Evidence map›Paper›PMID 33984730›Full record

ArticleThe Journal of surgical research2021

Mortality After Elective Surgery: The Potential Role for Preoperative Palliative Care.

Alexandria J Robbins, Gregory J Beilman, Tatiana Ditta, Ashley Benner, Drew Rosielle, Jeffrey Chipman, Elizabeth Lusczek

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Journal of surgical research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 17% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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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

7 authors at 3 institutions in 1 country.

Alexandria J RobbinsDepartment of Surgery, University of Minnesota Medical School, Minneapolis, MN. Electronic address: cough083@umn.edu.
Gregory J BeilmanDepartment of Surgery, University of Minnesota Medical School, Minneapolis, MN.
Tatiana DittaM Health Fairview, Minneapolis, MN.
Ashley BennerClinical & Translational Science Institute, University of Minnesota Medical School, Minneapolis, MN.
Drew RosielleDepartment of Family Medicine, University of Minnesota Medical School, Minneapolis, MN.
Jeffrey ChipmanDepartment of Surgery, University of Minnesota Medical School, Minneapolis, MN.
Elizabeth LusczekDepartment of Surgery, University of Minnesota Medical School, Minneapolis, MN.
University of Minnesota Medical Center · USUniversity of Minnesota · USFairview Health Services · US

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR002494 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R, WEISDORF, DANIEL J · 2018 to 2022
$34.9M
Training the Next Generation of Surgeon-Scientists in PancreatologyT32DK108733 · NIDDK · UNIVERSITY OF MINNESOTA · PI Srinath Chinnakotla, MASATO YAMAMOTO · 2017 to 2026
$1.4M
NCATS NIH HHS UL1 TR002494NIDDK NIH HHS T32 DK108733
6 · The paper itself

Abstract

backgroundPreoperative optimization is increasingly emphasized for high-risk surgical patients. One critical component of this includes preoperative advanced care planning to promote goal-concordant care. We aimed to define a subset of patients that might benefit from preoperative palliative care consult for advanced care planning. MATERIALS AND

methodsWe examined adult patients admitted from January 2016 to December 2018 to a university health system for elective surgery. Multivariate logistic regression was used to identify variables associated with death within 1 y, and presence of palliative care consults preoperatively. Chi-square analysis evaluated the impact of a palliative care consult on advanced care planning variables.

resultsOf the 29,132 inpatient elective procedures performed, there was a 2.0% mortality rate at 6 mo and 3.5% at 1 y. Those who died were more likely to be older, male, underweight (BMI <18), or have undergone an otolaryngology, neurosurgery or thoracic procedure type (all P-values < 0.05). At the time of admission, 29% had an advance directive, 90% had a documented code status, and 0.3% had a preoperative palliative care consult. Patients were more likely to have an advanced directive, a power of attorney, a documented code status, and have a do not resuscitate order if they had a palliative care consult (all P-values <0.05). The mortality rates and preoperative palliative care rates per procedure type did not follow similar trends.

conclusionsPreoperative palliative care consultation before elective admissions for surgery had a significant impact on advanced care planning.

Indexed as

Advance Care PlanningAdultAgedAged, 80 and overElective Surgical ProceduresFemaleHumansLogistic ModelsMaleMiddle AgedPalliative CarePreoperative CareRetrospective StudiesOne year post-operative mortalityPreoperative palliative careSurgical palliative care

Identifiers

PMID33984730
PMCPMC8338888
OpenAlexW3163684269

What OpenQuestion holds

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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.