Evidence map›Paper›PMID 36615812›Full record

ArticleNutrients2022

Hospital Variation in Feeding Jejunostomy Policy for Minimally Invasive Esophagectomy: A Nationwide Cohort Study.

Maurits R Visser, Jennifer Straatman, Daan M Voeten, Suzanne S Gisbertz, Jelle P Ruurda, Misha D P Luyer, Pieter C van der Sluis, Donald L van der Peet, Mark I van Berge Henegouwen, Richard van Hillegersberg and 1 more

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 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
0.7field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Review
  2. Early versus late oral feeding regimens following esophagectomy: a propensity score-matched observational cohort.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2025
    Observational
  3. Observational
  4. Article
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

11 authors at 4 institutions in 1 country.

Maurits R VisserDepartment of Surgery, University Medical Center Utrecht, University of Utrecht, 3584 CX Utrecht, The Netherlands.ORCID 0000-0002-5677-1264
Jennifer StraatmanDepartment of Surgery, Amsterdam UMC location Vrije Universiteit, 1081 HV Amsterdam, The Netherlands.
Daan M VoetenCancer Treatment and Quality of Life, Cancer Center Amsterdam, 1081 HV Amsterdam, The Netherlands.ORCID 0000-0003-4292-6795
Suzanne S GisbertzCancer Treatment and Quality of Life, Cancer Center Amsterdam, 1081 HV Amsterdam, The Netherlands.ORCID 0000-0001-9655-7601
Jelle P RuurdaDepartment of Surgery, University Medical Center Utrecht, University of Utrecht, 3584 CX Utrecht, The Netherlands.ORCID 0000-0001-6584-1677
Misha D P LuyerDepartment of Surgery, Catharina Hospital, 5602 ZA Eindhoven, The Netherlands.ORCID 0000-0002-9483-1520
Pieter C van der SluisDepartment of Surgery, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands.
Donald L van der PeetDepartment of Surgery, Amsterdam UMC location Vrije Universiteit, 1081 HV Amsterdam, The Netherlands.
Mark I van Berge HenegouwenCancer Treatment and Quality of Life, Cancer Center Amsterdam, 1081 HV Amsterdam, The Netherlands.ORCID 0000-0001-8689-3134
Richard van HillegersbergDepartment of Surgery, University Medical Center Utrecht, University of Utrecht, 3584 CX Utrecht, The Netherlands.
Dutch Upper Gastrointestinal Cancer Audit (DUCA) Group
Amsterdam University Medical Centers · NLUtrecht University · NLErasmus MC · NLRadboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study was to investigate hospital variation in the placement, surgical techniques, and safety of feeding jejunostomies (FJ) during minimally invasive esophagectomy (MIE) in the Netherlands. This nationwide cohort study analyzed patients registered in the Dutch Upper Gastrointestinal Cancer Audit (DUCA) that underwent MIE for cancer. Hospital variation in FJ placement rates were investigated using case-mix corrected funnel plots. Short-term outcomes were compared between patients with and without FJ using multilevel multivariable logistic regression analysis. The incidence of FJ-related complications was described and compared between hospitals performing routine and non-routine placement (≥90%−<90% of patients). Between 2018−2020, an FJ was placed in 1481/1811 (81.8%) patients. Rates ranged from 11−100% among hospitals. More patients were discharged within 10 days (median hospital stay) without FJ compared to patients with FJ (64.5% vs. 50.4%; OR: 0.62, 95% CI: 0.42−0.90). FJ-related complications occurred in 45 (3%) patients, of whom 23 (1.6%) experienced severe complications (≥Clavien−Dindo IIIa). The FJ-related complication rate was 13.7% in hospitals not routinely placing FJs vs. 1.7% in hospitals performing routine FJ placement (p < 0.001). Significant hospital variation in the use of FJs after MIE exists in the Netherlands. No effect of FJs on complications was observed. FJs can be placed safely, with lower FJ-related complication rates, in centers performing routine placement.

Indexed as

Esophageal NeoplasmsJejunostomyCohort StudiesEsophagectomyHospitalsHumansPostoperative ComplicationsRetrospective StudiesTreatment Outcomecomplicationsesophageal carcinomafeeding jejunostomyminimally invasive esophagectomy

Identifiers

PMID36615812
PMCPMC9823823
OpenAlexW4313409381

What OpenQuestion holds

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LicenceCC BY
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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.