Evidence map›Paper›PMID 31662541›Full record

ArticleIn vivo (Athens, Greece)

Cephalic Vein Cut-down for Totally Implantable Central Venous Access Devices With Preoperative Ultrasonography by Surgical Residents.

Shintaro Hashimoto, Ryota Otsubo, Masahiro Adachi, Ryoichiro Doi, Kenichiro Shibata, Isao Sano, Yoshihito Shibata, Takayuki Nakazaki, Hideki Taniguchi, Takeshi Nagayasu

Abstract read
In one paragraph

Article in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. 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

10 authors.

Shintaro HashimotoDepartment of Surgery, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan.
Ryota OtsuboDepartment of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan rotsubo@nagasaki-u.ac.jp.
Masahiro AdachiDepartment of Surgery, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan.
Ryoichiro DoiDepartment of Surgery, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan.
Kenichiro ShibataDepartment of Surgery, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan.
Isao SanoDepartment of Surgery, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan.
Yoshihito ShibataDepartment of Surgery, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan.
Takayuki NakazakiDepartment of Surgery, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan.
Hideki TaniguchiDepartment of Surgery, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan.
Takeshi NagayasuDepartment of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimCephalic vein (CV) cut-down for totally implantable central venous access devices (TICVADs) is not frequently used due to its low success rate. We compared the outcomes of CV cut-down using preoperative ultrasonography (US) performed by experienced surgeons versus surgical residents. PATIENTS AND

methodsFrom December 2015 to December 2017, 10 surgeons implanted 212 TICVADs using CV cut-down with preoperative US. The surgeons were divided into two groups of five each: surgical residents (Group A, n=124 procedures) and experienced surgeons (Group B, n=88 procedures). Duration of operation time, completion rate, and complications were retrospectively analyzed.

resultsThe completion rate was significantly higher in Group A (98.4% versus 92.0%, p=0.04). Duration of operation time (45.2±14.5 versus 42.0±13.1 minutes, p=0.22), rates of early complications (1.6% versus 1.1%, p=0.77) and late complications (3.2% versus 2.3%, p=0.68) were equivalent between the two groups. No fatal complications occurred in either group.

conclusionCV cut-down can be safely performed by surgical residents under the use of preoperative US.

Indexed as

Catheterization, Central VenousInternship and ResidencySurgery, Computer-AssistedUltrasonographyAgedFemaleHumansJugular VeinsMaleMiddle AgedSubclavian Veincephalic veinCV cut-downsurgical educationtotally implantable central venous access deviceultrasonography

Identifiers

PMID31662541
PMCPMC6899108

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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.