Evidence map›Paper›PMID 39845588›Full record

ArticleSurgery in practice and science2022

The impact of immunonutrition on pancreaticoduodenectomy outcomes.

Xuanji Wang, Michael Littau, Joseph Fahmy, Sean Kisch, M Alyssa Varsanik, Alexander O'Hara, Jacob Pozin, L Mark Knab, Gerard Abood

Abstract read
In one paragraph

Article in Surgery in practice and science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. 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

9 authors.

Xuanji WangDepartment of General Surgery, Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60513, United States.
Michael LittauLoyola University Stritch School of Medicine, Maywood, IL, United States.
Joseph FahmyDepartment of General Surgery, Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60513, United States.
Sean KischLoyola University Stritch School of Medicine, Maywood, IL, United States.
M Alyssa VarsanikLoyola University Stritch School of Medicine, Maywood, IL, United States.
Alexander O'HaraLoyola University Stritch School of Medicine, Maywood, IL, United States.
Jacob PozinLoyola University Stritch School of Medicine, Maywood, IL, United States.
L Mark KnabDepartment of General Surgery, Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60513, United States.
Gerard AboodDepartment of General Surgery, Loyola University Medical Center, 2160 S 1st Ave, Maywood, IL 60513, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Malnutrition is a significant risk factor for decreased survival in cancer patients undergoing a pancreaticoduodenectomy (PD). Our study aims to investigate the impact of immunonutrition on length of stay (LOS), infection rates, postoperative pancreatic fistula (POPF), and delayed gastric emptying (DGE). Study design: This study retrospectively reviewed 344 patients who underwent PD between 2007 and 2018. Patients were on a regular diet or 5 days of preoperative immunonutrition. Statistical analyses were done via Results: Immunonutrition was associated with increased intraabdominal infection (13% vs. 23%, Conclusion: In PDAC patients undergoing PD, preoperative immunonutrition did not have an impact on LOS, infections, POPF, or DGE. In non-PDAC patients, immunonutrition was associated with longer LOS and higher intraabdominal infections. Additional studies are needed to validate the routine use of immunonutrition in this patient population.

Indexed as

Delayed gastric emptyingERASImmunonutritionPancreaticoduodenectomyPostoperative pancreatic fistula

Identifiers

PMID39845588
PMCPMC11749982

What OpenQuestion holds

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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.