Evidence map›Paper›PMID 34755016›Full record

ArticleAnnals of gastroenterological surgery2021

Which is the best predictor of clinically relevant pancreatic fistula after pancreatectomy: drain fluid concentration or total amount of amylase?

Yasuyuki Fukami, Takuya Saito, Takaaki Osawa, Takaaki Hanazawa, Takehiro Kurahashi, Shintaro Kurahashi, Tatsuki Matsumura, Shunichiro Komatsu, Kenitiro Kaneko, Tsuyoshi Sano

Open access · goldAbstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.7field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Postoperative Opioid Use Is Associated with Increased Rates of Grade B/C Pancreatic Fistula After Distal Pancreatectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. The pancreas-to-muscle signal intensity ratio on TWorld journal of surgical oncology · 2022
    Article
  8. Article
  9. 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

10 authors at 1 institution in 1 country.

Yasuyuki FukamiDivision of Gastroenterological Surgery Department of Surgery Aichi Medical University Nagakute Japan.ORCID https://orcid.org/0000-0002-5273-5362
Takuya SaitoDivision of Gastroenterological Surgery Department of Surgery Aichi Medical University Nagakute Japan.
Takaaki OsawaDivision of Gastroenterological Surgery Department of Surgery Aichi Medical University Nagakute Japan.
Takaaki HanazawaDivision of Gastroenterological Surgery Department of Surgery Aichi Medical University Nagakute Japan.
Takehiro KurahashiDivision of Gastroenterological Surgery Department of Surgery Aichi Medical University Nagakute Japan.
Shintaro KurahashiDivision of Gastroenterological Surgery Department of Surgery Aichi Medical University Nagakute Japan.
Tatsuki MatsumuraDivision of Gastroenterological Surgery Department of Surgery Aichi Medical University Nagakute Japan.
Shunichiro KomatsuDivision of Gastroenterological Surgery Department of Surgery Aichi Medical University Nagakute Japan.
Kenitiro KanekoDivision of Gastroenterological Surgery Department of Surgery Aichi Medical University Nagakute Japan.
Tsuyoshi SanoDivision of Gastroenterological Surgery Department of Surgery Aichi Medical University Nagakute Japan.
Aichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimDrain fluid amylase concentration (DFAC) has been reported as a predictor of clinically relevant postoperative pancreatic fistula (CR-POPF) after pancreatectomy. However, the clinical significance of measuring the total drain fluid amylase amount (DFAA) considering the daily drainage volume of CR-POPF remains unclear.

methodsData from 216 consecutive patients who underwent pancreaticoduodenectomy (PD) (n = 126) or distal pancreatectomy (DP) (n = 90) between August 2014 and November 2020 were reviewed. All drains were closed but not suctioned. DFAA was calculated by multiplying the DFAC and daily drainage fluid volume. DFAC and DFAA were recorded on d 1 and 3 after pancreatectomy. The cutoff value of CR-POPF was determined using the receiver operating characteristic curve.

resultsCR-POPF was found in 75 patients (35%) (PD: 30%, DP: 41%,

conclusionDFAC is more reliable than DFAA for predicting CR-POPF after both PD and DP.

Indexed as

distal pancreatectomydrain amylasepancreatectomypancreatic fistulapancreaticoduodenectomy

Identifiers

PMID34755016
PMCPMC8560612
OpenAlexW3162735328

What OpenQuestion holds

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LicenceCC BY
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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.