Evidence map›Paper›PMID 35788552›Full record

ArticleUpdates in surgery2023

Clinical outcomes of patients with complicated post-operative course after gastrectomy for cancer: a GIRCG study using the GASTRODATA registry.

Gian Luca Baiocchi, Simone Giacopuzzi, Giovanni Vittimberga, Stefano De Pascale, Elisabetta Pastorelli, Roberta Gelmini, Jacopo Viganò, Luigina Graziosi, Alessio Vagliasindi, Fausto Rosa and 12 more

Abstract read
In one paragraph

Article in Updates in surgery, 2023. 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
–field-weighted citation impact
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.

  1. Observational
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Outcomes after gastrectomy according to the Gastrectomy Complications Consensus Group (GCCG) in the Dutch Upper GI Cancer Audit (DUCA).Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2024
    Article
  8. Observational
  9. Article
  10. Review
  11. Article
  12. Observational
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

22 authors.

Gian Luca BaiocchiDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy. gianluca.baiocchi@unibs.it.ORCID http://orcid.org/0000-0003-2402-2178
Simone GiacopuzziDepartment of Surgery, General and Upper G.I. Surgery Division, University of Verona, Verona, Italy.
Giovanni VittimbergaGB Morgagni-L Pierantoni Surgical Department, Forlì, Italy.
Stefano De PascaleDepartment of Digestive Tract Surgery, IEO, Milan, Italy.
Elisabetta PastorelliDepartment of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy.
Roberta GelminiDepartment of Oncological Surgery, University of Modena, Modena, Italy.
Jacopo ViganòGeneral Surgery, Department of Surgery, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
Luigina GraziosiGeneral and Emergency Surgery, University of Perugia, Santa Maria della Misericordia Hospital, Perugia, Italy.
Alessio VagliasindiUOC General and Emergency Surgery, SSD Emergency Surgery, S. Maria delle Croci Hospital, Ravenna, Italy.
Fausto RosaDepartment of General Surgery, Fondazione Policlinico Gemelli, Rome, Italy.
Francesca SteccanellaAou San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy.
Paolo DemartiniGeneral, Oncological and Minimally Invasive Surgery, Cà Granda-Niguarda Hospital, Milan, Italy.
Rossella ReddavidDepartment of Oncology, Digestive and Surgical Oncology, University of Torino, and San Luigi University Hospital, Orbassano, Italy.
Mattia BerselliGeneral Surgery Unit, Department of Surgery, ASST Settelaghi, Varese, Italy.
Ugo ElmoreGastrointestinal Surgery, San Raffaele Hospital and San Raffaele Vita-Salute University, Milan, Italy.
Uberto Fumagalli RomarioDepartment of Digestive Tract Surgery, IEO, Milan, Italy.
Maurizio DegiuliDepartment of Oncology, Digestive and Surgical Oncology, University of Torino, and San Luigi University Hospital, Orbassano, Italy.
Paolo MorgagniGB Morgagni-L Pierantoni Surgical Department, Forlì, Italy.
Daniele MarrelliDepartment of Medicine, Surgery and Neurosciences, Unit of General Surgery and Surgical Oncology, University of Siena, Siena, Italy.
Domenico D'UgoDepartment of General Surgery, Fondazione Policlinico Gemelli, Rome, Italy.
Riccardo RosatiGastrointestinal Surgery, San Raffaele Hospital and San Raffaele Vita-Salute University, Milan, Italy.
Giovanni De ManzoniDepartment of Surgery, General and Upper G.I. Surgery Division, University of Verona, Verona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastrectomy for gastric cancer is still performed in Western countries with high morbidity and mortality. Post-operative complications are frequent, and effective diagnosis and treatment of complications is crucial to lower the mortality rates. In 2015, a project was launched by the EGCA with the aim of building an agreement on list and definitions of post-operative complications specific for gastrectomy. In 2018, the platform www.gastrodata.org was launched for collecting cases by utilizing this new complication list. In the present paper, the Italian Research Group for Gastric Cancer endorsed a collection of complicated cases in the period 2015-2019, with the aim of investigating the clinical pictures, diagnostic modalities, and treatment approaches, as well as outcome measures of patients experiencing almost one post-operative complication. Fifteen centers across Italy provided 386 cases with a total of 538 complications (mean 1.4 complication/patient). The most frequent complications were non-surgical infections (gastrointestinal, pulmonary, and urinary) and anastomotic leaks, accounting for 29.2% and 17.3% of complicated patients, with a median Clavien-Dindo score of II and IIIB, respectively. Overall mortality of this series was 12.4%, while mortality of patients with anastomotic leak was 25.4%. The clinical presentation with systemic septic signs, the timing of diagnosis, and the hospital volume were the most relevant factors influencing outcome.

Indexed as

GastrectomyPostoperative ComplicationsStomach NeoplasmsAnastomotic LeakHumansInfectionsItalyRegistriesTreatment OutcomeComplicationsGastric cancerPost operative mortalitySurgery

Identifiers

PMID35788552
PMCPMC9852164

What OpenQuestion holds

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Registered trials

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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.