Evidence map›Paper›PMID 32248407›Full record

ArticleGeneral thoracic and cardiovascular surgery2020

The prognostic impact of the controlling nutritional status (CONUT) score in patients undergoing cardiovascular surgery.

Masanori Hara, Takeshiro Fujii, Hiroshi Masuhara, Muneyasu Kawasaki, Keiichi Tokuhiro, Yoshinori Watanabe

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Article in General 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.1field-weighted citation impact, top 50% 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

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 citations in OpenAlex.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Masanori HaraDivision of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University, 6-11-1, Omorinishi, Ota, Tokyo, 143-8541, Japan. kuuipo@sunny.ocn.ne.jp.
Takeshiro FujiiDivision of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University, 6-11-1, Omorinishi, Ota, Tokyo, 143-8541, Japan.
Hiroshi MasuharaDivision of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University, 6-11-1, Omorinishi, Ota, Tokyo, 143-8541, Japan.
Muneyasu KawasakiDepartment of Cardiovascular Surgery, Misato Central General Hospital, 4-5-1, Chuo, Misato, Saitama, 341-8526, Japan.
Keiichi TokuhiroDepartment of Cardiovascular Surgery, Misato Central General Hospital, 4-5-1, Chuo, Misato, Saitama, 341-8526, Japan.
Yoshinori WatanabeDivision of Cardiovascular Surgery, Department of Surgery, School of Medicine, Faculty of Medicine, Toho University, 6-11-1, Omorinishi, Ota, Tokyo, 143-8541, Japan.
Toho University · JPMisato Junshin General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVarious postoperative predictive markers following cardiovascular surgery have been examined for use in the current aging population. The controlling nutritional status (CONUT) score, which is advocated not only as a screening tool for poor nutritional status, but also as an immunonutritional assessment, has started to attract attention in several clinical settings, such as in cancer and heart failure patients. The aim of this study was to evaluate the value of the CONUT score as a postoperative prognostic marker in patients who underwent cardiovascular surgery.

methodsA total of 75 patients who underwent elective cardiovascular surgery between January 2015 and October 2017 were retrospectively analyzed. The patients were divided into two groups according to their preoperative CONUT score (i.e., CONUT < 2 or CONUT ≥ 2), and their clinicopathological characteristics, surgical outcomes, and overall survival were compared. The median follow-up period was 23 months (range 0-43 months) after surgery.

resultsThe high CONUT group (CONUT ≥ 2), which consisted of 30 (40.0%) patients, had a significantly worse prognosis than the low CONUT group with regard to overall survival (p = 0.0007). On multivariate analyses, the CONUT score was identified as the only independent prognostic factor for overall survival (hazard ratio 1.47 per 1 CONUT score increase, 95% confidence interval 1.05-2.06, p < 0.026).

conclusionsThe CONUT score is a reliable and independent preoperative predictor of overall survival after cardiovascular surgery.

Indexed as

Cardiovascular Surgical ProceduresNutritional StatusAgedAged, 80 and overAnalysis of VarianceFemaleHumansKaplan-Meier EstimateMaleMalnutritionMiddle AgedNomogramsPostoperative ComplicationsPrognosisProportional Hazards ModelsRetrospective StudiesCardiovascular surgeryControlling nutritional statusNutrition

Identifiers

PMID32248407
OpenAlexW3014636082

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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.