Evidence map›Paper›PMID 33728373›Full record

ArticleSurgery research and practice2021

Preoperative Predictors for 90-Day Mortality after Pancreaticoduodenectomy in Patients with Adenocarcinoma of the Ampulla of Vater: A Single-Centre Retrospective Cohort Study.

Ramiro Fernandez-Placencia, Francisco Berrospi-Espinoza, Karla Uribe-Rivera, Jose Medina-Cana, Ivan Chavez-Passiuri, Nestor Sanchez-Bartra, Kori Paredes-Galvez, Carlos Luque-Vasquez Vasquez, Juan Celis-Zapata, Eloy Ruiz-Figueroa

Open access · hybridAbstract read
In one paragraph

Article in Surgery research and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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

10 authors at 1 institution in 1 country.

Ramiro Fernandez-PlacenciaHepato-Pancreato-Biliary Section, Department of Abdominal Surgery, Instituto Nacional de Enfermedades Neoplasicas (INEN), Surquillo, Peru.ORCID https://orcid.org/0000-0002-2450-5447
Francisco Berrospi-EspinozaHepato-Pancreato-Biliary Section, Department of Abdominal Surgery, Instituto Nacional de Enfermedades Neoplasicas (INEN), Surquillo, Peru.ORCID https://orcid.org/0000-0002-0766-2520
Karla Uribe-RiveraDepartment of Abdominal Surgery, Instituto Nacional de Enfermedades Neoplasicas (INEN), Surquillo, Peru.ORCID https://orcid.org/0000-0002-9100-1935
Jose Medina-CanaDepartment of Anesthesiology, Instituto Nacional de Enfermedades Neoplasicas (INEN), Surquillo, Peru.ORCID https://orcid.org/0000-0002-4276-4469
Ivan Chavez-PassiuriDepartment of Abdominal Surgery, Instituto Nacional de Enfermedades Neoplasicas (INEN), Surquillo, Peru.ORCID https://orcid.org/0000-0002-3431-3262
Nestor Sanchez-BartraDepartment of Abdominal Surgery, Instituto Nacional de Enfermedades Neoplasicas (INEN), Surquillo, Peru.ORCID https://orcid.org/0000-0002-3403-9152
Kori Paredes-GalvezDepartment of Abdominal Surgery, Instituto Nacional de Enfermedades Neoplasicas (INEN), Surquillo, Peru.ORCID https://orcid.org/0000-0003-4732-1568
Carlos Luque-Vasquez VasquezDepartment of Abdominal Surgery, Instituto Nacional de Enfermedades Neoplasicas (INEN), Surquillo, Peru.ORCID https://orcid.org/0000-0002-3871-5082
Juan Celis-ZapataHepato-Pancreato-Biliary Section, Department of Abdominal Surgery, Instituto Nacional de Enfermedades Neoplasicas (INEN), Surquillo, Peru.ORCID https://orcid.org/0000-0001-9687-6637
Eloy Ruiz-FigueroaHepato-Pancreato-Biliary Section, Department of Abdominal Surgery, Instituto Nacional de Enfermedades Neoplasicas (INEN), Surquillo, Peru.ORCID https://orcid.org/0000-0001-5561-0752
Instituto Nacional de Enfermedades Neoplásicas · PE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe standard treatment for ampullary adenocarcinoma is pancreaticoduodenectomy. Identification of preoperative risk factors might help the clinician to select patients fit for resection and potentially decrease morbidity and mortality after PD. We conducted a cohort study to determine the preoperative factors related to 90-day severe morbidity and mortality after PD.

methodsWe conducted a retrospective cohort study in patients with a diagnosis of ampullary adenocarcinoma who underwent an open PD between January 2010 and December 2019 at our tertiary centre.

resultsIndependent preoperative predictors of mortality were the albumin-bilirubin (ALBI) grade 3 (OR: 21.7; CI 95: 2.1-226.9;

conclusionThese findings suggest that baseline renal function measured by the eGFR and liver function categorized with the ALBI grading are predictors of severe morbidity and mortality. Thus, they should be considered when selecting patients for PD or the use of neoadjuvant treatments. Further research is warranted.

Identifiers

PMID33728373
PMCPMC7937469
OpenAlexW3134553407

What OpenQuestion holds

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Registered trials

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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.