Evidence map›Paper›PMID 33179514›Full record

ArticleAnnals of the Royal College of Surgeons of England2021

Short-term outcomes after Ivor Lewis oesophagectomy for cancer during the COVID-19 pandemic.

Dsy Chan, A MacCormick, B Rashid, A Ariyarathenam, L Humphreys, G Sanders, T Wheatley, R Berrisford

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of the Royal College of Surgeons of England, 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. Review
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.

Dsy ChanUniversity Hospitals Plymouth NHS Trust, UK.
A MacCormickUniversity Hospitals Plymouth NHS Trust, UK.
B RashidUniversity Hospitals Plymouth NHS Trust, UK.
A AriyarathenamUniversity Hospitals Plymouth NHS Trust, UK.
L HumphreysUniversity Hospitals Plymouth NHS Trust, UK.
G SandersUniversity Hospitals Plymouth NHS Trust, UK.
T WheatleyUniversity Hospitals Plymouth NHS Trust, UK.
R BerrisfordUniversity Hospitals Plymouth NHS Trust, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionElective surgery in the UK came to a halt during the early part of the COVID-19 pandemic. As COVID-19-related infection and mortality rates in Devon and Cornwall were relatively low, however, urgent elective surgery continued in Plymouth, with the necessary precautions in place. This study aimed to assess outcomes following Ivor Lewis oesophagectomy (ILO) during the pandemic.

methodsWe prospectively analysed details of 20 consecutive patients who underwent ILO for cancer over a 3-month period between 17 March and 12 June 2020. All patients underwent COVID-19 swab testing 24-48 hours before surgery and during admission when clinically indicated. The primary outcome measure was COVID-19-related morbidity. Secondary outcome measures were non-COVID-19-related morbidity, mortality and length of hospital stay.

resultsTwenty patients underwent ILO during the study period. All patients identified as white British. No patients tested positive for COVID-19 pre- or postoperatively. There was no COVID-19-related morbidity. There was no in-hospital mortality. Seven patients developed pneumonia, which settled with antibiotics. One patient developed an anastomotic leak, which was treated conservatively. One patient returned to theatre for a para-conduit hernia repair. The median length of hospital stay was nine days. One patient required admission to the high dependency unit for inotropic support for two days.

conclusionsILO can be performed safely during the COVID-19 pandemic with the necessary precautions in place.

Indexed as

EsophagectomyHospital MortalityAdenocarcinomaAdultAgedAged, 80 and overCOVID-19COVID-19 Nucleic Acid TestingEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaFemaleHumansLength of StayMaleMiddle AgedNeoadjuvant TherapyCOVID-19Oesophageal neoplasmsOesophagectomyTreatment outcome

Identifiers

PMID33179514
PMCPMC9773911

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.