Evidence map›Paper›PMID 38987733›Full record

ArticleBMC pulmonary medicine2024

Analysis of risk factors of postoperative complication for non-small cell lung cancer.

Nozomu Motono, Takaki Mizoguchi, Masahito Ishikawa, Shun Iwai, Yoshihito Iijima, Hidetaka Uramoto

Abstract read
In one paragraph

Article in BMC pulmonary medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

6 authors.

Nozomu MotonoDepartment of Thoracic Surgery, Kanazawa Medical University, 1- 1 Daigaku, Uchinada, Ishikawa, 920-0293, Japan. motono@kanazawa-med.ac.jp.ORCID http://orcid.org/0000-0001-5407-5479
Takaki MizoguchiDepartment of Thoracic Surgery, Kanazawa Medical University, 1- 1 Daigaku, Uchinada, Ishikawa, 920-0293, Japan.
Masahito IshikawaDepartment of Thoracic Surgery, Kanazawa Medical University, 1- 1 Daigaku, Uchinada, Ishikawa, 920-0293, Japan.
Shun IwaiDepartment of Thoracic Surgery, Kanazawa Medical University, 1- 1 Daigaku, Uchinada, Ishikawa, 920-0293, Japan.
Yoshihito IijimaDepartment of Thoracic Surgery, Kanazawa Medical University, 1- 1 Daigaku, Uchinada, Ishikawa, 920-0293, Japan.
Hidetaka UramotoDepartment of Thoracic Surgery, Kanazawa Medical University, 1- 1 Daigaku, Uchinada, Ishikawa, 920-0293, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe relationship between risk factors of common postoperative complications after pulmonary resection, such as air leakage, atelectasis, and arrhythmia, and patient characteristics, including nutritional status or perioperative factors, has not been sufficiently elucidated.

methodsOne thousand one hundred thirty-nine non-small cell lung cancer patients who underwent pulmonary resection were retrospectively analyzed for risk factors of common postoperative complications.

resultsIn a multivariate analysis, male sex (P = 0.01), age ≥ 65 years (P < 0.01), coexistence of chronic obstructive pulmonary disease (COPD) (P < 0.01), upper lobe (P < 0.01), surgery time ≥ 155 min (P < 0.01), and presence of lymphatic invasion (P = 0.01) were significant factors for postoperative complication. Male sex (P < 0.01), age ≥ 65 years (P = 0.02), body mass index (BMI) < 21.68 (P < 0.01), coexistence of COPD (P = 0.02), and surgery time ≥ 155 min (P = 0.01) were significant factors for severe postoperative complication. Male sex (P = 0.01), BMI < 21.68 (P < 0.01), thoracoscopic surgery (P < 0.01), and surgery time ≥ 155 min (P < 0.01) were significant risk factors for postoperative air leakage. Coexistence of COPD (P = 0.01) and coexistence of asthma (P < 0.01) were significant risk factors for postoperative atelectasis. Prognostic nutrition index (PNI) < 45.52 (P < 0.01), lobectomy or extended resection more than lobectomy (P = 0.01), and surgery time ≥ 155 min (P < 0.01) were significant risk factors for postoperative arrhythmia.

conclusionLow BMI, thoracoscopic surgery, and longer surgery time were significant risk factors for postoperative air leakage. Coexistence of COPD and coexistence of asthma were significant risk factors for postoperative atelectasis. PNI, surgery time, and surgical procedure were revealed as risk factors of postoperative arrhythmia. Patients with these factors should be monitored for postoperative complication.

trial registrationThe Institutional Review Board of Kanazawa Medical University approved the protocol of this retrospective study (approval number: I392), and written informed consent was obtained from all patients.

Indexed as

Carcinoma, Non-Small-Cell LungLung NeoplasmsPneumonectomyPostoperative ComplicationsAgedAged, 80 and overBody Mass IndexFemaleHumansMaleMiddle AgedMultivariate AnalysisOperative TimePulmonary Disease, Chronic ObstructiveRetrospective StudiesRisk FactorsBody mass indexChronic obstructive pulmonary diseaseNon-small cell lung cancerOperation timePostoperative complicationPrognostic nutrition index

Identifiers

PMID38987733
PMCPMC11238410

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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.