Evidence map›Paper›PMID 30621654›Full record

ArticleBMC cancer2019

Risk factors for surgical site infection after malignant bone tumor resection and reconstruction.

Shinji Miwa, Toshiharu Shirai, Norio Yamamoto, Katsuhiro Hayashi, Akihiko Takeuchi, Kaoru Tada, Yoshitomo Kajino, Takashi Higuchi, Kensaku Abe, Hisaki Aiba and 2 more

Abstract read
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 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

25 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

12 authors.

Shinji MiwaDepartment of Orthopaedic Surgery, Kanazawa University School of Medicine, Kanazawa, 920-8641, Japan.
Toshiharu ShiraiDepartment of Orthopaedic Surgery, Kanazawa University School of Medicine, Kanazawa, 920-8641, Japan. shi-ra-e@med.kanazawa-u.ac.jp.
Norio YamamotoDepartment of Orthopaedic Surgery, Kanazawa University School of Medicine, Kanazawa, 920-8641, Japan.
Katsuhiro HayashiDepartment of Orthopaedic Surgery, Kanazawa University School of Medicine, Kanazawa, 920-8641, Japan.
Akihiko TakeuchiDepartment of Orthopaedic Surgery, Kanazawa University School of Medicine, Kanazawa, 920-8641, Japan.
Kaoru TadaDepartment of Orthopaedic Surgery, Kanazawa University School of Medicine, Kanazawa, 920-8641, Japan.
Yoshitomo KajinoDepartment of Orthopaedic Surgery, Kanazawa University School of Medicine, Kanazawa, 920-8641, Japan.
Takashi HiguchiDepartment of Orthopaedic Surgery, Kanazawa University School of Medicine, Kanazawa, 920-8641, Japan.
Kensaku AbeDepartment of Orthopaedic Surgery, Kanazawa University School of Medicine, Kanazawa, 920-8641, Japan.
Hisaki AibaDepartment of Orthopaedic Surgery, Kanazawa University School of Medicine, Kanazawa, 920-8641, Japan.
Yuta TaniguchiDepartment of Orthopaedic Surgery, Kanazawa University School of Medicine, Kanazawa, 920-8641, Japan.
Hiroyuki TsuchiyaDepartment of Orthopaedic Surgery, Kanazawa University School of Medicine, Kanazawa, 920-8641, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUse of an implant is one of the risk factors for surgical site infection (SSI) after malignant bone tumor resection. We developed a new technique of coating titanium implant surfaces with iodine to prevent infection. In this retrospective study, we investigated the risk factors for SSI after malignant bone tumor resection and to evaluate the efficacy of iodine-coated implants for preventing SSI.

methodsData from 302 patients with malignant bone tumors who underwent malignant bone tumor resection and reconstruction were reviewed. Univariate analyses were performed, followed by multivariate analysis to identify risk factors for SSI based on the treatment and clinical characteristics.

resultsThe frequency of SSI was 10.9% (33/302 tumors). Pelvic bone tumor (OR: 4.8, 95% CI: 1.8-13.4) and an operative time ≥ 5 h (OR: 3.4, 95% CI: 1.2-9.6) were independent risk factors for SSI. An iodine-coated implant significantly decreased the risk of SSI (OR: 0.3, 95% CI: 0.1-0.9).

conclusionThe present data indicate that pelvic bone tumor and long operative time are risk factors for SSI after malignant bone tumor resection and reconstruction, and that iodine coating may be a promising technique for preventing SSI.

Indexed as

AdolescentAdultAgedAged, 80 and overBone NeoplasmsChildChild, PreschoolFemaleHumansMaleMiddle AgedOperative TimePelvic BonesPelvic NeoplasmsPlastic Surgery ProceduresRisk FactorsBone tumorIodine-coated implantMultivariate analysisRisk factorSurgical site infection

Identifiers

PMID30621654
PMCPMC6325841

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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.