Evidence map›Paper›PMID 34516475›Full record

ArticleSurgical laparoscopy, endoscopy & percutaneous techniques2021

Reoperative Surgery After Minimally Invasive Ivor Lewis Esophagectomy.

Keouna Pather, Alexander D Ghannam, Shoshana Hacker, Christina Guerrier, Erin M Mobley, Rhemar Esma, Ziad T Awad

Open access · greenAbstract read
In one paragraph

Article in Surgical laparoscopy, endoscopy & percutaneous techniques, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 45% 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, 3 citations in OpenAlex.

  1. Article
  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

7 authors at 2 institutions in 1 country.

Keouna PatherDepartment of Surgery.
Alexander D GhannamDepartment of Surgery.
Shoshana HackerDepartment of Surgery.
Christina GuerrierCenter for Data Solutions, University of Florida College of Medicine.
Erin M MobleyDepartment of Surgery.
Rhemar EsmaUniversity of Florida Health, Jacksonville, FL.
Ziad T AwadDepartment of Surgery.
University of Florida · USUniversity of Florida Health · US

Funding

The University of Florida Jacksonville Aging Studies Center (JAX-ASCENT)R33AG056540 · NIA · UNIVERSITY OF FLORIDA · PI ANTON, STEPHEN D · 2017 to 2021
$3.8M
NIA NIH HHS R33 AG056540
6 · The paper itself

Abstract

objectiveThe aim of this study is to identify factors influencing reoperations following minimally invasive Ivor Lewis esophagectomy and associated mortality and hospital costs. MATERIALS AND

methodsBetween 2013 and 2018, 125 patients were retrospectively analyzed. Outcomes included reoperations, mortality, and hospital costs. Multivariable logistic regression analyses determined factors associated with reoperations.

resultsIn-hospital reoperations (n=10) were associated with in-hospital mortality (n=3, P<0.01), higher hospital costs (P<0.01), and longer hospital stay (P<0.01). Conversely, reoperations after discharge were not associated with mortality. By multivariable analysis, baseline cardiovascular (P=0.02) and chronic kidney disease (P=0.01) were associated with reoperations. However, anastomotic leaks were not associated with reoperations nor mortality.

conclusionThe majority of reoperations occur within 30 days often during index hospitalization. Reoperations were associated with increased in-hospital mortality and hospital costs. Notably, anastomotic leaks did not influence reoperations nor mortality. Efforts to optimize patient baseline comorbidities should be emphasized to minimize reoperations following minimally invasive Ivor Lewis esophagectomy.

Indexed as

Esophageal NeoplasmsEsophagectomyAnastomotic LeakHumansMinimally Invasive Surgical ProceduresPostoperative ComplicationsRetrospective StudiesTreatment Outcome

Identifiers

PMID34516475
PMCPMC8814731
OpenAlexW3199354719

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.