Evidence map›Paper›PMID 36645513›Full record

ArticlePediatric surgery international2023

Thoracoscopic vs open repair of congenital diaphragmatic hernia after extracorporeal membrane oxygenation: a comparison of intra-operative data.

Annita Budzanowski, Stavros Loukogeorgakis, Dhanya Mullassery, Simon Blackburn, Joe Curry, Ioannis Ioannou, Usman Ali, Kate Cross, Stefano Giuliani, Paolo De Coppi

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

Article in Pediatric surgery international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 4 pooled it
2.5field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 4 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Review
  7. 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

10 authors at 3 institutions in 2 countries.

Annita BudzanowskiGreat Ormond Street Hospital for Children, SNAPS, London, UK.
Stavros LoukogeorgakisGreat Ormond Street Hospital for Children, SNAPS, London, UK.
Dhanya MullasseryGreat Ormond Street Hospital for Children, SNAPS, London, UK.
Simon BlackburnGreat Ormond Street Hospital for Children, SNAPS, London, UK.
Joe CurryGreat Ormond Street Hospital for Children, SNAPS, London, UK.
Ioannis IoannouAnaesthesia Department, Great Ormond Street Hospital for Children, London, UK.
Usman AliAnaesthesia Department, Great Ormond Street Hospital for Children, London, UK.
Kate CrossGreat Ormond Street Hospital for Children, SNAPS, London, UK.
Stefano GiulianiGreat Ormond Street Hospital for Children, SNAPS, London, UK.
Paolo De CoppiGreat Ormond Street Hospital for Children, SNAPS, London, UK. p.decoppi@ucl.ac.uk.
Great Ormond Street Hospital · GBUniversity College London · GBLondon International Development Centre · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeECMO is an escalation treatment for hypoxic respiratory failure in patients with CDH. Open repair has been advocated after ECMO indicating that physiological changes associated to thoracoscopic repair were not well tolerated.

methodsWe have performed a retrospective review of all patients who underwent ECMO prior CDH repair over a 7 year period (2015-2021). Outcome measures were intra-operative Ph, PCO

resultsEleven patients required ECMO prior CDH repair. Six of eleven (55%) were done thoracoscopically (Group A) and five of eleven (45%) via laparotomy (Group B). Two of six (33%) patients (Group A) were converted to a laparotomy, one of six (16%) patient developed a recurrence, and there was no recurrence in Group B. Two of five (40%) patients died within the first 60 days of life, whilst there was no death in Group A. Intra-operative values are shown below.

conclusionWhilst this is a preliminary report of a limited number of patients, there is no obvious difference of intra-operative blood gas parameters during surgical repair in patients after ECMO. Thoracoscopic CDH repair may be considered in patients after ECMO.

Indexed as

Extracorporeal Membrane OxygenationHernias, Diaphragmatic, CongenitalHumansRetrospective StudiesThoracoscopyTreatment OutcomeCDHECMOMinimal invasive surgeryNeonates

Identifiers

PMID36645513
PMCPMC9842545
OpenAlexW4316467886

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.