Evidence map›Paper›PMID 38293327›Full record

Trial reportWorld journal of gastroenterology2024

Machine learning identifies the risk of complications after laparoscopic radical gastrectomy for gastric cancer.

Qing-Qi Hong, Su Yan, Yong-Liang Zhao, Lin Fan, Li Yang, Wen-Bin Zhang, Hao Liu, He-Xin Lin, Jian Zhang, Zhi-Jian Ye and 11 more

Open access · hybridAbstract readMulticenter StudyClinical Trial
In one paragraph

Trial report in World journal of gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
7.5field-weighted citation impact, top 2% 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

17 citing papers in PubMed, 18 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

21 authors at 4 institutions in 1 country.

Qing-Qi HongDepartment of Gastrointestinal Oncology Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen 361001, Fujian Province, China.
Su YanDepartment of Gastrointestinal Surgery, Qinghai University Affiliated Hospital, Xining 810000, Qinghai Province, China.
Yong-Liang ZhaoDepartment of General Surgery and Center of Minimal Invasive Gastrointestinal Surgery, The First Hospital Affiliated to Army Medical University, Chongqing 400038, China.
Lin FanDepartment of General Surgery, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaanxi Province, China.
Li YangDepartment of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China.
Wen-Bin ZhangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Xinjiang Medical University, Urmuqi 830054, Xinjiang Uygur Autonomous Region, China.
Hao LiuDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong Province, China.
He-Xin LinDepartment of Gastrointestinal Oncology Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen 361001, Fujian Province, China.
Jian ZhangDepartment of Gastrointestinal Surgery, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou 310006, Zhejiang Province, China.
Zhi-Jian YeDepartment of Gastrointestinal Surgery, Zhongshan Hospital of Xiamen University, Xiamen 361004, Fujian Province, China.
Xian ShenDepartment of Surgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou 325027, Zhejiang Province, China.
Li-Sheng CaiDepartment of General Surgery Unit 4, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou 363000, Fujian Province, China.
Guo-Wei ZhangDepartment of Gastrointestinal Surgery, The Second Affiliated Hospital of Xiamen Medical College, Xiamen 361021, Fujian Province, China.
Jia-Ming ZhuDepartment of Gastrointestinal Nutrition and Hernia Surgery, The Second Hospital of Jilin University, Changchun 130041, Jilin Province, China.
Gang JiDepartment of Digestive Diseases, Xijing Hospital, Air Force Military Medical University, Xi'an 710032, Shaanxi Province, China.
Jin-Ping ChenDepartment of Gastrointestinal Surgery, Quanzhou First Hospital Affiliated to Fujian Medical University, Quanzhou 362002, Fujian Province, China.
Wei WangDepartment of Gastrointestinal Surgery, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, Guangdong Province, China.
Zheng-Rong LiDepartment of Gastrointestinal Surgery, The First Affiliated Hospital of Nanchang University, Nanchang 330006, Jiangxi Province, China.
Jing-Tao ZhuThe Third Clinical Medical College, Fujian Medical University, Fuzhou 35000, Fujian Province, China.
Guo-Xin LiDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong Province, China.
Jun YouDepartment of Gastrointestinal Oncology Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen 361001, Fujian Province, China. youjun@xmu.edu.cn.
First Affiliated Hospital of Xi'an Jiaotong University · CNNanfang Hospital · CNNanjing Medical University · CNSouthern Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic radical gastrectomy is widely used, and perioperative complications have become a highly concerned issue.

aimTo develop a predictive model for complications in laparoscopic radical gastrectomy for gastric cancer to better predict the likelihood of complications in gastric cancer patients within 30 days after surgery, guide perioperative treatment strategies for gastric cancer patients, and prevent serious complications.

methodsIn total, 998 patients who underwent laparoscopic radical gastrectomy for gastric cancer at 16 Chinese medical centers were included in the training group for the complication model, and 398 patients were included in the validation group. The clinicopathological data and 30-d postoperative complications of gastric cancer patients were collected. Three machine learning methods, lasso regression, random forest, and artificial neural networks, were used to construct postoperative complication prediction models for laparoscopic distal gastrectomy and laparoscopic total gastrectomy, and their prediction efficacy and accuracy were evaluated.

resultsThe constructed complication model, particularly the random forest model, could better predict serious complications in gastric cancer patients undergoing laparoscopic radical gastrectomy. It exhibited stable performance in external validation and is worthy of further promotion in more centers.

conclusionUsing the risk factors identified in multicenter datasets, highly sensitive risk prediction models for complications following laparoscopic radical gastrectomy were established. We hope to facilitate the diagnosis and treatment of preoperative and postoperative decision-making by using these models.

Indexed as

LaparoscopyStomach NeoplasmsGastrectomyHumansPostoperative ComplicationsRetrospective StudiesTreatment OutcomeGastric cancerLaparoscopic radical gastrectomyLaparoscopic total gastrectomyPostoperative complications

Identifiers

PMID38293327
PMCPMC10823896
OpenAlexW4390637771

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.