Evidence map›Paper›PMID 31929799›Full record

ArticleJournal of oncology2019

The Incidence of Postoperative Complications after Gastrectomy Increases in Proportion to the Amount of Preoperative Visceral Fat.

Kazuyuki Okada, Tatsuto Nishigori, Kazutaka Obama, Shigeru Tsunoda, Koya Hida, Shigeo Hisamori, Yoshiharu Sakai

Abstract read
In one paragraph

Article in Journal of oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
  2. Trial
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  4. Article
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  6. Article
  7. Article
  8. Article
  9. Observational
  10. Review
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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

7 authors.

Kazuyuki OkadaDepartment of Surgery, Graduate School of Medicine, Kyoto University, 606-8507, 54 Kawahara-cho, Syogoin, Sakyo-ku, Kyoto, Japan.
Tatsuto NishigoriDepartment of Surgery, Graduate School of Medicine, Kyoto University, 606-8507, 54 Kawahara-cho, Syogoin, Sakyo-ku, Kyoto, Japan.
Kazutaka ObamaDepartment of Surgery, Graduate School of Medicine, Kyoto University, 606-8507, 54 Kawahara-cho, Syogoin, Sakyo-ku, Kyoto, Japan.ORCID https://orcid.org/0000-0003-2924-6701
Shigeru TsunodaDepartment of Surgery, Graduate School of Medicine, Kyoto University, 606-8507, 54 Kawahara-cho, Syogoin, Sakyo-ku, Kyoto, Japan.
Koya HidaDepartment of Surgery, Graduate School of Medicine, Kyoto University, 606-8507, 54 Kawahara-cho, Syogoin, Sakyo-ku, Kyoto, Japan.
Shigeo HisamoriDepartment of Surgery, Graduate School of Medicine, Kyoto University, 606-8507, 54 Kawahara-cho, Syogoin, Sakyo-ku, Kyoto, Japan.
Yoshiharu SakaiDepartment of Surgery, Graduate School of Medicine, Kyoto University, 606-8507, 54 Kawahara-cho, Syogoin, Sakyo-ku, Kyoto, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVisceral obesity is a risk factor for complications after gastrectomy in patients with gastric cancer. However, it is unclear whether postoperative complications decrease with preoperative reduction of visceral fat without the achievement of a nonobese state. This is because previous studies have performed categorical comparisons of obesity and nonobesity. The current study was performed to estimate the impact of the preoperative visceral fat area (VFA) as a continuous variable on postoperative complications after gastrectomy.

methodsConsecutive patients with gastric cancer who underwent curative gastrectomy between June 2006 and August 2017 at the Kyoto University Hospital were included in this retrospective study. The VFA at the level of the umbilicus was measured using preoperative computed tomography. The relationship between postoperative complications and VFA was investigated with univariate and multivariate analyses.

resultstotal of 566 patients were included in the study. Their mean VFA was 110 ± 58 cm

conclusionThe incidence of postoperative complications after gastrectomy increases in proportion to an increase in the preoperative VFA.

Identifiers

PMID31929799
PMCPMC6942899

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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.