ArticleCureus2025
Surgical Management of Complex Abdominal Pathologies: A Multidisciplinary Approach.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study evaluated the impact of multidisciplinary team (MDT) involvement on clinical outcomes in 300 patients (N=300) undergoing surgical management of complex abdominal pathologies at tertiary care hospitals in Pakistan. Surgical procedures included open surgery in 131 patients (43.7%), laparoscopic in 103 (34.3%), and robotic in 66 (22%), with emergency operations accounting for 183 cases (61%). MDT care was provided to 171 patients (57%), while 129 (43%) received conventional surgical management. In-hospital mortality was significantly lower in the MDT group (14/171, 8.2%) compared to the non-MDT group (24/129, 18.6%; p=0.013). Thirty-day readmission was also reduced (19/171, 11.1% vs. 29/129, 22.5%; p=0.008). ICU admission was required in 168 patients (56%), with a shorter mean stay in the MDT group (3.9 vs. 5.7 days; p=0.004). The mean hospital stay was 9.8 days overall, significantly shorter among MDT-managed patients (8.3 vs. 11.5 days; p=0.001). Multivariate logistic regression identified MDT care (OR=0.42, p=0.029), serum albumin, and lower APACHE II scores as independent predictors of survival. Enhanced recovery after surgery (ERAS) adherence (n=81) significantly improved outcomes, including reduced pain scores (3.1 vs. 5.2; p<0.001). These results highlight the clinical benefits of MDT-led care in high-risk abdominal surgeries.
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