Evidence map›Paper›PMID 35106427›Full record

ArticleAnnals of gastroenterological surgery2022

Preoperative neutrophil-to-lymphocyte ratio predicts healing time for postoperative pancreatic fistula after distal pancreatectomy.

Keisuke Toya, Yoshito Tomimaru, Shogo Kobayashi, Kazuki Sasaki, Yoshifumi Iwagami, Daisaku Yamada, Takehiro Noda, Hidenori Takahashi, Yuichiro Doki, Hidetoshi Eguchi

Open access · goldAbstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.8field-weighted citation impact, top 24% 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

12 citing papers in PubMed, 13 citations in OpenAlex.

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  8. Hypoattenuated Area at Pancreatojejunostomy Site After Pancreatoduodenectomy Predicts Grade B/C Postoperative Pancreatic Fistula.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
    Article
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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.

Keisuke ToyaDepartment of Gastroenterological Surgery Graduate School of Medicine Osaka University Osaka Japan.
Yoshito TomimaruDepartment of Gastroenterological Surgery Graduate School of Medicine Osaka University Osaka Japan.
Shogo KobayashiDepartment of Gastroenterological Surgery Graduate School of Medicine Osaka University Osaka Japan.ORCID https://orcid.org/0000-0002-8828-1067
Kazuki SasakiDepartment of Gastroenterological Surgery Graduate School of Medicine Osaka University Osaka Japan.
Yoshifumi IwagamiDepartment of Gastroenterological Surgery Graduate School of Medicine Osaka University Osaka Japan.
Daisaku YamadaDepartment of Gastroenterological Surgery Graduate School of Medicine Osaka University Osaka Japan.ORCID https://orcid.org/0000-0002-6702-3800
Takehiro NodaDepartment of Gastroenterological Surgery Graduate School of Medicine Osaka University Osaka Japan.
Hidenori TakahashiDepartment of Gastroenterological Surgery Graduate School of Medicine Osaka University Osaka Japan.
Yuichiro DokiDepartment of Gastroenterological Surgery Graduate School of Medicine Osaka University Osaka Japan.
Hidetoshi EguchiDepartment of Gastroenterological Surgery Graduate School of Medicine Osaka University Osaka Japan.ORCID https://orcid.org/0000-0002-2318-1129
The University of Osaka · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePostoperative pancreatic fistula is a serious complication of distal pancreatectomy. Although many studies have described the incidence and risk factors associated with postoperative pancreatic fistula (POPF), few have focused on the healing time. This study investigated the healing time and potential factors associated with the healing time of POPF after distal pancreatectomy (DP).

methodsAmong 114 patients that underwent DP in our hospital from January 2010 to December 2020, we included 88 that developed POPF. The healing time for a postoperative pancreatic fistula was defined as the interval between the completion of DP and the removal of all drains related to the treatment for POPF. Based on the definition, three cases who required additional treatment after removal of all drains were excluded from this study. Clinical factors associated with the fistula healing times were investigated in the 85 patients.

resultsThe average POPF healing time was 11 ± 10 days (median: 6 days, range: 3-57). We found that the neutrophil-to-lymphocyte ratio, a marker of inflammatory and nutritional status, was the only factor independently associated with the POPF healing time; the mean healing time was significantly shorter in patients with neutrophil-to-lymphocyte ratio ≤2.1 (8 ± 6 days) than in those with neutrophil-to-lymphocyte ratio >2.1 (13 ± 12 days;

conclusionWe demonstrated that the neutrophil-to-lymphocyte ratio could independently predict the POPF healing time after DP. These findings suggested that improving the neutrophil-to-lymphocyte ratio might shorten the healing times for POPF after DP.

Indexed as

distal pancreatectomylymphocyteneutrophilneutrophil‐to‐lymphocyte ratiopancreatic fistula

Identifiers

PMID35106427
PMCPMC8786688
OpenAlexW3204303646

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.