Evidence map›Paper›PMID 32495137›Full record

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

Intraoperative Transfusion of Fresh Frozen Plasma Predicts Morbidity Following Partial Liver Resection for Hepatocellular Carcinoma.

Jan Bednarsch, Zoltan Czigany, Isabella Lurje, Christian Trautwein, Tom Lüdde, Pavel Strnad, Nadine Therese Gaisa, Alexandra Barabasch, Philipp Bruners, Tom Ulmer and 3 more

Abstract read
In one paragraph

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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Trial
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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

13 authors.

Jan BednarschDepartment of Surgery and Transplantation, University Hospital RWTH Aachen, Aachen, Germany.
Zoltan CziganyDepartment of Surgery and Transplantation, University Hospital RWTH Aachen, Aachen, Germany.
Isabella LurjeDepartment of Surgery and Transplantation, University Hospital RWTH Aachen, Aachen, Germany.
Christian TrautweinDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Tom LüddeDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Pavel StrnadDepartment of Medicine III, University Hospital RWTH Aachen, Aachen, Germany.
Nadine Therese GaisaInstitute of Pathology, University Hospital RWTH Aachen, Aachen, Germany.
Alexandra BarabaschDepartment of Radiology, University Hospital RWTH Aachen, Aachen, Germany.
Philipp BrunersDepartment of Radiology, University Hospital RWTH Aachen, Aachen, Germany.
Tom UlmerDepartment of Surgery and Transplantation, University Hospital RWTH Aachen, Aachen, Germany.
Sven Arke LangDepartment of Surgery and Transplantation, University Hospital RWTH Aachen, Aachen, Germany.
Ulf Peter NeumannDepartment of Surgery and Transplantation, University Hospital RWTH Aachen, Aachen, Germany.
Georg LurjeDepartment of Surgery and Transplantation, University Hospital RWTH Aachen, Aachen, Germany. georg.lurje@charite.de.ORCID 0000-0001-9674-0756

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe reduction of perioperative morbidity is a main surgical goal in patients undergoing partial hepatectomy for hepatocellular carcinoma (HCC). Here, we investigated clinical determinants of perioperative morbidity in a European cohort of patients undergoing surgical resection for HCC.

methodsA total 136 patients who underwent partial hepatectomy for HCC between 2011 and 2017 at our institution were included in this analysis. The associations between major surgical complications (Clavien-Dindo ≥ 3) and overall morbidity (Clavien-Dindo ≥ 1) with clinical variables were assessed using univariate and multivariable binary logistic regression analysis.

resultsMultivariable analysis identified the Child-Pugh-Score (CPS, HR = 3.23; p = 0.040), operative time (HR = 5.63; p = 0.003), and intraoperatively administered fresh frozen plasma (FFP, HR = 5.62; p = 0.001) as independent prognostic markers of major surgical complications, while only FFP (HR = 6.52; p = 0.001) was associated with morbidity in the multivariable analysis. The transfusion of FFP was not associated with perioperative liver functions tests.

conclusionsThe intraoperative administration of FFP is an important independent predictor of perioperative morbidity in patients undergoing partial hepatectomy for HCC.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsHepatectomyHumansMorbidityPlasmaRetrospective StudiesFresh frozen plasma (FFP)Hepatocellular carcinoma (HCC)Perioperative morbidity

Identifiers

PMID32495137
PMCPMC8096754

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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.