of quality-improvement projects. The aim of this study was to provide a list of defined gastrectomy complications approved through international consensus.

methodsThe Gastrectomy Complications Consensus Group consists of 34 European gastric cancer experts who are members of the International Gastric Cancer Association. A group meeting established the work plan for study implementation through Delphi surveys. A consensus was reached regarding a set of standardized methods to define gastrectomy complications.

resultsA standardized list of 27 defined complications (grouped into 3 intraoperative, 14 postoperative general, and 10 postoperative surgical complications) was created to provide a simple but accurate template for recording individual gastrectomy complications. A consensus was reached for both the list of complications that should be considered major adverse events after gastrectomy for cancer and their specific definitions. The study group also agreed that an assessment of each surgical case should be completed at patient discharge and 90 days postoperatively using a Complication Recording Sheet.

conclusionThe list of defined complications (soon to be validated in an international multicenter study) and the ongoing development of an electronic datasheet app to record them provide the basic infrastructure to reach the ultimate goals of standardized international data collection, establishment of benchmark results, and fostering of quality-improvement projects.

Indexed as

Delphi TechniqueIntraoperative ComplicationsPostoperative ComplicationsGastrectomyHumansStomach NeoplasmsClavien–Dindo classificationComprehensive Complications IndexGastrectomyGastric cancerInternational consensusPerioperative complications

Identifiers

PMID29846827

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Registered trials

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.