Evidence map›Paper›PMID 37147511›Full record

ArticleSurgery today2023

Postoperative cerebral infarction and arrhythmia after pulmonary lobectomy in Japan: a retrospective analysis of 77,060 cases in a national clinical database.

Daisuke Kimura, Hiroyuki Yamamoto, Shunsuke Endo, Eriko Fukuchi, Hiroaki Miyata, Ikuo Fukuda, Hitoshi Ogino, Yoshiki Sawa, Masayuki Chida, Masahito Minakawa

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Article in Surgery today, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Proximal ligation of the pulmonary vein stump to prevent postoperative cerebral infarction after a lobectomy†.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Article
  5. Review
  6. 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 7 institutions in 1 country.

Daisuke KimuraThe Japanese Association for Thoracic Surgery, Tokyo, Japan. d-suke@hirosaki-u.ac.jp.ORCID http://orcid.org/0000-0002-5484-8686
Hiroyuki YamamotoDepartment of Healthcare Quality Assessment, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Shunsuke EndoThe Japanese Association for Thoracic Surgery, Tokyo, Japan.
Eriko FukuchiDepartment of Healthcare Quality Assessment, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Hiroaki MiyataDepartment of Healthcare Quality Assessment, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Ikuo FukudaThe Japanese Association for Thoracic Surgery, Tokyo, Japan.
Hitoshi OginoThe Japanese Association for Thoracic Surgery, Tokyo, Japan.
Yoshiki SawaThe Japanese Association for Thoracic Surgery, Tokyo, Japan.
Masayuki ChidaThe Japanese Association for Thoracic Surgery, Tokyo, Japan.
Masahito MinakawaThe Japanese Association for Thoracic Surgery, Tokyo, Japan.
The University of Tokyo · JPHirosaki University · JPDokkyo Medical University · JPJichi Medical University · JPOsaka Police Hospital · JPSuita Tokushukai Hospital · JPTokyo Medical University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the incidence of postoperative cerebral infarction after curative lobectomy, its association with the type of lobectomy, and how postoperative new-onset arrhythmia contributes to postoperative cerebral infarction.

methodsThe subjects of this analysis were 77,060 patients who underwent curative lobectomy for lung cancer between 2016 and 2018 according to the National Clinical Database. Incidences of postoperative cerebral infarction and postoperative new-onset arrhythmia were analyzed. Moreover, mediation analysis was performed to evaluate the causal pathway between postoperative new-onset arrhythmia and postoperative cerebral infarction.

resultsPostoperative cerebral infarction occurred in 110 (0.7%) patients after left upper lobectomy and in 85 (0.7%) patients after left lower lobectomy. Left upper lobectomy and left lower lobectomy were associated with a higher likelihood of postoperative cerebral infarction than right lower lobectomy. Left upper lobectomy was the strongest independent predictor of postoperative new-onset arrhythmia. However, in the mediation analysis, the odds ratio for cerebral infarction did not change after the addition of the factor of postoperative new-onset arrhythmia.

conclusionCerebral infarction occurred significantly more often not only after left upper lobectomy, but also after left lower lobectomy. Postoperative new-onset arrhythmia was less likely to be related to cerebral infarction after left upper lobectomy.

Indexed as

Lung NeoplasmsPneumonectomyArrhythmias, CardiacCerebral InfarctionHumansJapanRetrospective StudiesLeft lower lobectomyLeft upper lobectomyLung cancerPostoperative cerebral infarctionPostoperative new-onset arrhythmia

Identifiers

PMID37147511
OpenAlexW4372261199

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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.