Evidence map›Paper›PMID 34640549›Full record

ReviewJournal of clinical medicine2021

Risk Factors for Perioperative Hemodynamic Instability in Pheochromocytoma: A Systematic Review and Meta-Analysis.

Fumihiko Urabe, Shoji Kimura, Kosuke Iwatani, Kazuhiro Takahashi, Kagenori Ito, Kojiro Tashiro, Shunsuke Tsuzuki, Jun Miki, Takahiro Kimura, Nozomu Furuta and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

18 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. 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 1 institution in 1 country.

Fumihiko UrabeDepartment of Urology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.ORCID 0000-0002-2599-8183
Shoji KimuraDepartment of Urology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Kosuke IwataniDepartment of Urology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Kazuhiro TakahashiDepartment of Urology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Kagenori ItoDepartment of Urology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Kojiro TashiroDepartment of Urology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Shunsuke TsuzukiDepartment of Urology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Jun MikiDepartment of Urology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Takahiro KimuraDepartment of Urology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.ORCID 0000-0002-5673-1553
Nozomu FurutaDepartment of Urology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Shin EgawaDepartment of Urology, The Jikei University School of Medicine, Tokyo 105-8461, Japan.
Jikei University School of Medicine · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the risk factors of perioperative hemodynamic instability in pheochromocytoma, we conducted a systematic search of the literature using the Preferred Reporting Items for Systematic Reviews and Meta-analysis.

methodsIn April 2021, we systematically searched PubMed, the Cochrane library, and Scopus for relevant studies on the risk factors of perioperative hemodynamic instability of adrenalectomy in patients with pheochromocytoma, and we subjected the findings from those studies to formal meta-analysis.

resultsOur systematic review identified 14 studies involving 1725 patients, of which nine studies with 967 patients were eligible for meta-analysis. The results of meta-analysis showed that tumor size (odds ratio (OR): 1.14 for each increased cm, 95% confidence interval (CI) 1.03-1.26, z = 2.57) and urinary norepinephrine (OR, 1.51: 95% CI 1.26-1.81; z = 4.50) were most closely associated with the occurrence of perioperative hemodynamic instability.

conclusionThese findings suggest that tumor size and urinary norepinephrine are important predictors and risk factors for perioperative hemodynamic instability in adrenalectomy for pheochromocytoma. Such findings may be of value to surgeons and anesthesiologists when considering or preparing for this procedure.

Indexed as

adrenalectomyhemodynamic instabilityhypertensionhypotensionpheochromocytoma

Identifiers

PMID34640549
PMCPMC8509814
OpenAlexW3203770072

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.