Evidence map›Paper›PMID 39550596›Full record

ArticleBMC surgery2024

Postoperative outcomes after splenectomy: a 20-year single-center experience in Colombia.

Carlos Eduardo Rey Chaves, Sebastián Díaz, David Gómez Garnica, Oscar Cardenas, Paula Noguera, Manuela Ortíz Marín, Vanessa Velandia, Danny Conde, María Camila Rojas Gómez, María Gómez Zuleta

Abstract read
In one paragraph

Article in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Carlos Eduardo Rey ChavesEstudiante de posgrado Cirugía General, Facultad de Medicina, Pontificia Universidad Javeriana, Carrera 6A #51A-48, Bogotá, D.C., 111711, Colombia. carlosrey991@gmail.com.
Sebastián DíazCirujano General, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia.
David Gómez GarnicaCirujano General, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia.
Oscar CardenasEstudiante de pregrado, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia.
Paula NogueraEstudiante de pregrado, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia.
Manuela Ortíz MarínEstudiante de pregrado, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia.
Vanessa VelandiaEstudiante de pregrado, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia.
Danny CondeCirugía Hepatobiliar y pancreática, Hospital Universitario Mayor - Méderi, Bogotá, Colombia.
María Camila Rojas GómezMédica General, Facultad de Medicina, Universidad el Rosario, Bogotá, Colombia.
María Gómez ZuletaCirujano General, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSplenectomy indications are well documented; however, several infectious complications and potentially life-threatening conditions could arise after splenectomy. We aim to describe a 20-year single-center experience of postoperative outcomes after splenectomy and perform a subgroup analysis according to approach and surgical setting with a 30-day, 90-day, and 1-year follow-up. STUDY

designA retrospective cohort study was conducted between 2003 and 2023. We included all patients aged 18 years and older who underwent splenectomy. A description of clinical and operative variables with infectious outcomes was performed. Subgroup analyses were performed between open or laparoscopic approach and surgical setting.

resultsA total of 134 patients were included. Female patients constituted 52.99% (n = 71) of cases, with a mean age of 51.01 ± 20.79 years. The most frequent surgical indication for splenectomy was trauma in 31.34% (n = 42), and a laparoscopic approach was indicated in 41.79% (n = 56). Overwhelming post-splenectomy syndrome (OPSI) was evidenced in 2.24% (n = 3) of the population. Surgical characteristics such as operative time, intraoperative blood loss, and intensive care requirement and unit length of stay were higher in open and trauma patients.

conclusionOur data describe the demographic, clinical and operative characteristics of patients undergoing splenectomy in Colombia, providing a solid basis for future research. The results obtained on overwhelming postsplenectomy syndrome (OPSI) and postoperative complications are comparable with those reported in the international literature, reinforcing the validity of our findings. Further prospective studies in this population are needed to optimize management strategies and improve clinical outcomes, particularly in higher risk subgroups.

Indexed as

LaparoscopyPostoperative ComplicationsSplenectomyAdolescentAdultAgedColombiaFemaleFollow-Up StudiesHumansLength of StayMaleMiddle AgedOperative TimeRetrospective StudiesTreatment OutcomeHematological disordersOverwhelming post-splenectomy infectionPostoperative outcomesSplenectomySurgical complicationsTrauma-related splenectomy

Identifiers

PMID39550596
PMCPMC11568579

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LicenceCC BY-NC-ND
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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.