Evidence map›Paper›PMID 38510855›Full record

ReviewCureus2024

Effect of Obesity on Surgical Outcomes and Complication Rates in Pediatric Patients: A Comprehensive Systematic Review and Meta-Analysis.

Yeisson Rivero-Moreno, Andrea Garcia, Miguel Rivas-Perez, Jesus Coa-Bracho, Yoalkris Salcedo, Gabriel Gonzalez-Quinde, Erinor Montero-Palma, Denisse Valdivia-Sepulveda, Marialejandra Paz-Castillo, Debbye Machado-Paled and 4 more

Open access · diamondAbstract readReview
In one paragraph

Review in Cureus, 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
4.6field-weighted citation impact, top 5% 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.

  1. Article
  2. Defining the associations between weight, obesity and outcomes of posterior fossa decompression for Chiari malformation in adolescents.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
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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

14 authors at 10 institutions in 8 countries.

Yeisson Rivero-MorenoDepartment of Surgery, Universidad de Oriente, Anzoategui, VEN.
Andrea GarciaDepartment of Internal Medicine, Universidad de Oriente, Ciudad Bolivar, VEN.
Miguel Rivas-PerezDepartment of Surgery, Universidad de Oriente, Anzoategui, VEN.
Jesus Coa-BrachoDepartment of Surgery, Hospital de Talagante, Santiago de Chile, CHL.
Yoalkris SalcedoDepartment of Surgery, Universidad Iberoamericana, Santo Domingo, DOM.
Gabriel Gonzalez-QuindeDepartment of Surgery, Hospital Leon Becerra Camacho, Milagro, ECU.
Erinor Montero-PalmaDepartment of Surgery, Universidad de Oriente, Anzoategui, VEN.
Denisse Valdivia-SepulvedaDepartment of Surgery, Centro de Estudios Universitarios Xochicalco, Xochicalco, MEX.
Marialejandra Paz-CastilloDepartment of Surgery, Universidad de Oriente, Anzoategui, VEN.
Debbye Machado-PaledDepartment of Surgery, Universidad Catolica de Honduras, Tegucigalpa, HND.
Wilson Garcia-CazorlaDepartment of Surgery, Universidad de Cuenca, Cuenca, ECU.
Katheryn Acero-AlvarracínDepartment of General Surgery, Universidad de Guayaquil Facultad de Ciencias Médicas, Guayaquil, ECU.
Laila Tarabey-YunisDepartment of Surgery, Universidad Centroccidental Lisandro Alvarado, Lara, VEN.
Cesar Estrella-GaiborDepartment of General Surgery, Ministerio de Salud Pública, Hospital Esmeraldas sur Delfina Torres de Concha, Quito, ECU.
Universidad de Oriente · VECampo Arqueologico de Mertola · PTHospital Regional de Talca · CLMinisterio de Salud Pública · ECUniversidad Católica de Honduras Nuestra Señora Reina de la Paz · HNUniversidad Centroccidental Lisandro Alvarado · VEUniversidad Iberoamericana · DOUniversity of Cuenca · ECUniversity of Guayaquil · ECXochicalco University · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obesity is one of the primary public health problems faced by children. The increased incidence of obesity in the pediatric population poses significant challenges during and after surgical procedures. This systematic review and meta-analysis aimed to understand to what extent obesity is to surgical complications in pediatric patients. A systematic database search of PubMed, Web of Science, Scopus, and Science Direct was performed in June 2023. According to the inclusion and exclusion criteria, two evaluators independently conducted literature screening, data extraction, and quality evaluation of the retrieved literature. The Newcastle-Ottawa Scale score was used for quality evaluation, and a meta-analysis was performed using Review Manager software 5.4.1. A total of 1,170 relevant articles were initially identified, and 20 articles were finally included for data extraction and meta-analysis. The results of the meta-analysis showed that compared with normal-weight individuals, obese pediatric patients had a higher risk of developing surgical site infection (SSI) (relative risk (RR) = 1.63; 95% confidence interval (CI) = 1.33-2.00), wound dehiscence (RR = 2.01; 95% CI = 1.24-3.23), and underwent procedures that were 11.32 minutes longer (95% CI = 5.36-17.29). There were no differences in bleeding requiring transfusion, deep venous thromboembolism, postoperative abscess rate, and length of stay. Obese pediatric patients have a higher risk of SSI and dehiscence, along with a longer operative time. The established risks in obese adults undergoing surgery suggest a similar risk for obese pediatric patients. The findings of this study hold significant implications for clinical practice, suggesting the potential for additional measures to prevent surgical complications in children.

Indexed as

deep venous thromboembolismlength of stayoperative timepediatric obesitypostoperative abscessrisk factorsurgical complicationsurgical site infectionwound dehiscence

Identifiers

PMID38510855
PMCPMC10953840
OpenAlexW4391926165

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.