Evidence map›Paper›PMID 38298206›Full record

ArticleBJA open2024

Preoperative aerobic fitness and perioperative outcomes in patients undergoing cystectomy before and after implementation of a national lockdown.

Nicholas Tetlow, Amy Dewar, Pietro Arina, Melanie Tan, Ashwin N Sridhar, John D Kelly, Nishkantha Arulkumaran, Robert C M Stephens, Daniel S Martin, Suneetha R Moonesinghe and 1 more

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

Article in BJA open, 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
0cells of the map it votes in
0citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

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

11 authors at 3 institutions in 1 country.

Nicholas TetlowDepartment of Anaesthesia and Peri-operative Medicine, University College London Hospitals NHS Foundation Trust, London, UK.
Amy DewarDepartment of Anaesthesia and Peri-operative Medicine, University College London Hospitals NHS Foundation Trust, London, UK.
Pietro ArinaHuman Physiology and Performance Laboratory (HPPL), Centre for Peri-operative Medicine, Department of Targeted Intervention, Division of Surgery and Interventional Science, University College London, London, UK.
Melanie TanDepartment of Anaesthesia and Peri-operative Medicine, University College London Hospitals NHS Foundation Trust, London, UK.
Ashwin N SridharDepartment of Urology, University College London Hospitals NHS Foundation Trust, London, UK.
John D KellyDepartment of Urology, University College London Hospitals NHS Foundation Trust, London, UK.
Nishkantha ArulkumaranHuman Physiology and Performance Laboratory (HPPL), Centre for Peri-operative Medicine, Department of Targeted Intervention, Division of Surgery and Interventional Science, University College London, London, UK.
Robert C M StephensDepartment of Anaesthesia and Peri-operative Medicine, University College London Hospitals NHS Foundation Trust, London, UK.
Daniel S MartinPeninsula Medical School, University of Plymouth, Plymouth, UK.
Suneetha R MoonesingheDepartment of Anaesthesia and Peri-operative Medicine, University College London Hospitals NHS Foundation Trust, London, UK.
John WhittleDepartment of Anaesthesia and Peri-operative Medicine, University College London Hospitals NHS Foundation Trust, London, UK.
University College London Hospitals NHS Foundation Trust · GBBury College · GBUniversity of Plymouth · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Lower fitness is a predictor of adverse outcomes after radical cystectomy. Lockdown measures during the COVID-19 pandemic affected daily physical activity. We hypothesised that lockdown during the pandemic was associated with a reduction in preoperative aerobic fitness and an increase in postoperative complications in patients undergoing radical cystectomy. Methods: We reviewed routine preoperative cardiopulmonary exercise testing (CPET) data collected prior to the pandemic (September 2018 to March 2020) and after lockdown (March 2020 to July 2021) in patients undergoing radical cystectomy. Differences in CPET variables, Postoperative Morbidity Survey (POMS) data, and length of hospital stay were compared. Results: We identified 267 patients (85 pre-lockdown and 83 during lockdown) who underwent CPET and radical cystectomy. Patients undergoing radical cystectomy throughout lockdown had lower ventilatory anaerobic threshold (9.0 [7.9-10.9] Conclusions: Lockdown measures in response to the COVID-19 pandemic were associated with a reduction in fitness and an increase in postoperative morbidity among patients undergoing radical cystectomy.

Indexed as

aerobic fitnessCOVID-19 lockdownCPETpostoperative morbidityradical cystectomy

Identifiers

PMID38298206
PMCPMC10828563
OpenAlexW4390959454

What OpenQuestion holds

Textmetadata
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.