Evidence map›Paper›PMID 38070095›Full record

ArticleWorld journal of pediatrics : WJP2024

Perioperative complication incidence and risk factors for retroperitoneal neuroblastoma in children: analysis of 571 patients.

Min He, Jia-Bin Cai, Xuan Wu, Yin-Bing Tang, Jin-Yan Wang, Jun-Qin Mao, Ji-Jun Chen, Li-Feng Zhang, Zhong-Hai Guan, Jie-Ni Xiong and 3 more

Open access · hybridAbstract readVideo-Audio Media
In one paragraph

Article in World journal of pediatrics : WJP, 2024. 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
1.0field-weighted citation impact, top 21% 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, 5 citations in OpenAlex.

  1. Article
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  6. Article
  7. Genetic variants of mHuman genomics · 2025
    Article
  8. Article
  9. Surgical Treatment of Adrenal Neuroblastoma in Children - A Narrative Review.International braz j urol : official journal of the Brazilian Society of Urology
    Review
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

13 authors at 2 institutions in 1 country.

Min HePediatric Cancer Research Center, National Clinical Research Center for Child Health, Hangzhou, China.
Jia-Bin CaiPediatric Cancer Research Center, National Clinical Research Center for Child Health, Hangzhou, China.
Xuan WuPediatric Cancer Research Center, National Clinical Research Center for Child Health, Hangzhou, China.
Yin-Bing TangPediatric Cancer Research Center, National Clinical Research Center for Child Health, Hangzhou, China.
Jin-Yan WangPediatric Cancer Research Center, National Clinical Research Center for Child Health, Hangzhou, China.
Jun-Qin MaoPediatric Cancer Research Center, National Clinical Research Center for Child Health, Hangzhou, China.
Ji-Jun ChenPediatric Cancer Research Center, National Clinical Research Center for Child Health, Hangzhou, China.
Li-Feng ZhangPediatric Cancer Research Center, National Clinical Research Center for Child Health, Hangzhou, China.
Zhong-Hai GuanPediatric Cancer Research Center, National Clinical Research Center for Child Health, Hangzhou, China.
Jie-Ni XiongPediatric Cancer Research Center, National Clinical Research Center for Child Health, Hangzhou, China.
Wan-Xin PengPediatric Cancer Research Center, National Clinical Research Center for Child Health, Hangzhou, China.
Jin-Hu WangPediatric Cancer Research Center, National Clinical Research Center for Child Health, Hangzhou, China. wjh@zju.edu.cn.
Ting TaoPediatric Cancer Research Center, National Clinical Research Center for Child Health, Hangzhou, China. taot@zju.edu.cn.
Zhejiang University · CNChildren's Hospital of Zhejiang University · CN

Funding

National Natural Science Foundation of China 32270853Natural Science Foundation of Zhejiang Province HDMZ23H160029
6 · The paper itself

Abstract

backgroundSurgery plays an important role in the treatment of neuroblastoma. Perioperative complications may impact the course of neuroblastoma treatment. To date, comprehensive analyses of complications and risk factors have been lacking.

methodsPatients with retroperitoneal neuroblastoma undergoing tumor resection were retrospectively analyzed between 2014 and 2021. The data collected included clinical characteristics, operative details, operative complications and postoperative outcomes. Risk factors for perioperative complications of retroperitoneal neuroblastoma were analyzed.

resultsA total of 571 patients were enrolled in this study. Perioperative complications were observed in 255 (44.7%) patients. Lymphatic leakage (28.4%), diarrhea (13.5%), and injury (vascular, nerve and organ; 7.5%) were the most frequent complications. There were three operation-related deaths (0.53%): massive hemorrhage (n = 1), biliary tract perforation (n = 1) and intestinal necrosis (n = 1). The presence of image-defined risk factors (IDRFs) [odds ratio (OR) = 2.09, P < 0.01], high stage of the International Neuroblastoma Risk Group staging system (INRGSS) (OR = 0.454, P = 0.04), retroperitoneal lymph node metastasis (OR = 2.433, P = 0.026), superior mesenteric artery encasement (OR = 3.346, P = 0.003), and inferior mesenteric artery encasement (OR = 2.218, P = 0.019) were identified as independent risk factors for perioperative complications.

conclusionsDespite the high incidence of perioperative complications, the associated mortality rate was quite low. Perioperative complications of retroperitoneal neuroblastoma were associated with IDRFs, INRGSS, retroperitoneal lymph node metastasis and vascular encasement. Patients with high-risk factors should receive more serious attention during surgery but should not discourage the determination to pursue total resection of neuroblastoma. Video Abstract (MP4 94289 KB).

Indexed as

NeuroblastomaChildHumansIncidenceLymphatic MetastasisNeoplasm StagingPostoperative ComplicationsRetrospective StudiesRisk FactorsComplicationNeuroblastomaRisk factorsSurgery

Identifiers

PMID38070095
PMCPMC10957663
OpenAlexW4389507699

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.