Evidence map›Paper›PMID 37864576›Full record

ArticleBJS open2023

Population-based nationwide incidence of complications after gastrectomy for gastric adenocarcinoma in Finland.

Emilia Putila, Olli Helminen, Mika Helmiö, Heikki Huhta, Aapo Jalkanen, Raija Kallio, Vesa Koivukangas, Arto Kokkola, Simo Laine, Elina Lietzen and 12 more

Open access · goldAbstract read
In one paragraph

Article in BJS open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-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

9 citing papers in PubMed, 8 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

22 authors at 6 institutions in 2 countries.

Emilia PutilaSurgery Research Unit, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.ORCID 0000-0001-6135-189X
Olli HelminenSurgery Research Unit, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.ORCID 0000-0001-9544-6475
Mika HelmiöDivision of Digestive Surgery and Urology, Turku University Hospital, Turku, Finland.
Heikki HuhtaSurgery Research Unit, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
Aapo JalkanenDepartment of Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Raija KallioDepartment of Oncology and Radiotherapy, Oulu University Hospital, Oulu, Finland.
Vesa KoivukangasSurgery Research Unit, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
Arto KokkolaDepartment of Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Simo LaineDivision of Digestive Surgery and Urology, Turku University Hospital, Turku, Finland.
Elina LietzenDivision of Digestive Surgery and Urology, Turku University Hospital, Turku, Finland.
Johanna LouhimoDepartment of Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Sanna MeriläinenSurgery Research Unit, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
Vesa-Matti PohjanenCancer and Translational Medicine Research Unit, Medical Research Center Oulu, University of Oulu and Oulu University Hospital, Oulu, Finland.
Tuomo RantanenDepartment of Surgery, University of Eastern Finland and Kuopio University Hospital, Kuopio, Finland.
Ari RistimäkiDepartment of Pathology, HUSLAB, HUS Diagnostic Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Jari V RäsänenDepartment of General Thoracic and Oesophageal Surgery, Heart and Lung Centre, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Juha SaarnioSurgery Research Unit, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
Eero SihvoDepartment of Surgery, Central Finland Central Hospital, Jyväskylä, Finland.
Vesa ToikkanenDepartment of Cardiothoracic Surgery, Heart Center, Tampere University Hospital and University of Tampere, Tampere, Finland.
Tuula TyrväinenDepartment of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland.
Antti ValtolaDepartment of Surgery, University of Eastern Finland and Kuopio University Hospital, Kuopio, Finland.
Joonas H KauppilaSurgery Research Unit, Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland.
Oulu University Hospital · FIUniversity of Helsinki · FITurku University Hospital · FITampere University Hospital · FIUniversity of Eastern Finland · FICentral Finland Health Care District · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of postoperative complications after gastrectomy for gastric cancer is not well known. More population-based studies using established complication classifications are needed for international comparison. The aim of this study was to evaluate the population-based incidence of postoperative complications after gastrectomy for gastric cancer.

methodsThis population-based study based on the Finnish National Esophago-Gastric Cancer Cohort included all patients at least 18 years of age undergoing gastrectomy for gastric adenocarcinoma in Finland during 2005-2016. The occurrence of complications 30 and 90 days after surgery was graded based on the Esophagectomy Complications Consensus Group definitions and the severity of complications was assessed using the Clavien-Dindo scale.

resultsThis study included a total of 2196 patients. Postoperative complications occurred in 906 (41.3 per cent) of patients during 30 days after surgery and in 946 (43.1 per cent) during 90 days after surgery. Clavien-Dindo grade III or higher complications occurred in 375 (17.1 per cent) of patients. The most common complications 90 days after surgery by Esophagectomy Complications Consensus Group upper-level categories were gastrointestinal (n = 438; 19.9 per cent), including anastomotic leak, infectious (n = 377; 17.2 per cent) and pulmonary (n = 335; 15.3 per cent) complications. Postoperative mortality rate was occurred in 72 (3.3 per cent) patients within 30 days and in 161 (7.3 per cent) patients within 90 days after surgery. The median duration of postoperative hospital stay was 9 days (interquartile range 4-14).

conclusionsPostoperative complications are common across all types of gastrectomy and the majority occur during the first 30 postoperative days. This study informs the patients and caregivers of the expected outcomes of gastrectomy.

Indexed as

AdenocarcinomaStomach NeoplasmsFinlandGastrectomyHumansIncidencePostoperative ComplicationsRetrospective Studies

Identifiers

PMID37864576
PMCPMC10590062
OpenAlexW4387845003

What OpenQuestion holds

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LicenceCC BY
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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.