Evidence map›Paper›PMID 31685275›Full record

ArticleThe Journal of thoracic and cardiovascular surgery2020

Outcomes of major complications after robotic anatomic pulmonary resection.

Christopher Cao, Brian E Louie, Franca Melfi, Giulia Veronesi, Rene Razzak, Gaetano Romano, Pierluigi Novellis, Neel K Ranganath, Bernard J Park

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The Journal of thoracic and cardiovascular surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

16 citing papers in PubMed, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 4 countries.

Christopher CaoThoracic Surgery Service, Memorial Sloan Kettering Cancer Center, New York, NY; Department of Cardiothoracic Surgery, Royal Prince Alfred Hospital, Sydney, Australia.
Brian E LouieDivision of Thoracic Surgery, Swedish Medical Center and Cancer Institute, Seattle, Wash.
Franca MelfiRobotic Multispecialty Center for Surgery Robotic, Minimally Invasive Thoracic Surgery, University of Pisa, Pisa, Italy.
Giulia VeronesiDivision of Thoracic and General Surgery, Humanitas Research Hospital, Rozzano, Milano, Italy.
Rene RazzakDivision of Thoracic Surgery, Swedish Medical Center and Cancer Institute, Seattle, Wash.
Gaetano RomanoRobotic Multispecialty Center for Surgery Robotic, Minimally Invasive Thoracic Surgery, University of Pisa, Pisa, Italy.
Pierluigi NovellisDivision of Thoracic and General Surgery, Humanitas Research Hospital, Rozzano, Milano, Italy.
Neel K RanganathDepartment of Cardiothoracic Surgery, NYU Langone Health, New York, NY.
Bernard J ParkThoracic Surgery Service, Memorial Sloan Kettering Cancer Center, New York, NY. Electronic address: parkb@mskcc.org.
Cancer Institute (WIA) · INIRCCS Humanitas Research Hospital · ITMemorial Sloan Kettering Cancer Center · USUniversity of Pisa · ITNYU Langone Health · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

backgroundThere is a paucity of robust clinical data on major postoperative complications following robotic-assisted resection for primary lung cancer. This study assessed the incidence and outcomes of patients who experienced major complications after robotic anatomic pulmonary resection.

methodsThis was a multicenter, retrospective review of patients who underwent robotic anatomic pulmonary resection between 2002 and 2018. Major complications were defined as grade III or higher complications according to the Clavien-Dindo classification. Statistical analysis was performed based on patient-, surgeon-, and treatment-related factors.

resultsDuring the study period, 1264 patients underwent robotic anatomic pulmonary resections, and 64 major complications occurred in 54 patients (4.3%). Univariate analysis identified male sex, forced expiratory volume in 1 second, diffusion capacity of the lung for carbon monoxide, neoadjuvant therapy, and extent of resection as associated with increased likelihood of a major postoperative complication. Patient age, performance status, body mass index, reoperation status, and surgeon experience did not have a significant impact on major complications. Patients who experienced at least 1 major complication were at higher risk for an intensive care unit stay of >24 hours (17.0% vs 1.4%; P < .001) and prolonged hospitalization (8.5 days vs 4 days; P < .001). Patients who experienced a major postoperative complication had a 14.8% risk of postoperative death.

conclusionsIn this series, the major complication rate during the postoperative period was 4.3%. A number of identified patient- and treatment-related factors were associated with an increased risk of major complications. Major complications had a significant impact on mortality and duration of stay.

Indexed as

Lung NeoplasmsPneumonectomyRobotic Surgical ProceduresAgedFemaleHumansLength of StayLungMaleMiddle AgedPostoperative ComplicationsRetrospective Studiesanatomic pulmonary resectionmajor complicationsrobotic

Identifiers

PMID31685275
PMCPMC7078016
OpenAlexW2974507455

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.