Evidence map›Paper›PMID 33389214›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2021

Linear versus volumetric CT analysis in predicting tension-free fascial closure in abdominal wall reconstruction.

M R Al-Mansour, J Wu, G Gagnon, A Knee, J R Romanelli, N E Seymour

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In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
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  7. Reading a preoperative CT scan to guide complex abdominal wall reconstructive surgery.Hernia : the journal of hernias and abdominal wall surgery · 2023
    Article
  8. Article
  9. Hernia sac volume is important in predicting difficulty in ventral hernia surgery.Hernia : the journal of hernias and abdominal wall surgery · 2021
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

M R Al-MansourDepartment of Surgery, University of Massachusetts Medical School-Baystate, Springfield, MA, USA. mazen.al-mansour@surgery.ufl.edu.ORCID 0000-0003-3485-2263
J WuDepartment of Surgery, University of Massachusetts Medical School-Baystate, Springfield, MA, USA.
G GagnonDepartment of Clinical Engineering, Baystate Medical Center, Springfield, MA, USA.
A KneeDepartment of Medicine, University of Massachusetts Medical School-Baystate, Springfield, MA, USA.
J R RomanelliDepartment of Surgery, University of Massachusetts Medical School-Baystate, Springfield, MA, USA.
N E SeymourDepartment of Surgery, University of Massachusetts Medical School-Baystate, Springfield, MA, USA.
Baystate Medical Center · US

Funding

Tufts Clinical and Translational Research InstituteUL1TR001064 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2013 to 2017
$26.4M
NIH HHS UL1 TR001064
6 · The paper itself

Abstract

backgroundImproved outcomes of abdominal wall reconstruction (AWR) have been shown when tension-free fascial closure (TFFC) is achieved. Our objective was to determine the clinical and radiologic predictors of TFFC in patients undergoing AWR. STUDY

designWe conducted a single institution retrospective cohort study of adults who underwent AWR between 2007 and 2018. Demographics, hernia characteristics and operative data were collected. Linear and volumetric variables were obtained from preoperative abdominal CT scans, the latter following 3D reconstruction. Logistic regression was used to evaluate predictors of TFFC. Area under the curve (AUC) ≥ 0.70 was considered to have acceptable discrimination.

resultsA total of 108 patients were eligible for analysis. The mean age was 57 ± 11 years and 53 (49%) were female. 42 (39%) hernias were recurrent, 10 (9%) patients had a stoma and 9 (8%) had a history of open abdomen. The mean defect width was 11 ± 4 cm and mean defect surface area was 150 ± 95 cm

conclusionIn contrast to clinical characteristics, radiologic characteristics of large incisional hernias requiring AWR are predictive of TFFC. In particular, EHS class M1 and linear variables of rectus muscle separation appear to be better predictors of TFFC than volumetric measurements.

Indexed as

Abdominal WallHernia, VentralAdultCone-Beam Computed TomographyFemaleHerniorrhaphyHumansInfant, NewbornRetrospective StudiesSurgical MeshAbdominal wall reconstructionComponent separationCT scanHerniaLoss of domainVolumetry

Identifiers

PMID33389214
OpenAlexW3118273715

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.