Evidence map›Paper›PMID 39310359›Full record

ArticleAnnals of surgery open : perspectives of surgical history, education, and clinical approaches2024

Short-term Outcomes of Pancreatoduodenectomy in Patients with Liver Cirrhosis: A Systematic Review and Meta-analysis.

Shahab Hajibandeh, Shahin Hajibandeh, Alwin Puthiyakunnel Saji, Ayman Ashabi, Christopher Brown, Nicholas G Mowbray, Matthew Mortimer, Guy Shingler, Amir Kambal, Bilal Al-Sarireh

Abstract read
In one paragraph

Article in Annals of surgery open : perspectives of surgical history, education, and clinical approaches, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Shahab HajibandehFrom the Department of Hepatobiliary and Pancreatic Surgery, Morriston Hospital, Swansea, UK.
Shahin HajibandehDepartment of Hepatobiliary and Pancreatic Surgery, Royal Stoke University Hospital, Stoke-on-Trent, UK.
Alwin Puthiyakunnel SajiSchool of Medicine, Cardiff University, Cardiff, UK.
Ayman AshabiFrom the Department of Hepatobiliary and Pancreatic Surgery, Morriston Hospital, Swansea, UK.
Christopher BrownFrom the Department of Hepatobiliary and Pancreatic Surgery, Morriston Hospital, Swansea, UK.
Nicholas G MowbrayFrom the Department of Hepatobiliary and Pancreatic Surgery, Morriston Hospital, Swansea, UK.
Matthew MortimerFrom the Department of Hepatobiliary and Pancreatic Surgery, Morriston Hospital, Swansea, UK.
Guy ShinglerFrom the Department of Hepatobiliary and Pancreatic Surgery, Morriston Hospital, Swansea, UK.
Amir KambalFrom the Department of Hepatobiliary and Pancreatic Surgery, Morriston Hospital, Swansea, UK.
Bilal Al-SarirehFrom the Department of Hepatobiliary and Pancreatic Surgery, Morriston Hospital, Swansea, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The objective of this study was to compare short-term outcomes of pancreatoduodenectomy between patients with and without liver cirrhosis (LC). Background: It is not uncommon to encounter a patient with LC and with an indication for pancreatoduodenectomy; however, the knowledge on the outcomes after pancreatoduodenectomy in patients with LC is poorly developed. Methods: A systematic review and meta-analysis was conducted in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement standards. Short-term outcomes of pancreatoduodenectomy between patients with and without LC were compared using random effects modeling and the certainty of the evidence was assessed using the GRADE system. Results: Analysis of 18,184 patients from 11 studies suggested LC increased the risk of postoperative mortality (odds ratio [OR]: 3.94, Conclusions: Robust evidence with high certainty suggests LC of any severity with or without portal hypertension results in at least a fourfold increase in mortality and a twofold increase in morbidity after pancreatoduodenectomy. Whether such risks increase with the severity of the liver disease or decrease with optimization of underlying liver disease should be the focus of future research.

Indexed as

liver cirrhosismorbiditymortalitypancreatoduodenectomy

Identifiers

PMID39310359
PMCPMC11415130

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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.