Evidence map›Paper›PMID 35669251›Full record

ReviewFrontiers in surgery2022

Perioperative Systemic Inflammation in Lung Cancer Surgery.

József Furák, Tibor Németh, Judit Lantos, Csongor Fabó, Tibor Géczi, Noémi Zombori-Tóth, Dóra Paróczai, Zalán Szántó, Zsolt Szabó

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 7% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 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

9 authors at 3 institutions in 1 country.

József FurákDepartment of Surgery, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Tibor NémethDepartment of Surgery, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Judit LantosDepartment of Neurology, Bács-Kiskun County Hospital, Kecskemét, Hungary.
Csongor FabóDepartment of Anesthesiology, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Tibor GécziDepartment of Surgery, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Noémi Zombori-TóthDepartment of Pathology, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Dóra ParóczaiDepartment of Medical Microbiology, Faculty of Medicine, University of Szeged, Szeged, Hungary.
Zalán SzántóDepartment of Thoracic Surgery. Medical School, University of Pécs, Pécs, Hungary.
Zsolt SzabóInstitute of Surgical Research, Faculty of Medicine, University of Szeged, Szeged, Hungary.
University of Szeged · HUBács-Kiskun Megyei Kórház · HUUniversity of Pecs · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Systemic inflammation (SI) is a response of the immune system to infectious or non-infectious injuries that defends the body homeostasis. Every surgical intervention triggers SI, the level of which depends on the extent of damage caused by the surgery. During the first few hours after the damage, the innate or natural immunity, involving neutrophils, macrophages, and natural killer cells, plays a main role in the defense mechanism, but thereafter the adaptive immune response ensues. The number of leukocytes is elevated, the levels of lymphocytes and natural killer cells are reduced, and the cytokines released after surgery correlate with surgical damage. Minimally invasive thoracic surgery procedures induce less inflammatory response and reduce the immune defense in patients to a more moderate level compared with the open surgery procedures; this immunosuppression can be further diminished in spontaneous ventilation cases. The normal functioning of the immune defense is important in controlling the perioperative circulatory tumor cells. Moreover, elevated levels of inflammatory cytokines before immune therapy have a negative impact on the response, and significantly shorten the progression-free survival. Clinically, the lower are the levels of cytokines released during lung surgery, the lesser is the postoperative morbidity, especially pneumonia and wound infection. The return to normal levels of lymphocytes and cytokines occurs faster after spontaneous ventilation surgery. The use of locoregional anesthesia can also reduce SI. Herein, we review the current knowledge on the effects of different operative factors on postoperative SI and defense mechanism in lung cancer surgery.

Indexed as

cytokinesimmune cellsnon-intubatedone-lung ventilationsystemic inflammationthoracotomyvideo-assisted thoracic surgery

Identifiers

PMID35669251
PMCPMC9163434
OpenAlexW4280543914

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.