SynthesisBMC nephrology2021
Morbidity after elective surgery in patients on chronic dialysis: a systematic review and meta-analysis.
Synthesis in BMC nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
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Who cites it
25 citing papers in PubMed, 36 citations in OpenAlex.
- Perioperative Outcomes and Complications of Laparoscopic Cholecystectomy in End-Stage Renal Disease Patients: A Prospective Comparative Study.World journal of surgery · 2026Observational
- Effect of Hemodiafiltration and Hemodialysis on Postoperative Mortality in Patients With Kidney Failure.Hemodialysis international. International Symposium on Home Hemodialysis · 2026Article
- Management of Panniculus Gangrene After Cesarean Hysterectomy for Placenta Accreta: A Case Report.The American journal of case reports · 2026Article
- Article
- Orbital compartment syndrome following the use of sinonasal oxidized cellulose and gelatin sponge hemostat: report of two cases and literature review.International journal of ophthalmology · 2026Article
- Patient, clinician, and researcher prioritization of postoperative outcomes for people living with kidney failure: a modified Delphi process.BMC nephrology · 2025Article
- Relationship Between Timing of Hemodialysis and Procedure-Related Complications Following Endoscopy in Patients with End-Stage Renal Disease.Digestive diseases and sciences · 2025Article
- Preoperative Dialysis Dose and Postoperative Outcomes in Patients Receiving Maintenance Hemodialysis.Kidney360 · 2025Article
- Perioperative Management of the Patient Receiving Maintenance Hemodialysis.Anesthesiology · 2025Article
- Predicting Postoperative Cardiac Events and Mortality for People with Kidney Failure Having Noncardiac Surgery: An External Validation Study.Kidney360 · 2025Article
- Gynecological surgery in patients with kidney failure on chronic kidney replacement therapy: A binational data linkage study of morbidity and mortality outcomes.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025Article
- Operative and nonoperative management of acute cholecystitis in patients on chronic kidney replacement therapy.Journal of hepato-biliary-pancreatic sciences · 2025Article
- Predicting In-Hospital Mortality in Patients with End-Stage Renal Disease Receiving Extracorporeal Membrane Oxygenation Therapy.Cardiorenal medicine · 2025Article
- Pancreaticoduodenectomy in a Hemodialysis Patient: First Report From Kazakhstan with a Brief Literature Review.International medical case reports journal · 2025Article
- Care of the chronic dialysis patient in the intensive care unit: a state-of-the-art review.Critical care science · 2025Review
- Thoracoscopic minimally invasive surgical treatment with the same incisions in a patient with uremia complicated with large thymoma and right upper lobe lung cancer: a case report.Journal of cardiothoracic surgery · 2024Article
- Comparative analysis of short- and long-term outcomes in laparoscopic versus open surgery for colorectal cancer patients undergoing hemodialysis.Langenbeck's archives of surgery · 2024Article
- Revised cardiac risk index in predicting cardiovascular complications in patients receiving chronic kidney replacement therapy undergoing elective general surgery.Perioperative medicine (London, England) · 2024Article
- Outcomes Following Surgical Fixation of Distal Radius Fractures in Patients With Chronic Kidney Disease.Journal of hand surgery global online · 2024Article
- Fracture Management in Chronic Kidney Disease: Challenges and Considerations for Orthopedic Surgeons.Clinics in orthopedic surgery · 2024Review
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients on chronic dialysis are at increased risk of postoperative mortality following elective surgery compared to patients with normal kidney function, but morbidity outcomes are less often reported. This study ascertains the excess odds of postoperative cardiovascular and infection related morbidity outcomes for patients on chronic dialysis.
methodsSystematic searches were performed using MEDLINE, Embase and the Cochrane Library to identify relevant studies published from inception to January 2020. Eligible studies reported postoperative morbidity outcomes in chronic dialysis and non-dialysis patients undergoing major non-transplant surgery. Risk of bias was assessed using the Newcastle-Ottawa Scale and the certainty of evidence was summarised using GRADE. Random effects meta-analyses were performed to derive summary odds estimates. Meta-regression and sensitivity analyses were performed to explore heterogeneity.
resultsForty-nine studies involving 10,513,934 patients with normal kidney function and 43,092 patients receiving chronic dialysis were included. Patients on chronic dialysis had increased unadjusted odds of postoperative cardiovascular and infectious complications within each surgical discipline. However, the excess odds of cardiovascular complications was attenuated when odds ratios were adjusted for age and comorbidities; myocardial infarction (general surgery, OR 1.83 95% 1.29-2.36) and stroke (general surgery, OR 0.95, 95%CI 0.84-1.06). The excess odds of infectious complications remained substantially higher for patients on chronic dialysis, particularly sepsis (general surgery, OR 2.42, 95%CI 2.12-2.72).
conclusionPatients on chronic dialysis are at increased odds of both cardiovascular and infectious complications following elective surgery, with the excess odds of cardiovascular complications attributable to being on dialysis being highest among younger patients without comorbidities. However, further research is needed to better inform perioperative risk assessment.
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