Evidence map›Paper›PMID 39702194›Full record

ArticleBMC surgery2024

Time from drainage to surgery is an independent predictor of morbidity for moderate-to-severe acute cholecystitis: a multivarirble analysis of 259 patients.

Dai Kujirai, Yujiro Isobe, Hirofumi Suzumura, Kenji Matsumoto, Yuichi Sasakura, Toshiaki Terauchi, Masaru Kimata, Hiroharu Shinozaki, Kenji Kobayashi

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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Timing of laparoscopic cholecystectomy after percutaneous transhepatic gallbladder drainage and the risk of bailout surgery: a restricted cubic spline analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  2. Observational
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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

9 authors.

Dai KujiraiDepartment of Surgery, Saiseikai Utsunomiya Hospital, 911-1 Takebayashicho, Utsunomiya, Tochigi, 321-0974, Japan. manutwenty@gmail.com.
Yujiro IsobeDepartment of Surgery, Saiseikai Utsunomiya Hospital, 911-1 Takebayashicho, Utsunomiya, Tochigi, 321-0974, Japan.
Hirofumi SuzumuraDepartment of Surgery, Saiseikai Utsunomiya Hospital, 911-1 Takebayashicho, Utsunomiya, Tochigi, 321-0974, Japan.
Kenji MatsumotoDepartment of Surgery, Saiseikai Utsunomiya Hospital, 911-1 Takebayashicho, Utsunomiya, Tochigi, 321-0974, Japan.
Yuichi SasakuraDepartment of Surgery, Saiseikai Utsunomiya Hospital, 911-1 Takebayashicho, Utsunomiya, Tochigi, 321-0974, Japan.
Toshiaki TerauchiDepartment of Surgery, Saiseikai Utsunomiya Hospital, 911-1 Takebayashicho, Utsunomiya, Tochigi, 321-0974, Japan.
Masaru KimataDepartment of Surgery, Saiseikai Utsunomiya Hospital, 911-1 Takebayashicho, Utsunomiya, Tochigi, 321-0974, Japan.
Hiroharu ShinozakiDepartment of Surgery, Saiseikai Utsunomiya Hospital, 911-1 Takebayashicho, Utsunomiya, Tochigi, 321-0974, Japan.
Kenji KobayashiDepartment of Surgery, Saiseikai Utsunomiya Hospital, 911-1 Takebayashicho, Utsunomiya, Tochigi, 321-0974, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute cholecystitis (AC) is an acute inflammatory disease of the gallbladder and one of the most frequent causes of acute abdominal pain. Early cholecystectomy is recommended for mild cholecystitis. However, the optimal surgical timing for moderate-to-severe cholecystitis requiring percutaneous transhepatic gallbladder drainage (PTGBD) remains unclear. We hypothesized that early elective surgery after PTGBD would reduce surgical morbidity.

methodsA retrospective analysis was performed on adult patients who underwent elective surgery for AC after PTGBD at our hospital between January 2011 and December 2020. Patient demographics, perioperative findings, and postoperative morbidity and mortality rates were also investigated. The patients were divided into two groups based on postoperative morbidity, and univariable analysis was performed for preoperative factors. Multivariable logistic regression analysis was performed for the potential independent variables.

resultsA total of 891 patients were screened for eligibility, and 259 were included in the analysis. Among these patients, 32 developed postoperative morbidity; however, there was no postoperative mortality. Multivariable analysis revealed that the time from PTGBD to surgery was an independent predictor of surgical morbidity (odds ratio, 1.05; 95% confidence interval: 1.01-1.10).

conclusionIn early elective surgery for moderate-to-severe AC requiring PTGBD, a shorter interval from biliary drainage to surgery may decrease surgical morbidity.

Indexed as

Cholecystitis, AcuteDrainagePostoperative ComplicationsAdultAgedCholecystectomyElective Surgical ProceduresFemaleHumansMaleMiddle AgedRetrospective StudiesSeverity of Illness IndexTime FactorsTime-to-TreatmentAbdominal painCholecystitisCholecystostomyGallbladderLaparoscopic cholecystectomy

Identifiers

PMID39702194
PMCPMC11656828

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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.