Evidence map›Paper›PMID 29936024›Full record

ArticleThe Annals of thoracic surgery2018

Complications After Esophagectomy Are Associated With Extremes of Body Mass Index.

Brian Mitzman, Paul H Schipper, Melanie A Edwards, Sunghee Kim, Mark K Ferguson

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in The Annals of thoracic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Association of body mass index with 30-day outcomes following groin hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023
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  10. Improving outcomes in patients with oesophageal cancer.Nature reviews. Clinical oncology · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Brian MitzmanDepartment of Surgery, The University of Chicago, Chicago, Illinois.
Paul H SchipperDivision of Cardiothoracic Surgery, Oregon Health and Science University, Portland, Oregon.
Melanie A EdwardsDivision of Cardiothoracic Surgery, Saint Louis University School of Medicine, St Louis, Missouri.
Sunghee KimDuke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina.
Mark K FergusonDepartment of Surgery, The University of Chicago, Chicago, Illinois. Electronic address: mferguso@surgery.bsd.uchicago.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBody mass index (BMI) is not routinely taken into consideration for risk stratification prior to esophagectomy. Extremes of BMI are associated with adverse surgical outcomes in a variety of surgical specialties. We assessed the relationship of BMI to outcomes after esophagectomy for cancer.

methodsPatients in the Society of Thoracic Surgeons General Thoracic Surgery Database (2009 to 2016) who underwent elective esophagectomy for cancer were selected for analysis. Open and minimally invasive approaches were included. Complications were categorized based on the Esophagectomy Complications Consensus Group recommendations. Multivariable logistic regression was used to adjust for confounding variables.

resultsWe evaluated 9,389 patients grouped by BMI: underweight (<18.5 kg/m

conclusionsBMI is associated with postoperative complications after esophagectomy. Postoperative risk assessment and prehabilitation regimens should be adjusted accordingly when planning an esophagectomy for a patient with very low or very high BMI.

Indexed as

Body Mass IndexAgedEsophageal NeoplasmsEsophagectomyFemaleHumansIncidenceMaleMiddle AgedObesityOperative TimePostoperative ComplicationsRetrospective StudiesRisk AssessmentRisk FactorsSurvival Rate

Identifiers

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.