Evidence map›Paper›PMID 34994911›Full record

ArticleAnnals of surgical oncology2022

Disparities in Utilization and Outcomes of Minimally Invasive Techniques for Gastric Cancer Surgery in the United States.

Joon Y Park, Arjun Verma, Zachary K Tran, Michael A Mederos, Peyman Benharash, Mark Girgis

Open access · hybridAbstract read
In one paragraph

Article in Annals of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Rates of Minimally Invasive Surgery After Introduction of Robotic-Assisted Surgery for Common General Surgery Operations.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    Article
  5. Article
  6. Article
  7. TREATMENT OF GASTRIC CANCER ACCORDING TO THE COMPLEXITY OF THE HOSPITAL ONCOLOGY UNIT: ANALYSIS OF 33,774 PATIENTS OVER TWO DECADES.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024
    Article
  8. Article
  9. Review
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

6 authors at 1 institution in 1 country.

Joon Y Park *Department of Surgery, David Geffen School of Medicine, UCLA Surg-Surg Onc, Los Angeles, CA, USA. joonp@mednet.ucla.edu.
Arjun Verma *Department of Surgery, David Geffen School of Medicine, UCLA Surg-Surg Onc, Los Angeles, CA, USA.
Zachary K TranDepartment of Surgery, David Geffen School of Medicine, UCLA Surg-Surg Onc, Los Angeles, CA, USA.
Michael A MederosDepartment of Surgery, David Geffen School of Medicine, UCLA Surg-Surg Onc, Los Angeles, CA, USA.
Peyman BenharashDepartment of Surgery, David Geffen School of Medicine, UCLA Surg-Surg Onc, Los Angeles, CA, USA.
Mark GirgisDepartment of Surgery, David Geffen School of Medicine, UCLA Surg-Surg Onc, Los Angeles, CA, USA.
University of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study investigated national implementation patterns and perioperative outcomes of minimally invasive gastrectomy (MIG) in gastric cancer surgery in the United States.

methodsThe National Inpatient Sample (NIS) was queried for patients who underwent elective gastrectomy for gastric cancer from 2008-2018. The MIG versus open gastrectomy approach was correlated with hospital factors, patient characteristics, and complications.

resultsThere was more than a fivefold increase in MIG from 5.8% in 2008 to 32.9% in 2018 (nptrend < 0.001). Patients undergoing MIG had a lower Elixhauser Comorbidity Index (p = 0.001). On risk adjusted analysis, black patients (AOR = 0.77, p = 0.024) and patients with income below 25

conclusionsIn this national retrospective study, we observe socioeconomic differences in patients undergoing MIG, which is explained by hospital level factors in MIG utilization. We demonstrate that MIG is associated with a lower mortality compared with open gastrectomy. Establishing MIG as a safe approach to gastric cancers and understanding regional differences in implementation patterns can inform delivery of equitable high-quality health care.

Indexed as

AdenocarcinomaStomach NeoplasmsGastrectomyHumansMinimally Invasive Surgical ProceduresRetrospective StudiesTreatment OutcomeUnited States

Identifiers

PMID34994911
PMCPMC8990946
OpenAlexW4205984288

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.