Evidence map›Paper›PMID 36253780›Full record

ArticleWorld journal of surgical oncology2022

Short-term postoperative outcomes of gastric adenocarcinoma patients treated with curative intent in low-volume centers.

Francisco-Javier Lacueva, Javier Escrig-Sos, Roberto Marti-Obiol, Carmen Zaragoza, Fernando Mingol, Miguel Oviedo, Nuria Peris, Joaquin Civera, Amparo Roig, RECEG-CV group

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
–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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. TREATMENT OF GASTRIC CANCER ACCORDING TO THE COMPLEXITY OF THE HOSPITAL ONCOLOGY UNIT: ANALYSIS OF 33,774 PATIENTS OVER TWO DECADES.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024
    Article
  5. 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

10 authors.

Francisco-Javier LacuevaHospital General Universitario de Elche, Elche, Spain. fj.lacueva@umh.es.
Javier Escrig-SosHospital General Universitario de Castellón, Castellón de la Plana, Spain.
Roberto Marti-ObiolHospital Clínico Universitario de Valencia, Valencia, Spain.
Carmen ZaragozaHospital General Universitario de Alicante, Alicante, Spain.
Fernando MingolHospital Universitario y Politécnico La Fe de Valencia, Valencia, Spain.
Miguel OviedoHospital General Universitario de Valencia, Valencia, Spain.
Nuria PerisHospital Universitario Doctor Peset de Valencia, Valencia, Spain.
Joaquin CiveraHospital Universitario Arnau de Vilanova de Valencia, Valencia, Spain.
Amparo RoigHospital Lluis Alcanyis de Xativa, Valencia, Spain.
RECEG-CV group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQuality standards in postoperative outcomes have not yet been defined for gastric cancer surgery. Also, the effect of centralization of gastric cancer surgery on the improvement of postoperative outcomes continues to be debated. Short-term postoperative outcomes in gastric carcinoma patients in centers with low-volume of annual gastrectomies were assessed. The effect of age on major postoperative morbidity and mortality was also analyzed.

methodsPatients with gastric or gastroesophageal junction Siewert III type carcinomas who underwent surgical treatment with curative intent between January 2013 and December 2016 were included. Data were obtained from the population-based surgical registry Esophagogastric Carcinoma Registry of the Comunitat Valenciana (RECEG-CV). The RECEG-CV gathers information on demographic characteristics and comorbidity, preoperative study and neoadjuvant treatment, surgical procedure, pathological study, postoperative outcomes, and follow-up. Seventeen hospitals belonging to the public network participated in this registry.

resultsData from 591 patients were analyzed. Postoperative major morbidity occurred in 154 (26.1%) patients. Overall 30-day or in-hospital mortality, and 90-day postoperative mortality rates were 8.6% and 10.1% respectively. Failure-to-rescue was 39% and it was significantly higher in patients aged 75 years or older in comparison with younger patients (55.3% vs 23.1% p < 0.001). In the multivariable analysis, age ≥ 75 years (p = 0.029), laparoscopic approach (p = 0.005), and total gastrectomy (p = 0.005) were associated with major postoperative morbidity. Age ≥ 75 years (p = 0.027), pulmonary complications (p = 0.001), cardiac complications (p = 0.001), leakage (p = 0.003), and hemorrhage (p = 0.013) were associated with postoperative mortality.

conclusionsCentralization of gastric adenocarcinoma treatment in centers with higher annual caseload should be considered to improve the short-term postoperative outcomes in low-volume centers. Patients aged 75 or older had a significantly increased risk of major postoperative morbidity and mortality, and higher failure-to-rescue.

Indexed as

AdenocarcinomaCarcinomaStomach NeoplasmsGastrectomyHumansPostoperative ComplicationsRetrospective StudiesTreatment OutcomeAgeFailure to rescueGastrectomyGastric cancerPostoperative mortalityPostoperative outcomes

Identifiers

PMID36253780
PMCPMC9575241

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.