Evidence map›Paper›PMID 30052211›Full record

Trial reportAnnals of cardiac anaesthesia

Prospective, randomized clinical trial comparing use of intraoperative transesophageal echocardiography to standard care during radical cystectomy.

Richa Dhawan, Sajid Shahul, Joseph Devin Roberts, Norm D Smith, Gary D Steinberg, Mark A Chaney

Open access · diamondAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Annals of cardiac anaesthesia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 2 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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

6 authors at 1 institution in 1 country.

Richa DhawanDepartment of Anesthesia and Critical Care, University of Chicago Medical Center, Chicago, IL, USA.
Sajid ShahulDepartment of Anesthesia and Critical Care, University of Chicago Medical Center, Chicago, IL, USA.
Joseph Devin RobertsDepartment of Anesthesia and Critical Care, University of Chicago Medical Center, Chicago, IL, USA.
Norm D SmithDepartment of Surgery/Section of Urology, University of Chicago Medical Center, Chicago, IL, USA.
Gary D SteinbergDepartment of Surgery/Section of Urology, University of Chicago Medical Center, Chicago, IL, USA.
Mark A ChaneyDepartment of Anesthesia and Critical Care, University of Chicago Medical Center, Chicago, IL, USA.
University of Chicago Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOur prospective, randomized clinical study aims to evaluate the utility of intraoperative transesophageal echocardiography (TEE) in patients undergoing radical cystectomy. MATERIALS AND

methodsEighty patients were randomized to a standard of care group or the intervention group that received continuous intraoperative TEE. Data are presented as means ± standard deviations, median (25

resultsBoth groups had similar preoperative demographic characteristics. There was a significant difference between central line insertion with all insertions in the control group (15%, 6 vs. 0%, 0; P < 0.003). Of all the perioperative complications, 80% occurred in the control group versus 20% in the TEE group, with 21% of controls experiencing a cardiac or pulmonary complication compared to 5% in the TEE group (8 vs. 2, P < 0.04). The control group patients were more likely to have adverse cardiac complications than the TEE group (15%, 6 vs. 3%, 1; P < 0.040). Postoperative cardiac arrhythmia was observed only in the control group (13%, 5 vs. 0%, 0; P <.007). Prolonged intubation was only observed in the control group (10%, 4 vs. 0%, 0; P < 0.017).

conclusionTEE can be a useful monitoring tool in patients undergoing radical cystectomy, limiting the use of central line insertion and potentially translating into earlier extubation and decreased postoperative cardiac morbidities.

Indexed as

AgedAged, 80 and overArrhythmias, CardiacCystectomyEchocardiography, TransesophagealFemaleHeart DiseasesHumansLength of StayLung DiseasesMaleMiddle AgedMonitoring, IntraoperativePostoperative ComplicationsProspective StudiesSocioeconomic FactorsEchocardiographyfluid therapyradical cystectomytransesophageal

Identifiers

PMID30052211
PMCPMC6078029
OpenAlexW2884423482

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.