Evidence map›Paper›PMID 40920238›Full record

ArticlePediatric surgery international2025

Timing of surgery and outcomes in patients with congenital pulmonary airway malformation: a national inpatient database study.

Naohiro Takamoto, Shotaro Aso, Takaaki Konishi, Michimasa Fujiogi, Kaori Morita, Mai Kutsukake, Yoshitsugu Yanagida, Hiroki Matsui, Kiyohide Fushimi, Hideo Yasunaga and 1 more

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In one paragraph

Article in Pediatric surgery international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Naohiro TakamotoDepartment of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Shotaro AsoDepartment of Health Services Research, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Takaaki KonishiDepartment of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Michimasa FujiogiDepartment of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Kaori MoritaDepartment of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Mai KutsukakeDepartment of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Yoshitsugu YanagidaDepartment of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Hiroki MatsuiDepartment of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Kiyohide FushimiDepartment of Health Policy and Informatics, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.
Hideo YasunagaDepartment of Clinical Epidemiology and Health Economics, School of Public Health, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan.
Jun FujishiroDepartment of Pediatric Surgery, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan. FUJISHIROJ-PSU@h.u-tokyo.ac.jp.

Funding

Ministry of Health, Labour and Welfare 23AA2003
6 · The paper itself

Abstract

purposeThe timing of elective surgery for asymptomatic congenital pulmonary airway malformation (CPAM) at birth remains controversial. We aimed to describe characteristics and outcomes of patients who underwent surgery for CPAM.

methodsWe retrospectively identified patients aged < 18 years who were hospitalized for CPAM during the neonatal period and underwent surgery between July 2010 and March 2022 using the Diagnosis Procedure Combination database in Japan. We grouped eligible patients into those aged < 28 days (neonatal group) and ≥ 28 days (infant group) at surgery. Outcomes included in-hospital mortality, morbidity, duration of anesthesia, and hospital stay.

resultsWe identified 105 neonates and 287 infants (including 89, 107, and 91 aged 28 days to 5 months, 6-12 months, and > 12 months, respectively). In-hospital mortality and morbidity were similar among the groups. In the infant group, duration of anesthesia was longer in those with preoperative admission due to bacterial pneumonia or who underwent thoracoscopic surgery. Infants with congenital malformation or emergency admission had longer hospital stays.

conclusionsIn-hospital mortality and morbidity were comparable among the different timings of surgery for CPAM. Preoperative bacterial pneumonia and thoracoscopic surgery could be risk factors for long duration of anesthesia but not for long hospital stay.

Indexed as

Cystic Adenomatoid Malformation of Lung, CongenitalDatabases, FactualElective Surgical ProceduresFemaleHospital MortalityHumansInfantInfant, NewbornJapanLength of StayMaleRetrospective StudiesTime FactorsTreatment OutcomeBacterial pneumoniaCongenital pulmonary airway malformationElective surgical procedureSymptomaticThoracoscopy

Identifiers

PMID40920238
PMCPMC12417296

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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.