Evidence map›Paper›PMID 31785887›Full record

ArticleThe Journal of surgical research2020

Postoperative Complications Are Not Elevated in Well-Compensated ESRD Patients Undergoing Cardiac Surgery: End-Stage Renal Disease Cardiac Surgery Outcomes.

Benjamin R Griffin, Patrick D Kohtz, Michael Bronsert, T Brett Reece, Joseph C Cleveland, David A Fullerton, Sarah Faubel, Muhammad Aftab

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

Article in The Journal of surgical research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 2 syntheses or guidelines pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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

8 authors at 3 institutions in 1 country.

Benjamin R GriffinDivision of Nephrology, University of Iowa Carver College of Medicine, Iowa City, Iowa.
Patrick D KohtzDivision of Cardiothoracic Surgery, University of Colorado School of Medicine, Aurora, Colorado.
Michael BronsertAdult and Child Consortium for Health Outcomes Research and Delivery Science and Surgical Outcomes and Applied Research, University of Colorado, Aurora, Colorado.
T Brett ReeceDivision of Cardiothoracic Surgery, University of Colorado School of Medicine, Aurora, Colorado.
Joseph C ClevelandDivision of Cardiothoracic Surgery, University of Colorado School of Medicine, Aurora, Colorado.
David A FullertonDivision of Cardiothoracic Surgery, University of Colorado School of Medicine, Aurora, Colorado.
Sarah FaubelDivision of Nephrology, University of Colorado Anschutz Medical Campus, Aurora, Colorado.
Muhammad AftabDivision of Cardiothoracic Surgery, University of Colorado School of Medicine, Aurora, Colorado. Electronic address: muhammad.aftab@ucdenver.edu.
University of Colorado Denver · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Iowa · US

Funding

TRAINING IN RENAL &ELECTROLYTE DISEASE &HYPERTENSIONT32DK007135 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI JOHNSON, RICHARD JOSEPH, KENDRICK, JESSICA B · 1986 to 2024
$5.3M
NIDDK NIH HHS T32 DK007135
6 · The paper itself

Abstract

backgroundPatients with end-stage renal disease (ESRD) are at high risk for cardiac disease requiring surgery, and have been shown to have increased surgical risks. There have been significant improvements in ESRD management, surgical techniques, and patient selection over the past 10 y. We evaluated rates of serious postoperative outcomes in stable, well-dialyzed patients with ESRD undergoing nonemergent cardiac surgery compared to the general cardiac surgery population.

methodsIn this propensity-score matched study, we evaluated 1451 adult patients who underwent nonemergent cardiac surgery at the University of Colorado Hospital (UCH) between 2011 and 2016. Patients with ESRD were compared to nonESRD patients. The primary outcome was a composite endpoint, including 30-d mortality, stroke, postoperative infection, and prolonged intensive care unit (ICU) length of stay (LOS).

resultsA total of 35 patients with ESRD met inclusion criteria. These select patients were younger with few comorbidities than the nonESRD population. There were no statistically significant differences in the composite outcome between ESRD and nonESRD patients in the propensity-matched analysis (OR 0.70, CI 0.29-1.72, P = 0.44). There were no significant differences or trends for in-hospital mortality, postoperative stroke, infection, ICU LOS, or hospital LOS between the patients with and without ESRD.

conclusionsStable ESRD patients undergoing nonemergent surgery are not at increased risk of major postoperative complications when compared to those without ESRD. Well-compensated ESRD patients should not be excluded from surgical consideration.

Indexed as

AgedCardiac Surgical ProceduresCardiovascular DiseasesFemaleHospital MortalityHumansIntensive Care UnitsKidney Failure, ChronicLength of StayMaleMiddle AgedPatient SelectionPostoperative ComplicationsRetrospective StudiesRisk AssessmentRisk Factors30-d mortalityCardiac surgeryEnd-stage renal diseaseIntensive care unitPostoperative infection

Identifiers

PMID31785887
PMCPMC7192065
OpenAlexW2991064943

What OpenQuestion holds

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LicenceTDM
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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.