Evidence map›Paper›PMID 31598880›Full record

ArticleSurgical endoscopy2020

Short-term surgical morbidity and mortality of distal pancreatectomy performed for benign versus malignant diseases: a NSQIP analysis.

Fady E Daniel, Hani M Tamim, Mohammad N Hosni, Aurelie C Mailhac, Mohammad J Khalife, Faek R Jamali, Walid Faraj

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

4 citing papers in PubMed, 18 citations in OpenAlex.

  1. Mortality patterns and postoperative outcomes of trauma-induced pancreatic resections: A pilot study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2025
    Article
  2. Article
  3. Safety of postdischarge extended venous thromboembolism prophylaxis after hepatopancreatobiliary surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2024
    Article
  4. 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

7 authors at 1 institution in 1 country.

Fady E DanielDepartment of Internal Medicine, Gastroenterology and Hepatology Division, American University of Beirut Medical Center, Beirut, Lebanon.
Hani M TamimBiostatistics Unit, Clinical Research Institute, American University of Beirut Medical Center, Beirut, Lebanon.
Mohammad N HosniDepartment of Internal Medicine, Gastroenterology and Hepatology Division, American University of Beirut Medical Center, Beirut, Lebanon.
Aurelie C MailhacBiostatistics Unit, Clinical Research Institute, American University of Beirut Medical Center, Beirut, Lebanon.
Mohammad J KhalifeDepartment of Surgery, American University of Beirut Medical Center, Cairo Street, Hamra 72020, Beirut, Lebanon.
Faek R JamaliDepartment of Surgery, American University of Beirut Medical Center, Cairo Street, Hamra 72020, Beirut, Lebanon. fj03@aub.edu.lb.
Walid FarajDepartment of Surgery, American University of Beirut Medical Center, Cairo Street, Hamra 72020, Beirut, Lebanon. wf07@aub.edu.lb.
American University of Beirut Medical Center · LB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimDistal pancreatectomy (DP) accounts for 25% of all pancreatic resections. Complications following DP occur in around 40% of the cases. Our aim is to analyze short-term surgical outcomes of DP based on whether the indication for resection was benign or malignant pathology, as well as the effect of the surgical approach, open versus laparoscopic on morbidity and mortality.

methodsWe studied all patients undergoing DP from the National Surgery Quality Improvement Program (NSQIP) targeted pancreatectomy participant use file from 2014 to 2016. The patients were divided into 2 groups, those who underwent DP for benign diseases (DP-B) and those who underwent DP for malignant diseases (DP-M). We performed multivariate logistic regression to evaluate the association between benign or malignant distal pancreatectomies and 30-day outcomes. We included clinically and/or statistically significant confounders into the models. We also conducted the same analysis in the subgroups of open and laparoscopic DP.

resultsThree thousand five hundred and seventy-nine patients underwent distal pancreatectomy. The most common indication for surgery was malignant disease in 1894 (53%). Thirty-day mortality occurred in 0.4% of DP-B compared to 1.3% DP-M. On multivariate analysis, no significant difference was found in mortality or in the risk of pancreatic fistula between the 2 groups. Bleeding (p = 0.002) and composite morbidity (p = 0.01) were significantly higher in the DP-M group. Among composite morbidities, thromboembolism was significantly associated with DP-M (OR 2.1, p = 0.0004) only when performed with an open approach.

conclusionDP-M is associated with a significantly higher risk of post-operative bleeding, thromboembolism, and sepsis compared to DP-B but no significant increase in mortality. When further analyzing the impact of the operative approach on morbidity, there was an increased rate of post-operative thromboembolic in the DP-M group when the surgery was performed in an open manner and this increased risk was no longer statistically significant if the DP-M was performed using a minimally invasive approach.

Indexed as

Quality ImprovementAgedFemaleHumansLaparoscopyLogistic ModelsMaleMiddle AgedMorbidityPancreatectomyPancreatic NeoplasmsPostoperative ComplicationsTreatment OutcomeDistal pancreatectomyLaparoscopyPancreatic neoplasmsThromboembolism

Identifiers

PMID31598880
OpenAlexW2979691437

What OpenQuestion holds

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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.