Evidence map›Paper›PMID 32337238›Full record

SynthesisBioMed research international2020

Relationship between Surgery under General Anesthesia and the Development of Dementia: A Systematic Review and Meta-Analysis.

Je Jin Lee, Geun Joo Choi, Hyun Kang, Chong Wha Baek, Yong Hun Jung, Hwa Yong Shin, Yong Hee Park, Young Cheol Woo

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BioMed research international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Non-Genetic Risk Factors of Alzheimer's Disease: An Updated Umbrella Review.The journal of prevention of Alzheimer's disease · 2024
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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

8 authors.

Je Jin LeeDepartment of Anesthesiology and Pain Medicine, Chung-Ang University Hospital, Seoul 06973, Republic of Korea.ORCID https://orcid.org/0000-0002-9986-9026
Geun Joo ChoiDepartment of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul 06974, Republic of Korea.ORCID https://orcid.org/0000-0002-4653-4193
Hyun KangDepartment of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul 06974, Republic of Korea.ORCID https://orcid.org/0000-0003-2844-5880
Chong Wha BaekDepartment of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul 06974, Republic of Korea.ORCID https://orcid.org/0000-0001-9917-8738
Yong Hun JungDepartment of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul 06974, Republic of Korea.ORCID https://orcid.org/0000-0001-8531-7039
Hwa Yong ShinDepartment of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul 06974, Republic of Korea.ORCID https://orcid.org/0000-0002-8721-3070
Yong Hee ParkDepartment of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul 06974, Republic of Korea.ORCID https://orcid.org/0000-0001-6105-7383
Young Cheol WooDepartment of Anesthesiology and Pain Medicine, Chung-Ang University College of Medicine, Seoul 06974, Republic of Korea.ORCID https://orcid.org/0000-0001-7318-4814

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the association between exposure to general anesthesia and the development of Alzheimer's disease (AD) and dementia by reviewing and integrating the evidence from epidemiological studies published to date.

methodsWe searched MEDLINE, EMBASE, and Google Scholar to identify all relevant articles up to April 2018 reporting the risk of AD/dementia following exposure to general anesthesia and finally updated in February 2020. We included patients older than 60 or 65 years who had not been diagnosed with dementia or AD before the study period. The overall pooled effect size (ES) was evaluated with a random-effect model. Subgroup analyses were conducted and possibility of publication bias was assessed.

resultsA total of 23 studies with 412253 patients were included in our analysis. A statistically significant positive association between exposure to general anesthesia and the occurrence of AD was detected in the overall analysis (pooled ES = 1.11, 95%confidence interval = 1.07-1.15), but with substantial heterogeneity (

conclusions. This meta-analysis demonstrated a significant positive association between general anesthesia and AD. However, considering other results, our meta-analysis must be interpreted with caution. Particularly, it should be considered that it was nearly impossible to discriminate the influence of general anesthesia from the effect of surgery itself on the development of AD. Further, large-scale studies devised to reduce the risk of bias are needed to elucidate the evidence of association between general anesthesia and AD.

Indexed as

AgedAlzheimer DiseaseAnesthesia, GeneralDementiaHumansMiddle AgedRisk Factors

Identifiers

PMID32337238
PMCPMC7165327

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.