Evidence map›Paper›PMID 36238337›Full record

ArticleJournal of Indian Association of Pediatric Surgeons

Evaluation of Complication Rates of Free Flap Reconstruction in Pediatric Patients.

Omar Allam, Rema Shah, Joshua B Cadwell, Jacob Dinis, Connor Peck, Alexandra Junn, Arvind Gowda, Michael Alperovich

Open access · diamondAbstract read
In one paragraph

Article in Journal of Indian Association of Pediatric Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Successful Treatment of Pediatric Scalp Avulsion with NovoSorb BTM.Plastic and reconstructive surgery. Global open · 2026
    Article
  2. Article
  3. Pediatric Microsurgery and Free-Tissue Transfer.Seminars in plastic surgery · 2023
    Review
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

8 authors at 2 institutions in 1 country.

Omar AllamDepartment of Surgery, Yale University School of Medicine, New Haven, CT, USA.
Rema ShahDepartment of Surgery, Yale University School of Medicine, New Haven, CT, USA.
Joshua B CadwellDepartment of Surgery, Division of Plastic and Reconstructive Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.
Jacob DinisDepartment of Surgery, Yale University School of Medicine, New Haven, CT, USA.
Connor PeckDepartment of Surgery, Yale University School of Medicine, New Haven, CT, USA.
Alexandra JunnDepartment of Surgery, Yale University School of Medicine, New Haven, CT, USA.
Arvind GowdaDepartment of Surgery, Yale University School of Medicine, New Haven, CT, USA.
Michael AlperovichDepartment of Surgery, Yale University School of Medicine, New Haven, CT, USA.
Yale University · USRutgers New Jersey Medical School

Funding

Institutional Career Development CoreKL2TR001862 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$12.2M
NCATS NIH HHS KL2 TR001862
6 · The paper itself

Abstract

Introduction: While there is extensive literature investigating surgical outcomes in free flaps for adults, there is a dearth of information on the efficacy of flap use in the pediatric population. This study is the first to measure complication rates following pediatric free flap reconstruction on a national level. Methods: All pediatric free flap cases between 2012 and 2018 were identified and stratified by type of flap using current procedural terminology codes assigned to the primary procedure in the National Surgical Quality Improvement Program database. Each entry included the recipient location of the flap, postoperative complications, and demographics. Chi-square analysis was used to compare complication rates across various flap groupings. In addition, univariate and multivariate analyses were used to identify independent predictors of flap complications or failure. Results: Multivariate regression analysis demonstrated that compared to bone flaps, there is increased risk of nonbleeding complications in skin (Odds Ratio (OR) =7.7, Conclusion: Free flap reconstruction across flap type, anatomic location, and age ranges are safe and efficacious in the pediatric population.

Indexed as

Flapfree flappediatrictissue transfer

Identifiers

PMID36238337
PMCPMC9552629
OpenAlexW4306247859

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.