Evidence map›Paper›PMID 35565193›Full record

ArticleCancers2022

Unplanned Return to the Operating Room after Elective Oncologic Thoracic Surgery: A Further Quality Indicator in Surgical Oncology.

Francesco Petrella, Monica Casiraghi, Davide Radice, Claudia Bardoni, Andrea Cara, Shehab Mohamed, Daniele Sances, Lorenzo Spaggiari

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-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

4 citing papers in PubMed, 6 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Francesco PetrellaDepartment of Thoracic Surgery, IRCCS European Institute of Oncology, 20141 Milan, Italy.ORCID 0000-0001-5945-1576
Monica CasiraghiDepartment of Thoracic Surgery, IRCCS European Institute of Oncology, 20141 Milan, Italy.ORCID 0000-0001-5986-7811
Davide RadiceDivision of Epidemiology and Biostatistics, IRCCS European Institute of Oncology, 20141 Milan, Italy.ORCID 0000-0002-5075-1895
Claudia BardoniDepartment of Thoracic Surgery, IRCCS European Institute of Oncology, 20141 Milan, Italy.
Andrea CaraDepartment of Thoracic Surgery, IRCCS European Institute of Oncology, 20141 Milan, Italy.
Shehab MohamedDepartment of Thoracic Surgery, IRCCS European Institute of Oncology, 20141 Milan, Italy.
Daniele SancesDivision of Anesthesiology, IRCCS European Institute of Oncology, 20141 Milan, Italy.ORCID 0000-0001-9291-4181
Lorenzo SpaggiariDepartment of Thoracic Surgery, IRCCS European Institute of Oncology, 20141 Milan, Italy.
European Institute of Oncology · ITUniversity of Milan · IT

Funding

5 x mille 0000 Ministry of health
6 · The paper itself

Abstract

Background: An unplanned return to the operating room (UROR) is defined as a readmission to the operating room because of a complication or an untoward outcome related to the initial surgery. The aim of the present report is to evaluate the role of URORs after elective oncologic thoracic surgery. Methods: In the study, 4012 consecutive patients were enrolled; among them, 71 patients (1.76%) had an unplanned return to the operating room. Age, sex, Charlson comorbidity index, induction treatments, type of the first operation, indication to readmission to the operating room and type of second operation, length of stay, complication after reoperation and outcomes were collected. Results: The mean age was 63.3 (SD: 13.0); there were 53 male patients (74.6%); the type of the first procedure was: lower lobectomy (11.3%), middle lobectomy (1.4%), upper lobectomy (22.5%), metastasectomy (5.6%), extrapleural pneumonectomy (4.2%), pneumonectomy (40.9%), pleural biopsy (5.6%) and other procedures (8.5%). Patients presenting complications after UROR had undergone a significantly longer first procedure (p < 0.02), had a longer length of stay (p < 0.001) and had higher post-operative mortality (p < 0.001). Conclusions: The patients experiencing UROR after elective oncologic thoracic surgery have significantly higher morbidity and mortality rates when compared to standard thoracic surgery. Bronchopleural fistula remains the most lethal complication in patients undergoing UROR.

Indexed as

adverse eventscomplicationsmorbiditymortalityoperating roomthoracic oncologyunplanned return

Identifiers

PMID35565193
PMCPMC9104285
OpenAlexW4224269950

What OpenQuestion holds

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LicenceCC BY
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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.