Evidence map›Paper›PMID 32632727›Full record

SynthesisJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2020

Cardiopulmonary Exercise Testing in Oesophagogastric Surgery: a Systematic Review.

G Sheill, S Reynolds, L O'Neill, D Mockler, J V Reynolds, J Hussey, E Guinan

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Measurement and optimization of perioperative risk among patients undergoing surgery for esophageal cancer.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2024
    Article
  5. Review
  6. 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

7 authors.

G SheillDiscipline of Physiotherapy, School of Medicine, Trinity College Dublin, Dublin, Ireland. sheillg@tcd.ie.ORCID http://orcid.org/0000-0003-2955-4464
S ReynoldsDiscipline of Physiotherapy, School of Medicine, Trinity College Dublin, Dublin, Ireland.
L O'NeillDiscipline of Physiotherapy, School of Medicine, Trinity College Dublin, Dublin, Ireland.
D MocklerMedical Library, Trinity College Dublin, Dublin, Ireland.
J V ReynoldsDepartment of Surgery, Trinity College Dublin and St. James's Hospital, Dublin, Ireland.
J HusseyDiscipline of Physiotherapy, School of Medicine, Trinity College Dublin, Dublin, Ireland.
E GuinanSchool of Medicine, Trinity College, The University of Dublin, Dublin, Ireland.

Funding

Health Research Board MRCG-2018-17
6 · The paper itself

Abstract

backgroundCardiopulmonary exercise testing (CPX) can objectively measure fitness and oxygen uptake at anaerobic threshold. The relationship between fitness and postoperative outcomes after upper gastro-intestinal surgery is unclear. The aim of the present review is to assess the prognostic ability of CPX in predicting postoperative outcome associated with oesophagogastric surgery.

methodsRelevant studies were identified through a systematic search of EMBASE, Medline, CINAHL, Cochrane Library, and Web of Science to July 2019. The eligibility criteria for studies included prognostic studies of upper gastro-intestinal surgery among adult populations using a preoperative CPX and measurement of postoperative outcome (mortality or morbidity or length of stay). Risk of bias was assessed using the QUIPS Quality in Prognostic Studies validated tool.

resultsThirteen papers with a total of 1735 participants were included in data extraction. A total of 7 studies examined the association between CPX variables and postoperative mortality. Patients undergoing gastro-intestinal surgery with lower anaerobic threshold values were found to have an increased risk of postoperative mortality. Similarly, a lower rate of oxygen consumption was found to be associated with higher mortality. There was conflicting evidence regarding the association between CPX variables and postoperative morbidity. The evidence did not demonstrate any association between preoperative CPX variables and hospital length of stay.

conclusionStudies report an association between CPX variables and postoperative mortality; however, there is conflicting evidence regarding the association between CPX variables and postoperative morbidity.

Indexed as

Digestive System Surgical ProceduresExercise TestAdultHumansMorbidityPostoperative ComplicationsCardiopulmonary exercise testingExercise testPerioperative medicine

Identifiers

PMID32632727

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.