Evidence map›Paper›PMID 35794495›Full record

ArticlePediatric surgery international2022

Surgical approach to pediatric mediastinal masses based on imaging characteristics.

Stephanie Young, R Luke Rettig, Ian V Hutchinson, Michael G Sutcliffe, Roman M Sydorak

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Pediatric surgery international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

6 citing papers in PubMed, 3 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

5 authors at 3 institutions in 1 country.

Stephanie YoungDepartment of Surgery, Kaiser Permanente Los Angeles Medical Center, 4760 Sunset Blvd, 3rdFloor, Los Angeles, CA, 90027, USA.
R Luke RettigDepartment of Surgery, Kaiser Permanente Los Angeles Medical Center, 4760 Sunset Blvd, 3rdFloor, Los Angeles, CA, 90027, USA.
Ian V HutchinsonClinical Research Services, Providence Health & Services, Santa Monica, CA, USA.
Michael G SutcliffeClinical Research Services, Providence Health & Services, Santa Monica, CA, USA.
Roman M SydorakDepartment of Surgery, Kaiser Permanente Los Angeles Medical Center, 4760 Sunset Blvd, 3rdFloor, Los Angeles, CA, 90027, USA. roman.m.sydorak@kp.org.
Los Angeles Medical Center · USProvidence Health & Services · USKaiser Permanente · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPediatric mediastinal masses may be resected using an open or video-assisted thoracoscopic surgery (VATS) approach. We sought to define the preoperative imaging findings predicting amenability to VATS.

methodsThis multicenter retrospective study of pediatric patients undergoing either VATS or open surgical mediastinal mass resection between 2008 and 2018 evaluated the preoperative imaging descriptors associated with VATS. Postoperative endpoints included length of stay (LOS), 30-day readmission, 90-day mortality and complication rates.

resultsMediastinal mass resection was performed in 33 patients. Median tumor size was 6 cm, and 51.5% had anterior mediastinal tumors. The 23 (69.7%) patients who underwent VATS were significantly older (144 months vs 32, P = 0.01) and larger (33.6 kg vs 13.8 P = 0.03). Preoperative imaging characteristics in VATS included "well circumscribed", "smooth margins" and "cystic", while the open surgery group were "heterogeneous" and "coarse calcification". The open group had more germ cell tumors (60.0% vs 13.0%, P = 0.16) but no difference in malignancy. VATS patients had shorter LOS (2 days vs 6.5, P = 0.24). Readmission, complication and mortality rates were similar.

conclusionsPediatric patients with apparent malignancy frequently underwent open resection compared with the thoracoscopic group, although final malignant pathology was similar. Equivalent outcomes and shorter LOS should favor a minimally invasive approach. LEVEL OF EVIDENCE: Level III.

Indexed as

Mediastinal NeoplasmsThoracotomyChildHumansRetrospective StudiesThoracic Surgery, Video-AssistedTreatment OutcomeImage-defined risk factorsMediastinal massPreoperative imagingThoracoscopicVATS

Identifiers

PMID35794495
OpenAlexW4284882182

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.