Evidence map›Paper›PMID 34508282›Full record

ArticleWorld journal of surgery2022

Propensity-Score Matched Analyses Comparing Clinical Outcomes of Minimally Invasive Versus Open Distal Pancreatectomies: A Single-Center Experience.

Jaivikash Raghupathy, Chuan-Yaw Lee, Sarah K W Huan, Ye-Xin Koh, Ek-Khoon Tan, Jin-Yao Teo, Peng-Chung Cheow, London L P J Ooi, Alexander Y F Chung, Chung-Yip Chan and 1 more

Abstract read
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In one paragraph

Article in World journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 37% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
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

11 authors at 4 institutions in 1 country.

Jaivikash RaghupathyDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Academia, Level 5, 20 College Road, Singapore, 169856, Singapore.
Chuan-Yaw LeeDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Academia, Level 5, 20 College Road, Singapore, 169856, Singapore.
Sarah K W HuanDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Academia, Level 5, 20 College Road, Singapore, 169856, Singapore.
Ye-Xin KohDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Academia, Level 5, 20 College Road, Singapore, 169856, Singapore.
Ek-Khoon TanDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Academia, Level 5, 20 College Road, Singapore, 169856, Singapore.
Jin-Yao TeoDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Academia, Level 5, 20 College Road, Singapore, 169856, Singapore.
Peng-Chung CheowDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Academia, Level 5, 20 College Road, Singapore, 169856, Singapore.
London L P J OoiDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Academia, Level 5, 20 College Road, Singapore, 169856, Singapore.
Alexander Y F ChungDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Academia, Level 5, 20 College Road, Singapore, 169856, Singapore.
Chung-Yip ChanDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Academia, Level 5, 20 College Road, Singapore, 169856, Singapore.
Brian K P GohDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital, Academia, Level 5, 20 College Road, Singapore, 169856, Singapore. bsgkp@hotmail.com.
Singapore General Hospital · SGSingHealth Duke-NUS Academic Medical Centre · SGDuke-NUS Medical School · SGNational University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive distal pancreatectomy (MIDP) is being adopted increasingly worldwide. This study aimed to compare the short-term outcomes of patients who underwent MIDP versus open distal pancreatectomy (ODP).

methodsA retrospective review of all patients who underwent a DP in our institution between 2005 and 2019 was performed. Propensity score matching based on relevant baseline factors was used to match patients in the ODP and MIDP groups in a 1:1 manner. Outcomes reported include operative duration, blood loss, postoperative length of stay, morbidity, mortality, postoperative pancreatic fistula rates, reoperation and readmission.

resultsIn total, 444 patients were included in this study. Of 122 MIDP patients, 112 (91.8%) could be matched. After matching, the median operating time for MIDP was significantly longer than ODP [260 min (200-346.3) vs 180 (135-232.5), p < 0.001], while postoperative stay for MIDP was significantly shorter [median 6 days (5-8) versus 7 days (6-9), p = 0.015]. There were no significant differences noted in any of the other outcomes measured. Over time, we observed a decrease in the operation times of MIDP performed at our institution.

conclusionAdoption of MIDP offers advantages over ODP in terms of a shorter postoperative hospital stay, without an increase in morbidity and/or mortality but at the expense of a longer operation time.

Indexed as

LaparoscopyPancreatic NeoplasmsHumansLength of StayPancreatectomyPostoperative ComplicationsPropensity ScoreRetrospective StudiesTreatment Outcome

Identifiers

PMID34508282
OpenAlexW3198535529

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.