Evidence map›Paper›PMID 40338335›Full record

ArticleLangenbeck's archives of surgery2025

Early readmission after adrenalectomy for pheochromocytoma. A retrospective study.

Tamer A A M Habeeb, Abd Al-Kareem Elias, Abdelmonem A M Adam, Mohamed A Gadallah, Saad Mohamed Ali Ahmed, Ahmed Khyrallh, Mohammed H Alsayed, Esmail Tharwat Kamel Awad, Emad A Ibrahim, Mohamed Fathy Labib and 18 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
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

28 authors.

Tamer A A M HabeebDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt. tameralnaimy@hotmail.com.
Abd Al-Kareem EliasDepartment of General Surgery, Faculty of Medicine, Al-Azhar University, Assuit Branch, Assuit, Egypt.
Abdelmonem A M AdamDepartment of General Surgery, Faculty of Medicine, Al-Azhar University, Assuit Branch, Assuit, Egypt.
Mohamed A GadallahDepartment of General Surgery, Faculty of Medicine, Al-Azhar University, Assuit Branch, Assuit, Egypt.
Saad Mohamed Ali AhmedDepartment of General Surgery, Faculty of Medicine, Al-Azhar University, Assuit Branch, Assuit, Egypt.
Ahmed KhyrallhDepartment of General Surgery, Faculty of Medicine, Al-Azhar University, Assuit Branch, Assuit, Egypt.
Mohammed H AlsayedDepartment of General Surgery, Faculty of Medicine, Al-Azhar University, Assuit Branch, Assuit, Egypt.
Esmail Tharwat Kamel AwadDepartment of General Surgery, Faculty of Medicine, Al-Azhar University, Assuit Branch, Assuit, Egypt.
Emad A IbrahimDepartment of General Surgery, Faculty of Medicine, Al-Azhar University, Assuit Branch, Assuit, Egypt.
Mohamed Fathy LabibGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Sobhy Rezk Ahmed TeamaGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mahmoud Hassib Morsi BadawyGeneral Surgery Department, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohamed Ibrahim Abo AlsaadGeneral Surgery-Faculty of Medicine.Merit University, Sohag, Egypt.
Abouelatta Kh AliMisr University for Science and Technology, Cairo, Egypt.
Hamdi ElbelkasiMataryia Teaching Hospital (GOTHI), Cairo, Egypt.
Mahmoud Ali Abou ZaidGeneral Surgery Department, El Mahala Hepatic Institute, Al Gharbia, Egypt.
Ibtsam AbdElMaksoud Mohamed El ShamyDepartment of General Surgery, Faculty of Medicine for Girls, Al Azhar University, Cairo, Egypt.
Boshra Ali Ali El-HouseinyDepartment of General Surgery, Faculty of Medicine for Girls, Al Azhar University, Cairo, Egypt.
Mahmoud El AzawySurgery Department, Faculty of Medicine, Helwan University, Helwan, Egypt.
Ahmed ElhoofyGeneral Surgery Ain Shams University, Cairo, Egypt.
Ali Hussein KhedrDepartment of Surgery National Hepatology and Tropical Medicine Research Institute (NHTMRI), Cairo, Egypt.
Abdelrahman Mohamed Hasanin NawarDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Ahmed Salah ArafaDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Ahmed Mesbah AbdelazizDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Abdelfatah H AbdelwanisDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mostafa M KhairyDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Ahmed M YehiaDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Ahmed Kamal El TaherDepartment of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdrenalectomy for pheochromocytoma (PHEO) presents a significant challenge due to the high incidence of early hospital readmission (ER). This study evaluated the incidence and risk factors of ER for PHEO within 30 days of adrenalectomy.

methodsA retrospective analysis of 346 patients > 18 years with unilateral PHEO who underwent adrenalectomy between September 2012 and September 2024. The patients were categorised into ER (n = 49) and no ER (n = 297) groups. Logistic regression analyses were performed to predict risk factors for ER.

resultsThe most common causes of ER were postoperative maintained hypotension (42.9%), bleeding (6.1%), ileus (24.5%), wound infection (4.1%), hyperkalemia (8.2%), pneumonia (2%), intra-abdominal abscess (2%), acute MI (4.1%), and colonic injury (6.1%). Most postoperative complications were Clavien-Dindo grade II (n = 40, 81.6%). Two perioperative deaths (4%) occurred in the ER group. Logistic regression showed that low body mass index (OR 0.849, 95% CI, 0.748-0.964; p = 0.012), tumor size < 5 cm (OR 0.096, 95% CI, 0.030-0.310; p < 0.001), and low ASA (OR 0.435, 95% CI, 0.249-0.761; p = 0.003) were associated with risk reduction for ER while malignancy (OR 5.302, 95% CI, 1.214-23.164; p = 0.027), open approach(OR 12.247, 95% CI, 5.227-28.694; p < 0.001), and intraoperative complications (OR 19.149, 95% CI, 7.091-51.710; p < 0.001) were associated with risk increase of ER.

conclusionPostoperatively maintained hypotension and ileus were the most common causes of ER. Low body mass index, tumour size < 5 cm, and low ASA were risk reductions for ER, while malignancy, open approach, and intraoperative complications were the independent risk increase factors.

Indexed as

AdrenalectomyAdrenal Gland NeoplasmsPatient ReadmissionPheochromocytomaPostoperative ComplicationsAdultAgedFemaleHumansIncidenceMaleMiddle AgedRetrospective StudiesRisk FactorsLaparoscopic adrenalectomyOpen adrenalectomyPheochromocytomaPostoperative complications

Identifiers

PMID40338335
PMCPMC12062106

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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.