Evidence map›Paper›PMID 32986151›Full record

ArticleSleep & breathing = Schlaf & Atmung2021

The effect of postoperative CPAP use on anastomotic and staple line leakage after bariatric surgery.

Stefanie N H Reijers, Leontien M G Nijland, Pien F N Bosschieter, Christel A L de Raaff, Madeline J L Ravesloot, Ruben N van Veen, Steve M M de Castro, Nico de Vries

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. 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

8 authors at 3 institutions in 2 countries.

Stefanie N H ReijersDepartment of Otorhinolaryngology, OLVG, Jan Tooropstraat 164, 1061 AE, Amsterdam, The Netherlands. stefaniereijers@gmail.com.ORCID http://orcid.org/0000-0003-3076-5015
Leontien M G NijlandDepartment of Surgery, OLVG, Amsterdam, The Netherlands.
Pien F N BosschieterDepartment of Otorhinolaryngology, OLVG, Jan Tooropstraat 164, 1061 AE, Amsterdam, The Netherlands.
Christel A L de RaaffDepartment of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
Madeline J L RaveslootDepartment of Otorhinolaryngology, OLVG, Jan Tooropstraat 164, 1061 AE, Amsterdam, The Netherlands.
Ruben N van VeenDepartment of Surgery, OLVG, Amsterdam, The Netherlands.
Steve M M de CastroDepartment of Surgery, OLVG, Amsterdam, The Netherlands.
Nico de VriesDepartment of Otorhinolaryngology, OLVG, Jan Tooropstraat 164, 1061 AE, Amsterdam, The Netherlands.
OLVG · NLAlbert Schweitzer Ziekenhuis · NLUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAlmost two-thirds of the population undergoing bariatric surgery (BS) suffers from obstructive sleep apnea (OSA). Continuous positive airway pressure (CPAP) is the standard treatment for moderate to severe OSA and is recommended in patients undergoing BS perioperatively. A severe and dreaded complication after BS is anastomotic leakage. There is theoretical concern that perioperative CPAP use may result in increased distension of the gastrointestinal tract and increase the risk of developing an anastomotic leakage. The aim of this study was to evaluate the effect of postoperative CPAP use on the risk of developing anastomotic leakages after BS.

methodsRetrospectively, all patients from a single bariatric center who underwent BS from November 2007 to August 2019 were included. Presence and severity of OSA were determined using poly(somno)graphy. To evaluate the effect of postoperative CPAP use on anastomotic leakage, a multivariable logistic regression analysis was performed.

resultsA total of 4052 patients were included, with OSA being diagnosed in 62%. Overall, 970 patients (24%) used CPAP after BS. Anastomotic leakage occurred in 64 (1.6%) patients after BS. Leakage rate was 1.3% in non-CPAP group versus 2.5% in CPAP group (p = 0.01). CPAP use was associated with anastomotic leakage; however, after adjustment, CPAP use was not an independent predictor (OR = 1.40, 95% CI 0.60-3.28, p = 0.44).

conclusionThere is no independent relation between postoperative CPAP use and anastomotic leakage after BS. Only revision surgery was an independent predictor of anastomotic leakage.

Indexed as

Continuous Positive Airway PressureAdultAnastomotic LeakBariatric SurgeryFemaleHumansMaleMiddle AgedPostoperative ComplicationsPostoperative PeriodRetrospective StudiesSleep Apnea, ObstructiveSurgical StaplingTreatment OutcomeAnastomotic leakageBariatric surgeryContinuous positive airway pressureObstructive sleep apneaSuture line disruption

Identifiers

PMID32986151
OpenAlexW3087863936

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.