Evidence map›Paper›PMID 35876679›Full record

ArticleNeurosurgery2022

Predictors and Impact of Postoperative 30-Day Readmission in Glioblastoma.

David Botros, Adham M Khalafallah, Sakibul Huq, Hayden Dux, Leonardo A P Oliveira, Richard Pellegrino, Christopher Jackson, Gary L Gallia, Chetan Bettegowda, Michael Lim and 3 more

Open access · greenAbstract read
In one paragraph

Article in Neurosurgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.4field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Article
  7. GammaTileJournal of neuro-oncology · 2024
    Article
  8. Review
  9. Article
  10. Review
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

David BotrosDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-2517-9583
Adham M KhalafallahDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0002-3249-9657
Sakibul HuqDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0001-7873-6817
Hayden DuxDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0003-0784-6474
Leonardo A P OliveiraDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Richard PellegrinoDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Christopher JacksonDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Gary L GalliaDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0001-6438-7329
Chetan BettegowdaDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0001-9991-7123
Michael LimDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, California, USA.
Jon WeingartDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Henry BremDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.ORCID 0000-0001-7539-4786
Debraj MukherjeeDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Johns Hopkins University · USStanford University · US

Funding

Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
NCATS NIH HHS UL1 TR001079
6 · The paper itself

Abstract

backgroundPostoperative 30-day readmissions have been shown to negatively affect survival and other important outcomes in patients with glioblastoma (GBM).

objectiveTo further investigate patient readmission risk factors of primary and recurrent patients with GBM.

methodsThe authors retrospectively reviewed records of 418 adult patients undergoing 575 craniotomies for histologically confirmed GBM at an academic medical center. Patient demographics, comorbidities, and clinical characteristics were collected and compared by patient readmission status using chi-square and Mann-Whitney U testing. Multivariable logistic regression was performed to identify risk factors that predicted 30-day readmissions.

resultsThe cohort included 69 (12%) 30-day readmissions after 575 operations. Readmitted patients experienced significantly lower median overall survival (11.3 vs 16.4 months, P = .014), had a lower mean Karnofsky Performance Scale score (66.9 vs 74.2, P = .005), and had a longer initial length of stay (6.1 vs 5.3 days, P = .007) relative to their nonreadmitted counterparts. Readmitted patients experienced more postoperative deep vein thromboses or pulmonary embolisms (12% vs 4%, P = .006), new motor deficits (29% vs 14%, P = .002), and nonhome discharges (39% vs 22%, P = .005) relative to their nonreadmitted counterparts. Multivariable analysis demonstrated increased odds of 30-day readmission with each 10-point decrease in Karnofsky Performance Scale score (odds ratio [OR] 1.32, P = .002), each single-point increase in 5-factor modified frailty index (OR 1.51, P = .016), and initial presentation with cognitive deficits (OR 2.11, P = .013).

conclusionPreoperatively available clinical characteristics strongly predicted 30-day readmissions in patients undergoing surgery for GBM. Opportunities may exist to optimize preoperative and postoperative management of at-risk patients with GBM, with downstream improvements in clinical outcomes.

Indexed as

GlioblastomaPatient ReadmissionAdultHumansLength of StayOdds RatioPostoperative ComplicationsRetrospective StudiesRisk Factors

Identifiers

PMID35876679
PMCPMC10553112
OpenAlexW4285083124

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.