Evidence map›Paper›PMID 37704870›Full record

ArticleSurgery today2024

The learning curve of liver procurement from donation after circulatory death donor.

Yuki Bekki, Bryan Myers, Sander Florman

Abstract read
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In one paragraph

Article in Surgery today, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Yuki BekkiThe Icahn School of Medicine at Mount Sinai, Recanati-Miller Transplantation Institute, One Gustave L. Levy Place, New York, NY, 10029, USA. yuuki.bekki@gmail.com.
Bryan MyersThe Icahn School of Medicine at Mount Sinai, Recanati-Miller Transplantation Institute, One Gustave L. Levy Place, New York, NY, 10029, USA.
Sander FlormanThe Icahn School of Medicine at Mount Sinai, Recanati-Miller Transplantation Institute, One Gustave L. Levy Place, New York, NY, 10029, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to evaluate the learning curve for donation after circulatory death (DCD) liver procurement.

methodsDCD liver procurements performed by a single surgeon (n = 36) were separated into two phases: the learning and established phases.

resultsA cumulative sum analysis using the operative donor warm ischemia time (oWIT) and donor hepatectomy time (dHT) showed that ten and seven cases, respectively, were needed for stable surgical procedures. The established phase (n = 26, since Case 11) was likely to have a shorter oWIT (p = 0.06; 7.5 min vs. 9 min) and dHT (p = 0.09; 32 min vs. 37 min) than the learning phase. While the hospital stay was significantly shorter and donor age was older in the established phase (p = 0.04 and p < 0.01; 12 days vs. 41 days and 38 years vs. 24 years, respectively), the incidence rates of post-transplant complications such as early allograft dysfunction (p = 0.74) and vascular complications (p = 0.53) were similar.

conclusionsThe learning curve for DCD liver procurement demonstrated that 10 cases were required to establish these techniques. The oWIT and dHT for DCD liver procurement can represent markers of operative efficiency.

Indexed as

Liver TransplantationTissue and Organ ProcurementGraft SurvivalHumansLearning CurveLiverRetrospective StudiesTissue DonorsDCD liver procurementLearning curveLiver transplantation

Identifiers

PMID37704870

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.