Evidence map›Paper›PMID 32399938›Full record

GuidelineSurgical endoscopy2020

Safe cholecystectomy multi-society practice guideline and state-of-the-art consensus conference on prevention of bile duct injury during cholecystectomy.

L Michael Brunt, Daniel J Deziel, Dana A Telem, Steven M Strasberg, Rajesh Aggarwal, Horacio Asbun, Jaap Bonjer, Marian McDonald, Adnan Alseidi, Mike Ujiki and 13 more

Abstract readConsensus StatementPractice Guideline
PubMed Publisher
In one paragraph

Guideline in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 5 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

56 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. A Systematic Review of Gallbladder Anomalies.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Pooled it
  6. Trial
  7. Trial
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Review
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

23 authors.

L Michael BruntDepartment of Surgery, Washington University School of Medicine, St. Louis, MO, USA. Bruntm@wustl.edu.ORCID http://orcid.org/0000-0002-4098-4118
Daniel J DezielRush University Medical Center, Chicago, IL, USA.
Dana A TelemUniversity of Michigan School of Medicine, Ann Arbor, MI, USA.
Steven M StrasbergDepartment of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Rajesh AggarwalThomas Jefferson University School of Medicine, Philadelphia, PA, USA.
Horacio AsbunMiami Baptist Cancer Center, Miami, FL, USA.
Jaap BonjerVUmc University Medical Centre, Amsterdam, The Netherlands.
Marian McDonaldSt. Luke's University and Health Network, Allentown, PA, USA.
Adnan AlseidiVirginia Mason Medical Center, Seattle, WA, USA.
Mike UjikiNorthShore University Health System, Chicago, IL, USA.
Taylor S RiallUniversity of Arizona School of Medicine, Tucson, AZ, USA.
Chet HammillDepartment of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Carol-Anne MoultonUniversity of Toronto, Toronto, CA, USA.
Philip H PucherImperial College London, London, England.
Rowan W ParksUniversity of Edinburgh, Edinburgh, Scotland, UK.
Mohammed T AnsariUniversity of Ottawa, Ottawa, CA, USA.
Saxon ConnorUniversity of New Zealand, Christ Church, New Zealand.
Rebecca C DirksIndiana University School of Medicine, Indianapolis, IN, USA.
Blaire AndersonDepartment of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Maria S AltieriDepartment of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Levan TsamalaidzeTbilisi State Medical University, Tbilisi, Georgia.
Dimitrios StefanidisIndiana University School of Medicine, Indianapolis, IN, USA.
Prevention of Bile Duct Injury Consensus Work Group

Funding

Prevention of Bile Duct Injury During Cholecystectomy Consensus ConferenceR13DK120271 · NIDDK · SOCIETY OF AMERICAN GASTROINTESTINAL ENDOSCOPIC SURGEONS, INC. (SAGES) · PI BRUNT, L MICHAEL · 2018 to 2018
$9k
NIDDK NIH HHS R13 DK120271
6 · The paper itself

Abstract

backgroundBile duct injury (BDI) is the most common serious complication of laparoscopic cholecystectomy. To address this problem, a multi-society consensus conference was held to develop evidenced-based recommendations for safe cholecystectomy and prevention of BDI.

methodsLiterature reviews were conducted for 18 key questions across six broad topics around cholecystectomy directed by a steering group and subject experts from five surgical societies (SAGES, AHPBA IHPBA, SSAT, and EAES). Evidence-based recommendations were formulated using the GRADE methodology. When evidence-based recommendations could not be made, expert opinion was documented. A number of recommendations for future research were also documented. Recommendations were presented at a consensus meeting in October 2018 and were voted on by an international panel of 25 experts with greater than 80% agreement considered consensus.

resultsConsensus was reached on 17 of 18 questions by the Guideline Development Group (GDG) and expert panel with high concordance from audience participation. Most recommendations were conditional due to low certainty of evidence. Strong recommendations were made for (1) use of intraoperative biliary imaging for uncertainty of anatomy or suspicion of biliary injury; and (2) referral of patients with confirmed or suspected BDI to an experienced surgeon/multispecialty hepatobiliary team.

conclusionThese consensus recommendations should provide guidance to surgeons, training programs, hospitals, and professional societies for strategies that have the potential to reduce BDIs and positively impact patient outcomes. Development of clinical and educational research initiatives based on these recommendations may drive further improvement in the quality of surgical care for patients undergoing cholecystectomy.

Indexed as

Bile DuctsCholecystectomy, LaparoscopicHumansIntraoperative ComplicationsSurgeonsBile duct injuryCholecystectomyGallstonesLaparoscopic cholecystectomyPatient safety

Identifiers

PMID32399938

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.