Evidence map›Paper›PMID 31063466›Full record

Observational studyPloS one2019

Incidence and complications of perioperative atrial fibrillation after non-cardiac surgery for malignancy.

Satoshi Higuchi, Yusuke Kabeya, Kenichi Matsushita, Nobuaki Arai, Keisei Tachibana, Ryota Tanaka, Riken Kawachi, Hidefumi Takei, Yutaka Suzuki, Masaharu Kogure and 8 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 8% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Pooled it
  4. Review
  5. Perioperative atrial fibrillation after non-cardiac surgery - A narrative review.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Observational
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Atrial Cardiomyopathy and Atrial Fibrillation in Cancer.Cardiology research and practice · 2021
    Review
  18. Article
  19. 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

18 authors at 4 institutions in 1 country.

Satoshi HiguchiDivision of Cardiology, Department of Internal Medicine II, Kyorin University School of Medicine, Tokyo, Japan.ORCID 0000-0002-7914-8256
Yusuke KabeyaDivision of General Internal Medicine, Department of Internal Medicine, Tokai University, Kanagawa, Japan.
Kenichi MatsushitaDivision of Cardiology, Department of Internal Medicine II, Kyorin University School of Medicine, Tokyo, Japan.
Nobuaki AraiDepartment of General Thoracic Surgery, Kyorin University School of Medicine, Tokyo, Japan.
Keisei TachibanaDepartment of General Thoracic Surgery, Kyorin University School of Medicine, Tokyo, Japan.
Ryota TanakaDepartment of General Thoracic Surgery, Kyorin University School of Medicine, Tokyo, Japan.
Riken KawachiDepartment of General Thoracic Surgery, Nihon University School of Medicine, Tokyo, Japan.
Hidefumi TakeiDepartment of General Thoracic Surgery, Kyorin University School of Medicine, Tokyo, Japan.
Yutaka SuzukiDepartment of Surgery, Kyorin University School of Medicine, Tokyo, Japan.
Masaharu KogureDepartment of Surgery, Kyorin University School of Medicine, Tokyo, Japan.
Yorihisa ImanishiDepartment of Otorhinolaryngology, Head and Neck Surgery, Kawasaki Municipal Kawasaki Hospital, Kanagawa, Japan.
Kiyoshi MoriyamaDepartment of Anesthesiology, Kyorin University School of Medicine, Tokyo, Japan.
Tomoko YorozuDepartment of Anesthesiology, Kyorin University School of Medicine, Tokyo, Japan.
Koichiro SaitoDepartment of Otolaryngology-Head and Neck Surgery, Kyorin University School of Medicine, Tokyo, Japan.
Nobutsugu AbeDepartment of Surgery, Kyorin University School of Medicine, Tokyo, Japan.
Masanori SugiyamaDepartment of Surgery, Kyorin University School of Medicine, Tokyo, Japan.
Haruhiko KondoDepartment of General Thoracic Surgery, Kyorin University School of Medicine, Tokyo, Japan.
Hideaki YoshinoDivision of Cardiology, Department of Internal Medicine II, Kyorin University School of Medicine, Tokyo, Japan.
Kyorin University · JPKawasaki Hospital · JPNihon University · JPTokai University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPerioperative atrial fibrillation (POAF) is one of the common arrhythmias in the setting of non-cardiac surgeries for malignancy. As POAF may cause subsequent adverse events, it is important to confirm its characteristics and risk factors. MATERIALS AND

methodsThe prospective cohort study of surveillance for perioperative atrial fibrillation recurrence (PREDICT AF RECURRENCE) is an ongoing prospective, single-center, observational study that aims to illustrate the clinical impact of POAF in major non-cardiac surgery for malignancy. Patients who planned to undergo non-cardiac surgery for definitive/suspected malignancy were registered. Those with a history of AF and atrial flutter were excluded. Any 30-day complications included acute myocardial infarction, congestive heart failure, bleeding, thrombosis, any infection, and acute kidney injury. The primary endpoint was an incidence of POAF.

resultsThe present study included 799 patients (age, 68 ± 11; male, 62%). Of these, 80 patients (10.0%) developed POAF. Notably, 66 patients (83%) had no symptoms. Any 30-day complications occurred in 180 patients (23%) (with POAF: 34 (43%); without POAF: 146 (20%); p < 0.001). POAF in 17 patients (50%) was preceded by the development of complications. No patient developed cardiogenic shock and/or acute heart failure. The association between 30-day complications and POAF development were analyzed using the multivariate adjusted model (odds ratio: 2.84; 95% confidence interval: 1.74-4.62; p < 0.001).

conclusionTen percent of patients who underwent non-cardiac surgery for malignancy developed POAF, which was strongly associated with perioperative complications. As a majority were asymptomatic, careful observation using electrocardiography monitoring is important to avoid oversights. CLINICAL

trial registrationUMIN ID: UMIN000016146.

Indexed as

Atrial FibrillationNeoplasmsAgedFemaleHumansIncidenceMaleMiddle AgedPerioperative PeriodPostoperative ComplicationsProspective Studies

Identifiers

PMID31063466
PMCPMC6504100
OpenAlexW2944129466

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.