ArticlePediatric surgery international2025
"Complication without context? Rethinking outcome attribution in pediatric oncologic surgery".
Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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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.
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Authors and funding
2 authors.
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Abstract
Jain et al. explored associations between surgical complications and survival in pediatric solid tumors, concluding that higher Clavien-Dindo grades are linked to recurrence and mortality. While the study offers timely insights into perioperative risk, critical methodological limitations-including lack of multivariate adjustment, cohort heterogeneity, imprecise blood loss estimation, and omission of ERAS protocols-undermine causal interpretations. We argue that biologic factors, tumor stage, and protocol adherence are stronger predictors of survival in pediatric oncology. This letter urges a re-evaluation of attribution models and calls for prospective, tumor-specific analyses with confounder adjustment and modern surgical quality measures.
Indexed as
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40653581What OpenQuestion holds
Registered trials
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.