Evidence map›Paper›PMID 35141835›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2022

Association between Preoperative Steroids and Outcomes in Patients Undergoing Pancreaticoduodenectomy using the National Surgical Quality Improvement Program.

Hassan Aziz, Zubair Ahmed, Mohamed Abdimajid, Yurie Sekigami, Martin Hertl, Martin D Goodman

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Chronic Kidney Disease Classification Predicts Short-Term Outcomes of Patients Undergoing Pancreaticoduodenectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022
    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

6 authors at 1 institution in 1 country.

Hassan AzizTufts Medical Center, Tufts University School of Medicine, South Building, Floor 4, 860 Washington St, Boston, MA, 02111, USA. haziz@tuftsmedicalcenter.org.ORCID http://orcid.org/0000-0003-0406-1946
Zubair AhmedTufts Medical Center, Tufts University School of Medicine, South Building, Floor 4, 860 Washington St, Boston, MA, 02111, USA.
Mohamed AbdimajidTufts Medical Center, Tufts University School of Medicine, South Building, Floor 4, 860 Washington St, Boston, MA, 02111, USA.
Yurie SekigamiTufts Medical Center, Tufts University School of Medicine, South Building, Floor 4, 860 Washington St, Boston, MA, 02111, USA.
Martin HertlTufts Medical Center, Tufts University School of Medicine, South Building, Floor 4, 860 Washington St, Boston, MA, 02111, USA.
Martin D GoodmanTufts Medical Center, Tufts University School of Medicine, South Building, Floor 4, 860 Washington St, Boston, MA, 02111, USA.
Tufts University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA national study analyzing the association between preoperative steroid use and outcomes after pancreatic resections is lacking. The purpose of this study is to evaluate the association between preoperative steroids and outcomes after pancreaticoduodenectomy using a national database. MATERIALS AND

methodsA retrospective analysis of patients undergoing pancreaticoduodenectomy was performed using the National Surgical Quality Improvement Program (NSQIP) database (2014-2019). In addition, we utilized propensity score matching to compare patients on preoperative steroids to those who were not. Outcomes measured included 30-day complications and mortality, need for readmission, a prolonged hospital length of stay, delayed gastric emptying, and pancreatic fistula.

resultsAfter propensity score matching, there were 438 patients in the steroid group and 876 patients in the no steroid group. There was no difference in pancreatic fistula (23.8% vs. 21.7%; p-0.3), delayed gastric emptying (21.1% vs.20.1%; p-0.06), major complications (31.8% vs. 30.1%; p-0.1), and mortality (3.5% vs. 3.2%; p-0.6) between the two groups.

conclusionGlucocorticoids did not reduce the incidence of overall complications, postoperative fistula, and delayed gastric emptying following pancreaticoduodenectomy.

Indexed as

GastroparesisPancreaticoduodenectomyHumansPancreatic FistulaPostoperative ComplicationsQuality ImprovementRetrospective StudiesSteroidsSteroidsComplicationsGlucocorticoidsPancreatic fistulaPancreatic surgery

Identifiers

PMID35141835
OpenAlexW4210822751

What OpenQuestion holds

Textmetadata
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.