Evidence map›Paper›PMID 36539114›Full record

ArticleAorta (Stamford, Conn.)2022

Retroperitoneal Compared to Transperitoneal Approach for Open Abdominal Aortic Aneurysm Repair Is Associated with Reduced Systemic Inflammation and Postoperative Morbidity.

Damian M Bailey, George A Rose, Daniel O'Donovan, Dafydd Locker, Ian R Appadurai, Richard G Davies, Richard J Whiston, Mohamad Bashir, Michael H Lewis, Ian M Williams

Abstract read
In one paragraph

Article in Aorta (Stamford, Conn.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

10 authors.

Damian M BaileyNeurovascular Research Laboratory, Faculty of Life Sciences and Education, University of South Wales, Pontypridd, United Kingdom.ORCID 0000-0003-0498-7095
George A RoseNeurovascular Research Laboratory, Faculty of Life Sciences and Education, University of South Wales, Pontypridd, United Kingdom.ORCID 0000-0002-9598-6372
Daniel O'DonovanDepartment of Anaesthetics, University Hospital of Wales, Cardiff, United Kingdom.
Dafydd LockerDepartment of Vascular Surgery, University Hospital of Wales, Cardiff, United Kingdom.
Ian R AppaduraiDepartment of Anaesthetics, University Hospital of Wales, Cardiff, United Kingdom.
Richard G DaviesNeurovascular Research Laboratory, Faculty of Life Sciences and Education, University of South Wales, Pontypridd, United Kingdom.
Richard J WhistonDepartment of Vascular Surgery, University Hospital of Wales, Cardiff, United Kingdom.
Mohamad BashirNeurovascular Research Laboratory, Faculty of Life Sciences and Education, University of South Wales, Pontypridd, United Kingdom.ORCID 0000-0002-2605-538X
Michael H LewisNeurovascular Research Laboratory, Faculty of Life Sciences and Education, University of South Wales, Pontypridd, United Kingdom.
Ian M WilliamsNeurovascular Research Laboratory, Faculty of Life Sciences and Education, University of South Wales, Pontypridd, United Kingdom.ORCID 0000-0003-1145-107X

Funding

IES\R2\192137 Royal Society International Exchanges AwardJSPS/OF317 Japan Society for the Promotion of ScienceWM170007 Royal Society Wolfson Research Fellowship
6 · The paper itself

Abstract

backgroundIn the United Kingdom, the most common surgical approach for repair of open abdominal aortic aneurysms (AAAs) is transperitoneal (TP). However, retroperitoneal (RP) approach is favored in those with more complex vascular anatomy often requiring a cross-clamp on the aorta superior to the renal arteries. This study compared these approaches in patients matched on all major demographic, comorbid, anatomic, and physiological variables.

methodsFifty-seven patients (TP:

resultsTwenty-three (96%) of TP patients only required an IR clamp compared with 12 (36%) in the RP group. Postoperative systemic inflammation was lower in RP patients (

conclusionDespite the demands of more complicated vascular anatomy, the clinical and economic benefits highlighted by these findings justify the more routine adoption of the RP approach for complex AAA repair.

Identifiers

PMID36539114
PMCPMC9767756

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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.