Evidence map›Paper›PMID 32676478›Full record

ArticleAnnals of surgical treatment and research2020

Preoperative predictive factors of pancreatic fistula after pancreaticoduodenectomy: usefulness of the CONUT score.

Masashi Utsumi, Hideki Aoki, Seiichi Nagahisa, Seitaro Nishimura, Yuta Une, Yuji Kimura, Megumi Watanabe, Fumitaka Taniguchi, Takashi Arata, Koh Katsuda and 1 more

Abstract read
In one paragraph

Article in Annals of surgical treatment and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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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

10 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.

Masashi UtsumiDepartment of Surgery, National Hospital Organization, Iwakuni Clinical Center, Yamaguchi, Japan.ORCID https://orcid.org/0000-0002-3342-9415
Hideki AokiDepartment of Surgery, National Hospital Organization, Iwakuni Clinical Center, Yamaguchi, Japan.ORCID https://orcid.org/0000-0003-3892-1123
Seiichi NagahisaDepartment of Surgery, National Hospital Organization, Iwakuni Clinical Center, Yamaguchi, Japan.
Seitaro NishimuraDepartment of Surgery, National Hospital Organization, Iwakuni Clinical Center, Yamaguchi, Japan.
Yuta UneDepartment of Surgery, National Hospital Organization, Iwakuni Clinical Center, Yamaguchi, Japan.
Yuji KimuraDepartment of Surgery, National Hospital Organization, Iwakuni Clinical Center, Yamaguchi, Japan.
Megumi WatanabeDepartment of Surgery, National Hospital Organization, Iwakuni Clinical Center, Yamaguchi, Japan.
Fumitaka TaniguchiDepartment of Surgery, National Hospital Organization, Iwakuni Clinical Center, Yamaguchi, Japan.
Takashi ArataDepartment of Surgery, National Hospital Organization, Iwakuni Clinical Center, Yamaguchi, Japan.
Koh KatsudaDepartment of Surgery, National Hospital Organization, Iwakuni Clinical Center, Yamaguchi, Japan.
Kohji TanakayaDepartment of Surgery, National Hospital Organization, Iwakuni Clinical Center, Yamaguchi, Japan.ORCID https://orcid.org/0000-0001-8901-6911

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePostoperative pancreatic fistula (POPF) is the most important factor affecting morbidity and mortality after pancreaticoduodenectomy (PD). Patients with a high controlling nutritional status (CONUT) score, which is used to assess nutritional status, are expected to have high morbidity rates. This study aimed to determine the usefulness of the CONUT score.

methodsData from 97 consecutive cases of PD performed in the Department of Surgery of Iwakuni Clinical Center, from April 2008 to May 2018, were included. Preoperative patient data, including sex, age, and hypertension, and postoperative complication data were collected to analyze pancreatic fistula occurrence.

resultsOf the 97 patients, 2 9 patients (29.8%) were diagnosed with POPF ≥ B, with 26 cases (26.8%) classified as grade B and 3 (3.1%) as grade C. The mortality rate was 2.1% (2 of 97). In the univariate analysis, a significant association was observed between POPF and the following factors: body mass index (BMI) ≥ 22 kg/m

conclusionPatients with a high CONUT score are at high risk of POPF. Further study correlating preoperative nutritional intervention with risk of POPF is necessary.

Indexed as

CONUT scorePancreatic fistulaPancreaticoduodenectomy

Identifiers

PMID32676478
PMCPMC7332320

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