Evidence map›Paper›PMID 30464929›Full record

ArticleResearch and reports in urology2018

Use of venous-thrombotic-embolic prophylaxis in patients undergoing surgery for renal tumors: a questionnaire survey in the Nordic countries (The NORENCA-2 study).

Lars Lund, Harry Nisen, Petrus Järvinen, Magnus Fovaeus, Eirikur Gudmundsson, Bjarne Kromann-Andersen, Börje Ljungberg, Frode Nilsen, Pernilla Sundqvist, Peter E Clark and 1 more

Abstract read
In one paragraph

Article in Research and reports in urology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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

11 authors.

Lars LundDepartment of Urology, Odense University Hospital, Lars.Lund@rsyd.dk.
Harry NisenDepartment of Urology, Helsinki University Hospital, Helsinki, Finland.
Petrus JärvinenDepartment of Urology, Helsinki University Hospital, Helsinki, Finland.
Magnus FovaeusDepartment of Urology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Eirikur GudmundssonDepartment of Urology, Landspitali University Hospital, Reykjavik, Iceland.
Bjarne Kromann-AndersenDepartment of Urology, Herlev University Hospital, Copenhagen, Denmark.
Börje LjungbergDepartment of Surgical and Perioperative Sciences, Urology and Andrology, Umeå University, Umeå, Sweden.
Frode NilsenDepartment of Urology, Akershus University Hospital, Lörenskog, Norway.
Pernilla SundqvistDepartment of Urology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Peter E ClarkDepartment of Urology, Atrium Health, Charlotte, NC, USA.
Christian BeislandDepartment of Urology, Haukeland University Hospital.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo examine the variation in venous thromboembolism prophylactic treatment (VTEP) among renal cancer patients undergoing surgery. MATERIALS AND

methodsAn Internet-based questionnaire on renal tumor management before and after surgery was mailed to all Nordic departments of urology. The questions focused on the use of VTEP and were subdivided into different surgical modalities.

resultsQuestionnaires were mailed to 91 institutions (response rate 53%). None of the centers used VTEP before surgery, unless the patient had a vena caval tumor thrombus. Overall, the VTEP utilized during hospitalization for patients undergoing renal surgery included early mobilization (45%), compression stockings (52%) and low-molecular-weight heparin (89%). In patients undergoing open radical Nx, 80% of institutions used VTEP during their hospitalization (23% compression stockings and 94% low-molecular-weight heparin). After leaving the hospital, the proportion and type of VTEP received varied considerably across institutions. The most common interval, used in 60% of the institutions, was for a period of 4 weeks. The restriction to the Nordic countries was a limitation and, therefore, may not reflect the practice patterns elsewhere. It is a survey study and, therefore, cannot measure the behaviors of those institutions that did not participate.

conclusionWe found variation in the type and duration of VTEP use for each type of local intervention for renal cancer. These widely disparate variations in care strongly argue for the establishment of national and international guidelines regarding VTEP in renal surgery.

Indexed as

complicationminimally invasive methodsmortalitynephrectomysurgerythrombosis prophylaxisvenous-thrombotic-embolic prophylaxis kidney cancer

Identifiers

PMID30464929
PMCPMC6209070

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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.