Evidence map›Paper›PMID 37615756›Full record

ArticleSurgery today2024

Influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children.

Keita Terui, Hisateru Tachimori, Satoru Oita, Michimasa Fujiogi, Jun Fujishiro, Norimichi Hirahara, Hiroaki Miyata, Tomoro Hishiki

Abstract read
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Article in Surgery today, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

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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

8 authors at 5 institutions in 2 countries.

Keita TeruiDepartment of Pediatric Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan. kta@cc.rim.or.jp.
Hisateru TachimoriEndowed Course for Health System Innovation, Keio University School of Medicine, Tokyo, Japan.
Satoru OitaDepartment of Pediatric Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan.
Michimasa FujiogiDepartment of Surgery, National Center for Child Health and Development, Tokyo, Japan.
Jun FujishiroDepartment of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Norimichi HiraharaDigital Health and Innovation Unit, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Hiroaki MiyataEndowed Course for Health System Innovation, Keio University School of Medicine, Tokyo, Japan.
Tomoro HishikiDepartment of Pediatric Surgery, Graduate School of Medicine, Chiba University, 1-8-1 Inohana, Chuo-ku, Chiba, 260-8677, Japan.
Chiba University · JPThe University of Tokyo · JPKeio University · JPNational Center For Child Health and Development · JPUniversity of Malaya · MY

Funding

The Health Care Science Institute The Health Care Science Institute Research Grant
6 · The paper itself

Abstract

purposeTo clarify the influence of surgical volume on the mortality and morbidity of gastrointestinal perforation in children in Japan.

methodsWe collected data on pediatric patients with gastrointestinal perforation between 2017 and 2019, from the National Clinical Database. The surgical volumes of various institutions were classified into three groups: low (average number of surgeries for gastrointestinal perforation/year < 1), medium (≥ 1, < 6), and high (≥ 6). The observed-to-expected (o/e) ratios of 30-day mortality and morbidity were calculated for each group using an existing risk model.

resultsAmong 1641 patients (median age, 0.0 years), the 30-day mortality and morbidity rates were 5.2% and 37.7%, respectively. The 30-day mortality rates in the low-, medium-, and high-volume institutions were 4.9%, 5.3%, and 5.1% (p = 0.94), and the 30-day morbidity rates in the three groups were 26.8%, 39.7%, and 37.7% (p < 0.01), respectively. The o/e ratios of 30-day mortality were 1.05 (95% confidence interval [CI] 0.83-1.26), 1.08 (95% CI 1.01-1.15), and 1.02 (95% CI 0.91-1.13), and those of 30-day morbidity were 1.72 (95% CI 0.93-2.51), 1.03 (95% CI 0.79-1.28), and 0.95 (95% CI 0.56-1.33), respectively.

conclusionSurgical volume does not have significant impact on the outcomes of pediatric gastrointestinal perforation in Japan.

Indexed as

MorbidityChildHumansInfant, NewbornJapanAcute abdomenHigh-volume hospitalsIntestinal perforationMorbidityMortality

Identifiers

PMID37615756
OpenAlexW4386116562

What OpenQuestion holds

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Registered trials

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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.