Evidence map›Paper›PMID 32488478›Full record

ArticleSurgery today2020

Subcutaneous fat area as a risk factor for extraction site incisional hernia following gastrectomy for gastric cancer.

Sheryl Valencia, Koji Shindo, Taiki Moriyama, Kenoki Ohuchida, Daisuke Tsurumaru, Michael Chua, Hsiang-Chih Chen, Lei Yao, Takao Ohtsuka, Shuji Shimizu and 1 more

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Article in Surgery today, 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
–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

4 citing papers in PubMed.

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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

11 authors.

Sheryl ValenciaDepartment of Surgery and Oncology, Kyushu University, Fukuoka, Japan.
Koji ShindoDepartment of Surgery and Oncology, Kyushu University, Fukuoka, Japan.
Taiki MoriyamaDepartment of Surgery and Oncology, Kyushu University, Fukuoka, Japan.
Kenoki OhuchidaDepartment of Surgery and Oncology, Kyushu University, Fukuoka, Japan. kenoki@surg1.med.kyushu-u.ac.jp.
Daisuke TsurumaruDepartment of Clinical Radiology, Kyushu University, Fukuoka, Japan.
Michael ChuaSt. Luke's Medical Center, Quezon City, Philippines.
Hsiang-Chih ChenNational Taiwan University Hospital, Taipei, Taiwan.
Lei YaoDepartment of Surgery and Oncology, Kyushu University, Fukuoka, Japan.
Takao OhtsukaDepartment of Surgery and Oncology, Kyushu University, Fukuoka, Japan.
Shuji ShimizuDepartment of Surgery and Oncology, Kyushu University, Fukuoka, Japan.
Masafumi NakamuraDepartment of Surgery and Oncology, Kyushu University, Fukuoka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify the incidence of extraction site incisional hernia following gastrectomy for gastric cancer and its significant risk factors, including the subcutaneous fat area.

methodsWe reviewed data gathered prospectively on patients with gastric cancer, who underwent gastrectomy between 2008 and 2012 at Kyushu University Hospital, Fukuoka, Japan. The subcutaneous fat area (SFA) and visceral fat area (VFA) were measured using axial computed tomography at the level of the L4 and L3 transverse processes, and the L2-L3 intervertebral disc. The primary endpoint of the rate of extraction site incisional hernia was based on the computed tomography and clinical data including hospital follow-up reports.

resultsAfter applying the inclusion and exclusion criteria, 320 patients were included in this retrospective analysis: 3.1% (10/320) had extraction site incisional hernias after a mean follow-up of 11 months. Multivariate analysis revealed that age and the SFA were independent risk factors (age ≥ 70.5 years: P = .013, odds ratio: 9.116, 95% confidence interval 1.581-52.553; L4 SFA ≥ 124 cm

conclusionAge and the SFA were independent risk factors for extraction site incisional hernia in patients undergoing gastrectomy for gastric cancer.

Indexed as

Intra-Abdominal FatSubcutaneous FatAgedAge FactorsFemaleGastrectomyHumansIncisional HerniaMaleMiddle AgedRetrospective StudiesRisk FactorsStomach NeoplasmsGastrectomyIncisional herniaRisk factorsSubcutaneous fat areaVisceral fat area

Identifiers

PMID32488478

What OpenQuestion holds

Textmetadata
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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.