Evidence map›Paper›PMID 36177773›Full record

ArticleJournal of surgical oncology2023

The impact of race/ethnicity on pancreaticoduodenectomy outcomes for pancreatic cancer.

Yahya Alwatari, Catalina M Mosquera, Jad Khoraki, Salem Rustom, Natalie Wall, Athanasios E Sevdalis, Weston Stover, Jose G Trevino, Brian Kaplan

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

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  7. Associations Between Patient Characteristics and Whipple Procedure Outcomes Before and After Implementation of an Enhanced Recovery After Surgery Protocol.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
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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 1 institution in 1 country.

Yahya AlwatariDepartment of Surgery, Virginia Commonwealth University, Richmond, VA, USA.ORCID http://orcid.org/0000-0002-0219-3251
Catalina M MosqueraDepartment of Surgery, Virginia Commonwealth University, Richmond, VA, USA.
Jad KhorakiDepartment of Surgery, Virginia Commonwealth University, Richmond, VA, USA.
Salem RustomDepartment of Surgery, Virginia Commonwealth University, Richmond, VA, USA.
Natalie WallDepartment of Surgery, Virginia Commonwealth University, Richmond, VA, USA.
Athanasios E SevdalisDepartment of Surgery, Virginia Commonwealth University, Richmond, VA, USA.
Weston StoverDepartment of Surgery, Virginia Commonwealth University, Richmond, VA, USA.
Jose G TrevinoDepartment of Surgery, Virginia Commonwealth University, Richmond, VA, USA.ORCID http://orcid.org/0000-0002-0265-8151
Brian KaplanDepartment of Surgery, Virginia Commonwealth University, Richmond, VA, USA.
Virginia Commonwealth University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the impact of race/ethnicity on surgical outcomes following pancreaticoduodenectomy for pancreatic cancer.

methodsA retrospective review of patients undergoing pancreaticoduodenectomy for adenocarcinoma in the National Surgical Quality Improvement Program (NSQIP) database from 2014 to 2019. Patient and tumor characteristics and 30-day postoperative outcomes were compared. Multivariable logistic and linear regression models were conducted to investigate the relationship between race/ethnicity and surgical outcomes.

resultsSix thousand five hundred and sixty-two patients were included (84.5% White, 7.9% Black, 3% Hispanic, 4.6% Asian). Larger proportions of Blacks had preoperative American Society of Anesthesiologists class 3 or 4. There were no significant differences in tumor characteristics or operative techniques. A smaller proportion of Asians and Hispanics received neoadjuvant chemotherapy and/or radiation than Blacks and Whites. Relative to White, the Black race was independently associated with postoperative sepsis and reoperation. Both Black and Hispanic race/ethnicity were associated with prolonged intubation and delayed gastric emptying, and minorities races/ethnicities were associated with longer length of hospital stay. Relative to White, Hispanic, and Asian race/ethnicity were independently associated with a lower likelihood of neoadjuvant therapy (NAT) receipt.

conclusionIn ACS-NSQIP participating hospitals, non-White race/ethnicity was independently associated with adverse outcomes after pancreatic cancer resection. A possible disparity in NAT receipt may exist in Asian and Hispanic patients undergoing surgical resection.

Indexed as

Pancreatic NeoplasmsPancreaticoduodenectomyEthnicityHumansPostoperative ComplicationsACS-NSQIPoutcomespancreatic cancerpancreaticoduodenectomyracial disparity

Identifiers

PMID36177773
PMCPMC10092121
OpenAlexW4298088450

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.