Evidence map›Paper›PMID 29909416›Full record

Observational studyDigestive surgery2019

Non-Invasive Detection of Anastomotic Leakage Following Esophageal and Pancreatic Surgery by Urinary Analysis.

Victor D Plat, Nora van Gaal, James A Covington, Matthew Neal, Tim G J de Meij, Donald L van der Peet, Babs Zonderhuis, Geert Kazemier, Nanne K H de Boer, Freek Daams

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Digestive surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 36% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. 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 2 countries.

Victor D PlatDepartment of Gastrointestinal surgery, VU University Medical Center, Amsterdam, The Netherlandsv.plat@vumc.nl.
Nora van GaalDepartment of Gastroenterology and Hepatology, VU University Medical Center, Amsterdam, The Netherlands.
James A CovingtonSchool of Engineering, University of Warwick, Coventry, United Kingdom.
Matthew NealDepartment of Statistics, University of Warwick, Coventry, United Kingdom.
Tim G J de MeijDepartment of Pediatric Gastroenterology and Hepatology, VU University Medical Center, Amsterdam, The Netherlands.
Donald L van der PeetDepartment of Gastrointestinal surgery, VU University Medical Center, Amsterdam, The Netherlands.
Babs ZonderhuisDepartment of Gastrointestinal surgery, VU University Medical Center, Amsterdam, The Netherlands.
Geert KazemierDepartment of Gastrointestinal surgery, VU University Medical Center, Amsterdam, The Netherlands.
Nanne K H de BoerDepartment of Gastroenterology and Hepatology, VU University Medical Center, Amsterdam, The Netherlands.
Freek DaamsDepartment of Gastrointestinal surgery, VU University Medical Center, Amsterdam, The Netherlands.
Amsterdam UMC Location VUmc · NLUniversity of Warwick · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEsophagectomy or pancreaticoduodenectomy is the standard surgical approach for patients with tumors of the esophagus or pancreatic head. Postoperative mortality is strongly correlated with the occurrence of anastomotic leakage (AL). Delay in diagnosis leads to delay in treatment, which ratifies the need for development of novel and accurate non-invasive diagnostic tests for detection of AL. Urinary volatile organic compounds (VOCs) reflect the metabolic status of an individual, which is associated with a systemic immunological response. The aim of this study was to determine the diagnostic accuracy of urinary VOCs to detect AL after esophagectomy or pancreaticoduodenectomy.

methodsIn the present study, urinary VOCs of 63 patients after esophagectomy (n = 31) or pancreaticoduodenectomy (n = 32) were analyzed by means of field asymmetric ion mobility spectrometry. AL was defined according to international study groups.

resultsAL was observed in 15 patients (24%). Urinary VOCs of patients with AL after pancreaticoduodenectomy could be distinguished from uncomplicated controls, area under the curve 0.85 (95% CI 0.76-0.93), sensitivity 76%, and specificity 77%. However, this was not observed following esophagectomy, area under the curve 0.51 (95% CI 0.37-0.65).

conclusionIn our study population AL following pancreaticoduodenectomy could be discriminated from uncomplicated controls by means of urinary VOC analysis, NTC03203434.

Indexed as

AdultAgedAged, 80 and overAnastomotic LeakArea Under CurveBiomarkersCase-Control StudiesEsophagectomyFemaleGasesHumansIon Mobility SpectrometryMaleMiddle AgedPancreaticoduodenectomyProspective StudiesBiomarkersGasesVolatile Organic CompoundsAnastomotic leakageEsophageal surgeryField asymmetric ion mobility spectrometryPancreatic surgeryVolatile organic compounds

Identifiers

PMID29909416
PMCPMC6482982
OpenAlexW2807750311

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.