Evidence map›Paper›PMID 37902061›Full record

ArticleThe Annals of otology, rhinology, and laryngology2024

Postoperative Urinary Complications in Head and Neck Free Flap Reconstructive Surgery.

Kimberly Chan, Allison Keane, Sandeep Pradhan, Tonya King, Annie Moroco, Neerav Goyal, Karen Y Choi

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Annals of otology, rhinology, and laryngology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 3 institutions in 1 country.

Kimberly ChanDepartment of Otolaryngology - Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.ORCID 0000-0003-4053-4990
Allison KeaneDepartment of Otolaryngology - Head and Neck Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Sandeep PradhanDepartment of Public Health Sciences, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.
Tonya KingDepartment of Public Health Sciences, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.
Annie MorocoDepartment of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University, Sidney Kimmel Medical College, Philadelphia, PA, USA.ORCID 0000-0002-8955-2826
Neerav GoyalDepartment of Otolaryngology - Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.ORCID 0000-0001-7783-1097
Karen Y ChoiDepartment of Otolaryngology - Head and Neck Surgery, The Pennsylvania State University, College of Medicine, Hershey, PA, USA.
Pennsylvania State University · USThomas Jefferson University · USUniversity of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe purpose of this study is to evaluate the postoperative urinary complications and the optimal timing of foley catheter removal in patients who underwent free flap reconstructive surgery for head and neck pathology.

methodsA retrospective case-control study of head and neck patients who underwent free flap reconstructive surgery at a single institution between January 2009 and December 2021 was conducted. Patient risk factors for postoperative urinary retention (POUR) were analyzed. Fisher Exact and Wilcoxon Rank Sum tests were used to evaluate rates of foley replacement, straight catheterization, and catheter-associated urinary tract infection (CAUTI) and associated risk factors.

resultsTwo hundred and eleven patients were included in this study. Older age, lower BMI, lower intraoperative fluid volumes, and need for straight catheterization were statistically significant for POUR requiring foley replacement. Shorter total (

conclusionFoley catheter duration impacts the risk of POUR requiring straight catheterization and subsequently, foley replacement. Optimal timing for foley catheter removal in the postoperative period remains to be elucidated. Removal of catheters between 21 and 48 hours after surgery may decrease the risk of POUR without increasing the rate of CAUTI in patients with head and neck pathology undergoing free flap reconstructive surgery.

Indexed as

Free Tissue FlapsSurgery, PlasticUrinary RetentionUrinary Tract InfectionsCase-Control StudiesHumansPostoperative ComplicationsPostoperative PeriodRetrospective StudiesUrinary Cathetersfree flap reconstructionhead and neck cancermicrovascular reconstructionpostoperative urinary retentionurinary tract infection

Identifiers

PMID37902061
PMCPMC10865755
OpenAlexW4388013903

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.