Evidence map›Paper›PMID 32097112›Full record

ArticleThe Permanente journal2020

Challenging the Surgical Axiom: Albumin Level Does Not Reliably Predict Development of Wound Complications in Patients Undergoing Body Contouring.

Efstathios Karamanos, Pridvi Kandagatla, Howard Wang, Arielle Hodari Gupta, Aamir Siddiqui

Open access · bronzeAbstract read
In one paragraph

Article in The Permanente journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

5 authors at 3 institutions in 1 country.

Efstathios KaramanosDivision of Plastic and Reconstructive Surgery, Department of Surgery, University of Texas Health Science Center, San Antonio.
Pridvi KandagatlaDepartment of Surgery, Henry Ford Hospital/Wayne State University, Detroit, MI.
Howard WangDivision of Plastic and Reconstructive Surgery, Department of Surgery, University of Texas Health Science Center, San Antonio.
Arielle Hodari GuptaDepartment of Surgery, Henry Ford Hospital/Wayne State University, Detroit, MI.
Aamir SiddiquiDepartment of Surgery, Henry Ford Hospital/Wayne State University, Detroit, MI.
The University of Texas Health Science Center at San Antonio · USWayne State University · USHenry Ford Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHypoalbuminemia has traditionally been associated with a poor nutritional status and subsequent high incidence of postoperative wound complications in surgical patients. Recent evidence, however, suggests that traditional nutritional markers are inadequate in predicting postoperative morbidity.

objectiveTo test the hypothesis that preoperative albumin levels are not associated with adverse outcomes in patients undergoing body contouring.

methodsAll patients undergoing body contouring from 2015 to 2017 were identified using the American College of Surgeons National Surgical Quality Improvement Program database. Demographics, comorbidities, and wound classification were extracted from the database. The independent predictors of developing wound complications were identified. Logistic regressions were used to identify the impact of albumin on outcomes.

resultsDuring the study period, 4496 patients were identified. Wound complications developed in 202 patients (4.5%). Increasing body mass index, history of diabetes mellitus, American Society of Anesthesiologists classification, history of prior open wound, and tobacco use were independently associated with the development of postoperative complications. Albumin levels were not associated with the development of wound complications. Similarly, albumin levels were not associated with the need for a repeated operation, with readmission, or with the total hospital length of stay.

conclusionAlbumin values were not associated with wound complications or need for reoperation in patients undergoing body contouring. Further research is warranted.

Indexed as

AdultBody ContouringBody Mass IndexComorbidityDiabetes MellitusFemaleHumansHypoalbuminemiaMaleMiddle AgedPostoperative ComplicationsSerum AlbuminSmokingSocioeconomic FactorsSurgical Wound InfectionSerum Albumin

Identifiers

PMID32097112
PMCPMC7039419
OpenAlexW3012940722

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.