Evidence map›Paper›PMID 33118472›Full record

ArticleScandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society2021

Perioperative changes in hemoglobin levels during major hepatopancreatic surgery in transfused and non-transfused patients.

J P Lammi, Matti Eskelinen, Jarno Tuimala, Tuomas Selander, Juha Saarnio, Tuomo Rantanen

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Post-Embolization Hemoglobin Changes: When to Consider Re-intervention.Cardiovascular and interventional radiology · 2023
    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

6 authors.

J P LammiDepartment of Surgery, Kuopio University Hospital, Kuopio, Finland.
Matti EskelinenDepartment of Surgery, Kuopio University Hospital, Kuopio, Finland.
Jarno TuimalaNot affiliated, Helsinki, Finland.
Tuomas SelanderSchool of Medicine, University of Eastern Finland, Kuopio, Finland.
Juha SaarnioDepartment of Surgery, Oulu University Hospital, Oulu, Finland.
Tuomo RantanenSchool of Medicine, University of Eastern Finland, P.O. Box 100, FI-70029 KYS, Finland.ORCID https://orcid.org/0000-0001-6390-1373

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral studies have shown that restrictive transfusion policies are safe. However, in clinical practice, transfusion policies seem to be inappropriate. In order to assist in decision-making concerning red blood cell transfusions, we determined perioperative hemoglobin (Hb) levels during major pancreatic and hepatic operations.

methodsPatients who underwent major pancreatic or hepatic resections between 2002 and 2011 were classified into the transfused (TF+) and non-transfused (TF) groups. The perioperative Hb values of these patients were evaluated at six points in time.

resultsThe study included 1596 patients, of which 785 underwent pancreatoduodenectomy, 79 total pancreatectomy, and 732 partial hepatectomy. Similar perioperative changes in Hb levels were seen in all patients regardless of whether they received a blood transfusion. In patients undergoing pancreatoduodenectomy and total pancreatectomy,

conclusionsDespite guidelines on blood transfusion thresholds, restrictive blood transfusion policies were not observed during our study period. After major pancreatic and hepatic surgery, Hb levels recovered without transfusions. This should encourage clinicians to obey the restrictive blood transfusion policies after major hepatopancreatic surgery.

Indexed as

Erythrocyte TransfusionPancreatectomyBlood TransfusionHemoglobinsHepatectomyHumansHemoglobinsblood transfusionHb levelMajor hepatic surgerymajor pancreatic surgeryperioperative Hb levels

Identifiers

PMID33118472
PMCPMC8551432

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.