Evidence map›Paper›PMID 33428790›Full record

ArticleJournal of surgical oncology2021

Early postoperative outcomes among patients with delayed surgeries after preoperative positive test for SARS-CoV-2: A case-control study from a single institution.

Glauco Baiocchi, Samuel Aguiar, Joao P Duprat, Felipe J F Coimbra, Fabiana B Makdissi, José G Vartanian, Stenio de C Zequi, Jefferson L Gross, Suely A Nakagawa, Guilherme Yazbek and 7 more

Abstract read
In one paragraph

Article in Journal of surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
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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

14 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Glauco BaiocchiDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.ORCID https://orcid.org/0000-0002-8193-5582
Samuel AguiarDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.
Joao P DupratDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.
Felipe J F CoimbraDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.
Fabiana B MakdissiDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.
José G VartanianDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.
Stenio de C ZequiDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.
Jefferson L GrossDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.
Suely A NakagawaDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.
Guilherme YazbekDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.
Thiago P DinizDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.ORCID https://orcid.org/0000-0003-1926-3356
Bruna T GonçalvesDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.
Charles E ZurstrassenDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.
Heloisa G do A CamposDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.
Eduardo H G JoaquimDepartment of Anesthesiology, AC Camargo Cancer Center, Sao Paulo, Brazil.
Ivan A França E SilvaDepartment of Infectious Diseases, AC Camargo Cancer Center, Sao Paulo, Brazil.
Luiz P KowalskiDivision of Surgery, AC Camargo Cancer Center, Sao Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are limited data on surgical complications for patients that have delayed surgery after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. We aimed to analyze the surgical outcomes of patients submitted to surgery after recovery from SARS-CoV-2 infection.

methodsAsymptomatic patients that had surgery delayed after preoperative reverse-transcription polymerase chain reaction (RT-PCR) for SARS-CoV-2 were matched in a 1:2 ratio for age, type of surgery and American Society of Anesthesiologists to patients with negative RT-PCR for SARS-CoV-2.

resultsAbout 1253 patients underwent surgical procedures and were subjected to screening for SARS-CoV-2. Forty-nine cases with a delayed surgery were included in the coronavirus disease (COVID) recovery (COVID-rec) group and were matched to 98 patients included in the COVID negative (COVID-neg) group. Overall, 22 (15%) patients had 30-days postoperative complications, but there was no statistically difference between groups -16.3% for COVID-rec and 14.3% for COVID-neg, respectively (odds ratio [OR] 1.17:95% confidence interval [CI] 0.45-3.0; p = .74). Moreover, we did not find difference regarding grades more than or equal to 3 complication rates - 8.2% for COVID-rec and 6.1% for COVID-neg (OR 1.36:95%CI 0.36-5.0; p = .64). There were no pulmonary complications or SARS-CoV-2 related infection and no deaths within the 30-days after surgery.

conclusionsOur study suggests that patients with delayed elective surgeries due to asymptomatic preoperative positive SARS-CoV-2 test are not at higher risk of postoperative complications.

Indexed as

COVID-19 Nucleic Acid TestingElective Surgical ProceduresReverse Transcriptase Polymerase Chain ReactionTime-to-TreatmentAdolescentAdultAgedAged, 80 and overAsymptomatic InfectionsCase-Control StudiesCOVID-19FemaleHumansMaleMiddle AgedPostoperative ComplicationsSARS-CoV-2surgical complicationssurgical oncology

Identifiers

PMID33428790
PMCPMC8014861

What OpenQuestion holds

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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.