Evidence map›Paper›PMID 32462493›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2021

Risk Factors for Complications Requiring Interventional Radiological Treatment After Hepatectomy.

Andrew R Kolarich, Alex J Solomon, Matthew J Weiss, Benjamin Philosophe, Clifford R Weiss, Kelvin Hong

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Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2021. 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
0.4field-weighted citation impact, top 40% 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, 4 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

6 authors at 3 institutions in 1 country.

Andrew R KolarichDepartment of Radiology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Alex J SolomonDepartment of Radiology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Matthew J WeissDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Benjamin PhilosopheDepartment of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Clifford R WeissDepartment of Radiology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Kelvin HongDepartment of Radiology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA. khong1@jhmi.edu.
Johns Hopkins University · USJohns Hopkins Medicine · USJohns Hopkins Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify perioperative factors that are significantly associated with complications requiring interventional radiology (IR) treatment after hepatectomy.

methodsWe retrospectively reviewed data from 11,243 patients in the USA who underwent hepatectomy from 2014 to 2016 using the National Surgical Quality Improvement Program database. Data on the following IR procedures were extracted: abscess drain placement, endovascular treatment for bleeding, and postoperative percutaneous biliary drain (PBD) placement up to 30 days postoperatively. Patients' clinical and intraoperative factors were examined. Population, univariate, and multivariable analyses were performed. P < 0.05 was considered significant.

resultsA total of 704 patients (6%) required IR treatment postoperatively, and 10,539 patients (94%) did not. On multivariable analysis, biliary reconstruction was a significant predictor of postoperative abscess drain placement (hazard ratio (HR), 3.5; 95% confidence interval (CI) 1.8, 6.5; P < .001), endovascular treatment for bleeding (HR, 3.3; 95% CI 1.4, 7.8 P = .006), and postoperative PBD placement (HR, 2.9; 95% CI 1.9, 4.2; P < .001). Compared with hepatectomy without biliary reconstruction, hepatectomy with biliary reconstruction was associated with significantly higher rates of complications treated with IR procedures (26% vs. 4.9%) and death within 30 days (6.0% vs. 1.2%) (both, P < .001).

conclusionBiliary reconstruction is a strong predictor of the need for postoperative IR treatment after hepatectomy. One in four patients who underwent biliary reconstruction required IR treatment of a complication during the first 30 days after hepatectomy.

Indexed as

HepatectomyRadiology, InterventionalHumansPostoperative ComplicationsRetrospective StudiesRisk FactorsTreatment OutcomeBiliary drainBiliary reconstructionEmbolizationHepatectomyNational Surgical Quality Improvement Program

Identifiers

PMID32462493
OpenAlexW3031495349

What OpenQuestion holds

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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.