Evidence map›Paper›PMID 32346849›Full record

Observational studyPediatric surgery international2020

Risk factors for pneumothorax associated with isolated congenital diaphragmatic hernia: results of a Japanese multicenter study.

Kazunori Masahata, Noriaki Usui, Kouji Nagata, Keita Terui, Masahiro Hayakawa, Shoichiro Amari, Kouji Masumoto, Tadaharu Okazaki, Noboru Inamura, Naoto Urushihara and 7 more

Abstract readComparative StudyMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Pediatric surgery international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Observational
  2. Review
  3. Article
  4. 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

17 authors at 15 institutions in 1 country.

Kazunori MasahataDepartment of Pediatric Surgery, Osaka Women's and Children's Hospital, Murodoucho 840, Izumi, Osaka, 594-1101, Japan. masahata@pedsurg.med.osaka-u.ac.jp.
Noriaki UsuiDepartment of Pediatric Surgery, Osaka Women's and Children's Hospital, Murodoucho 840, Izumi, Osaka, 594-1101, Japan.
Kouji NagataDepartment of Pediatric Surgery, Kyushu University, Fukuoka, Japan.
Keita TeruiDepartment of Pediatric Surgery, Graduate School of Medicine, Chiba University, Chiba, Japan.
Masahiro HayakawaCenter for Maternal-Neonatal Care, Nagoya University Hospital, Nagoya, Japan.
Shoichiro AmariDivision of Neonatology, National Center for Child Health and Development, Tokyo, Japan.
Kouji MasumotoDepartment of Pediatric Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.
Tadaharu OkazakiDepartment of Pediatric Surgery, Juntendo University Urayasu Hospital, Urayasu, Japan.
Noboru InamuraDepartment of Pediatrics, Kinki University, Faculty of Medicine, Osakasayama, Japan.
Naoto UrushiharaDepartment of Pediatric Surgery, Shizuoka Children's Hospital, Shizuoka, Japan.
Katsuaki ToyoshimaDepartments of Neonatology, Kanagawa Children's Medical Center, Yokohama, Japan.
Keiichi UchidaDepartment of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Tsu, Japan.
Taizo FurukawaDepartment of Pediatric Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Manabu OkawadaDepartment of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Akiko YokoiDepartments of Pediatric Surgery, Kobe Children's Medical Center, Kobe, Japan.
Hiroomi OkuyamaDepartment of Pediatric Surgery, Osaka University Graduate School of Medicine, Suita, Japan.
Tomoaki TaguchiDepartment of Pediatric Surgery, Kyushu University, Fukuoka, Japan.
Kyushu University · JPOsaka Women's and Children's Hospital · JPChiba University · JPJuntendo University · JPJuntendo University Urayasu Hospital · JPKanagawa Children's Medical Center · JPKindai University · JPKobe Children's Hospital · JPKyoto Prefectural University of Medicine · JPMie University · JPNagoya University Hospital · JPNational Center For Child Health and Development · JPOsaka University · JPShizuoka Children's Hospital · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to elucidate the clinical characteristics of neonates with congenital diaphragmatic hernia (CDH) associated with pneumothorax and evaluate the risk factors for the development of pneumothorax.

methodsA retrospective cohort study was conducted in the 15 institutions participating in the Japanese CDH Study Group. A total of 495 neonates with isolated CDH who were born between 2011 and 2018 were analyzed in this study.

resultsAmong the 495 neonates with isolated CDH, 52 (10.5%) developed pneumothorax. Eighteen (34.6%) patients developed pneumothorax before surgery, while 34 (65.4%) developed pneumothorax after surgery. The log-rank test showed that the cumulative survival rate was significantly lower in patients with pneumothorax than in those without pneumothorax. Univariate analysis revealed significant differences between patients with pneumothorax and those without pneumothorax with regard to the best oxygenation index within 24 h after birth, mean airway pressure (MAP) higher than 16 cmH

conclusionsThe cumulative survival rate was significantly lower in isolated CDH patients with pneumothorax than in those without pneumothorax. A higher MAP was a risk factor for pneumothorax in CDH patients.

Indexed as

FemaleHernias, Diaphragmatic, CongenitalHumansIncidenceInfant, NewbornJapanMalePneumothoraxRetrospective StudiesRisk AssessmentRisk FactorsSurvival RateCongenital diaphragmatic herniaGentle ventilationPneumothoraxPulmonary hypoplasiaVentilator-induced lung injury

Identifiers

PMID32346849
OpenAlexW3018181418

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.