Evidence map›Paper›PMID 37416740›Full record

ArticleAnnals of gastroenterological surgery2023

Survival impact of surgical site infection in esophageal cancer surgery: A multicenter retrospective cohort study.

Akihisa Matsuda, Hiroshi Maruyama, Shinji Akagi, Toru Inoue, Kenichiro Uemura, Minako Kobayashi, Hisanori Shiomi, Manabu Watanabe, Takeo Fujita, Risa Takahata and 10 more

Open access · goldAbstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
7.3field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  9. Preoperative PD-1Oncology letters · 2025
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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

20 authors at 14 institutions in 1 country.

Akihisa MatsudaDepartment of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery Nippon Medical School Bunkyo-ku Japan.ORCID https://orcid.org/0000-0002-6468-9375
Hiroshi MaruyamaClinical Trial Committee of the Japan Society for Surgical Infection Chiyoda-ku Japan.
Shinji AkagiClinical Trial Committee of the Japan Society for Surgical Infection Chiyoda-ku Japan.
Toru InoueClinical Trial Committee of the Japan Society for Surgical Infection Chiyoda-ku Japan.
Kenichiro UemuraClinical Trial Committee of the Japan Society for Surgical Infection Chiyoda-ku Japan.
Minako KobayashiClinical Trial Committee of the Japan Society for Surgical Infection Chiyoda-ku Japan.
Hisanori ShiomiClinical Trial Committee of the Japan Society for Surgical Infection Chiyoda-ku Japan.
Manabu WatanabeClinical Trial Committee of the Japan Society for Surgical Infection Chiyoda-ku Japan.
Takeo FujitaDepartment of Esophageal Surgery National Cancer Center Hospital East Kashiwa Japan.ORCID https://orcid.org/0000-0002-6098-9813
Risa TakahataDepartment of Surgery National Defense Medical College Saitama Japan.
Shigeru TakedaDepartment of Gastroenterological, Breast and Endocrine Surgery Yamaguchi University Graduate School of Medicine Yamaguchi Japan.ORCID https://orcid.org/0000-0002-2158-7440
Yasuo FukuiDepartment of Gastroenterological Surgery Kochi Health Sciences Center Kochi Japan.
Yuji ToiyamaDepartment of Gastrointestinal and Pediatric Surgery, Division of Reparative Medicine, Institute of Life Sciences Mie University Graduate School of Medicine Tsu Japan.ORCID https://orcid.org/0000-0003-1301-3268
Nobutoshi HagiwaraDepartment of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery Nippon Medical School Bunkyo-ku Japan.
Akio KaitoDepartment of Digestive Surgery Tsuchiura Kyodo General Hospital Ibaraki Japan.
Takeshi MatsutaniDepartment of Digestive Surgery Nippon Medical School Musashikosugi Hospital Kawasaki Japan.
Tomohiko YasudaDepartment of Surgery Nippon Medical School Chiba Hokusoh Hospital Inzai Japan.
Hiroshi YoshidaDepartment of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery Nippon Medical School Bunkyo-ku Japan.
Hironori TsujimotoDepartment of Surgery National Defense Medical College Saitama Japan.ORCID https://orcid.org/0000-0002-2808-4723
Yuko KitagawaJapan Society for Surgical Infection Tokyo Japan.
Japan Society for the Promotion of Science · JPNippon Medical School · JPChiba Hokusou Hospital · JPHiroshima University · JPJapan Surgical Society · JPKeio University · JPMazda Motor Corporation (Japan) · JPMie University · JPNational Cancer Center Hospital East · JPNational Defense Medical College · JPNippon Medical School Musashi Kosugi Hospital · JPToho University · JPTsuchiura Kyodo General Hospital · JPYamaguchi University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: This study was performed to evaluate the oncological impact of surgical site infection (SSI) and pneumonia on long-term outcomes after esophagectomy. Methods: The Japan Society for Surgical Infection conducted a multicenter retrospective cohort study involving 407 patients with curative stage I/II/III esophageal cancer at 11 centers from April 2013 to March 2015. We investigated the association of SSI and postoperative pneumonia with oncological outcomes in terms of relapse-free survival (RFS) and overall survival (OS). Results: Ninety (22.1%), 65 (16.0%), and 22 (5.4%) patients had SSI, pneumonia, and both SSI and pneumonia, respectively. The univariate analysis demonstrated that SSI and pneumonia were associated with worse RFS and OS. In the multivariate analysis, however, only SSI had a significant negative impact on RFS (HR, 1.63; 95% confidence interval, 1.12-2.36; Conclusion: Our study demonstrated that SSI, rather than pneumonia, after esophagectomy was associated with impaired oncological outcomes. Further progress in the development of strategies for SSI prevention may improve the quality of care and oncological outcomes in patients undergoing curative esophagectomy.

Indexed as

esophageal cancerpneumoniasurgical site infectionsurvival

Identifiers

PMID37416740
PMCPMC10319607
OpenAlexW4319833070

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.