Evidence map›Paper›PMID 33564584›Full record

ArticlePlastic and reconstructive surgery. Global open2021

Long-term Results of Microvascular Lymph Node Transfer: Correlation of Preoperative Factors and Operation Outcome.

Eeva H Rannikko, Sinikka H Suominen, Anne M Saarikko, Tiina P Viitanen, Maija T Mäki, Marko P Seppänen, Erkki A Suominen, Pauliina Hartiala

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Article in Plastic and reconstructive surgery. Global open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

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

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4 · The record

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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.

Eeva H RannikkoDepartment of Plastic and General Surgery, Turku University Hospital, Turku, Finland.
Sinikka H SuominenDepartment of Plastic Surgery, Helsinki University Central Hospital, Helsinki, Finland.
Anne M SaarikkoDepartment of Plastic Surgery, Helsinki University Central Hospital, Helsinki, Finland.
Tiina P ViitanenDepartment of Plastic and General Surgery, Turku University Hospital, Turku, Finland.
Maija T MäkiDepartment of Clinical Physiology, Nuclear Medicine and PET, Turku University Hospital, Turku, Finland.
Marko P SeppänenDepartment of Clinical Physiology, Nuclear Medicine and PET, Turku University Hospital, Turku, Finland.
Erkki A SuominenDepartment of Plastic and General Surgery, Turku University Hospital, Turku, Finland.
Pauliina HartialaDepartment of Plastic and General Surgery, Turku University Hospital, Turku, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our objective was to analyze whether a correlation could be observed between preoperative factors and microvascular lymph node transfer outcome after long-term follow-up.

methodsWe included 67 patients in this retrospective case series. The incidence of cellulitis, the difference of arm circumference, the use of the compression garments both preoperatively and postoperatively, and subjective symptoms, such as pain, were analyzed. Volumetry and lymphoscintigraphy results were also analyzed in a subgroup of patients. We correlated preoperative factors with postoperative results.

resultsAfter 70 ± 17 months of follow-up, 42% of the patients were able to discontinue the use of compression garments. The subjective pain symptoms were reduced in 75% of the patients. The incidence of cellulitis was reduced from preoperative 0.20 ± 0.55/y to postoperative 0.02 ± 0.08/y. As a novel finding, the patients with preoperative cellulitis were more likely to continue the use of the compression garments.

conclusionsThe surgery is beneficial to most studied lymphedema patients, although it is not the cure for all patients. The incidence of cellulitis was reduced, and further, the presence of preoperative cellulitis seems to affect the outcome of the operation.

Identifiers

PMID33564584
PMCPMC7858578

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