Evidence mapPaperPMID 31029093Full record

ArticleBMC medical imaging2019

Power of computed-tomography-defined sarcopenia for prediction of morbidity after pancreaticoduodenectomy.

Nicolas Linder, Alexander Schaudinn, Katharina Langenhan, Felix Krenzien, Hans-Michael Hau, Christian Benzing, Georgi Atanasov, Moritz Schmelzle, Thomas Kahn, Harald Busse and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC medical imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% of its field
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  12. Review
  13. Sarcopenia in Children With End-Stage Liver Disease on the Transplant Waiting List.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2021
    Article
  14. Article
  15. Article
  16. Paediatric reference values for total psoas muscle area.Journal of cachexia, sarcopenia and muscle · 2020
    Article
  17. 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

13 authors at 4 institutions in 1 country.

Nicolas LinderDepartment of Diagnostic and Interventional Radiology, University of Leipzig, Leipzig, Germany. nicolas.linder@medizin.uni-leipzig.de.
Alexander SchaudinnDepartment of Diagnostic and Interventional Radiology, University of Leipzig, Leipzig, Germany.
Katharina LangenhanDepartment of Diagnostic and Interventional Radiology, University of Leipzig, Leipzig, Germany.
Felix KrenzienDepartment of Surgery, Campus Virchow and Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Hans-Michael HauDepartment of Visceral, Transplantation, Thoracic, and Vascular Surgery, University Hospital Leipzig, Leipzig, Germany.
Christian BenzingDepartment of Surgery, Campus Virchow and Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Georgi AtanasovDepartment of Surgery, Campus Virchow and Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Moritz SchmelzleDepartment of Surgery, Campus Virchow and Campus Mitte, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Thomas KahnDepartment of Diagnostic and Interventional Radiology, University of Leipzig, Leipzig, Germany.
Harald BusseDepartment of Diagnostic and Interventional Radiology, University of Leipzig, Leipzig, Germany.
Michael BartelsDepartment of General- and Visceral Surgery, Helios Clinic Leipzig, Leipzig, Germany.
Ulf NeumannDepartment of General, Visceral, and Transplantation Surgery, University Hospital of RWTH Aachen, Aachen, Germany.
Georg WiltbergerDepartment of General, Visceral, and Transplantation Surgery, University Hospital of RWTH Aachen, Aachen, Germany.
Leipzig University · DECharité - Universitätsmedizin Berlin · DERWTH Aachen University · DEUniversity Hospital Leipzig · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe goal of our study was to evaluate the current approach in prediction of postoperative major complications after pancreaticoduodenectomy (PD), especially symptomatic pancreatic fistula (POPF), using parameters derived from computed tomography (CT).

methodsPatients after PD were prospectively collected in a database of the local department of surgery and all patients with CT scans available were assessed in this study. CT parameters were measured at the level of the intervertebral disc L3/L4 and consisted of the areas of the visceral adipose tissue (A

resultsOne hundred thirty-nine patients (55 females, 84 males) were included. DPD was 2.9 mm (Range 0.7-10.7) on median and more narrow in patients with complications equal to or greater stadium IIIb (p < 0.04) and severe POPF (p < 0.01). DPP median value was 17 (6.9-37.9) mm and there was no significant difference regarding major complications or POPF. A

conclusionBesides the known factors visceral obesity and narrowness of the pancreatic duct, the mean muscle attenuation can easily be examined on routine preoperative CT scans and seems to be promising parameter to predict postoperative complications and POPF.

Indexed as

AgedFemaleHumansIntervertebral DiscLogistic ModelsMaleMiddle AgedPancreatic FistulaPancreaticoduodenectomyPostoperative ComplicationsProspective StudiesSarcopeniaSensitivity and SpecificityTomography, X-Ray ComputedComputed tomographyFat segmentationMean muscle attenuationPostoperative pancreatic fistulaSarcopenia

Identifiers

PMID31029093
PMCPMC6487009
OpenAlexW2947334662

What Socratic 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 Socratic graph.