Evidence map›Paper›PMID 30737792›Full record

ArticleJournal of surgical oncology2019

Risk factors for post-pancreaticoduodenectomy delayed gastric emptying in the absence of pancreatic fistula or intra-abdominal infection.

Ryan J Ellis, Aakash R Gupta, D Brock Hewitt, Ryan P Merkow, Mark E Cohen, Clifford Y Ko, Karl Y Bilimoria, David J Bentrem, Anthony D Yang

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of surgical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.6field-weighted citation impact, top 9% 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

22 citing papers in PubMed, 47 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
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  5. Observational
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  9. Risk Factor Analysis of Gastroparesis Syndrome in 2652 Patients with Radical Distal Gastrectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
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  11. Review
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  18. Article
  19. Risk-Stratified Pancreatectomy Clinical Pathway Implementation and Delayed Gastric Emptying.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
    Article
  20. 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

9 authors at 3 institutions in 1 country.

Ryan J EllisDivision of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois.
Aakash R GuptaDepartment of Surgery, Surgical Outcomes and Quality Improvement Center, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
D Brock HewittDepartment of Surgery, Surgical Outcomes and Quality Improvement Center, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Ryan P MerkowDivision of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois.
Mark E CohenDivision of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois.
Clifford Y KoDivision of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois.
Karl Y BilimoriaDivision of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois.
David J BentremDepartment of Surgery, Surgical Outcomes and Quality Improvement Center, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Anthony D YangDepartment of Surgery, Surgical Outcomes and Quality Improvement Center, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.ORCID http://orcid.org/0000-0002-9053-0974
Northwestern University · USAmerican College of Surgeons · USUniversity of California, Los Angeles · US

Funding

Tailored Adaptation of the AHRQ VTE QI Guide to Local Hospital Context.K08HL145139 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI YANG, ANTHONY D. · 2019 to 2023
$800k
Agency for Healthcare Research and Quality 5T32HS000078AHRQ HHS T32 HS000078NHLBI NIH HHS K08 HL145139
6 · The paper itself

Abstract

BACKGROUND AND

objectivesDelayed gastric emptying (DGE) occurs commonly following pancreaticoduodenectomy (PD), but the rate of DGE in the absence of other intra-abdominal complications is poorly understood. The objectives of this study were to define the incidence of DGE and identify risk factors for DGE in patients without pancreatic fistula or other intra-abdominal infections.

methodsRetrospective cohort study utilizing the American College of Surgeons National Surgical Quality Improvement Program pancreatectomy variables to identify patients with DGE following PD without evidence of fistula or intra-abdominal infection. Multivariable models were developed to assess preoperative, intraoperative, and technical factors associated with DGE.

resultsThe rate of DGE was 11.7% in 10502 cases without pancreatic fistula or intra-abdominal infection. Patients were more likely to develop DGE if age ≥75 (odds ratio [OR], 1.22; P = 0.003), male (OR, 1.29; P < 0.001), underwent pylorus-sparing PD (OR, 1.27; P = 0.004), or had a prolonged operative time (OR, 1.38 if greater than seven vs less than 5 hours; P = 0.005). Factors not associated with DGE included BMI, pathologic indication, and surgical approach.

conclusionThe incidence of DGE after PD is notable even in patients without other abdominal complications. Identification of patients at increased risk for DGE may aid patient counseling as well as decisions regarding surgical technique, enteral feeding access, and enhanced-recovery pathways.

Indexed as

AdolescentAdultAgedAged, 80 and overCohort StudiesGastric EmptyingGastroparesisHumansIntraabdominal InfectionsMiddle AgedMultivariate AnalysisPancreatic FistulaPancreaticoduodenectomyPostoperative ComplicationsRetrospective StudiesRisk Factorsoutcomespancreatic fistulapancreaticoduodenectomypostoperative complications

Identifiers

PMID30737792
PMCPMC7747058
OpenAlexW2911315677

What OpenQuestion holds

Textmetadata
LicenceTDM
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.