Evidence map›Paper›PMID 37270519›Full record

SynthesisWorld journal of surgical oncology2023

Prophylactic drainage versus non-drainage following gastric cancer surgery: a meta-analysis of randomized controlled trials and observational studies.

Hua-Yang Pang, Li-Hui Chen, Xiu-Feng Chen, Meng-Hua Yan, Zhi-Xiong Chen, Hao Sun

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in World journal of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Impact of prophylactic drain placement on intra-abdominal infections after gastrectomy: nationwide inpatient database study in Japan.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Article
  5. Article
  6. Article
  7. 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

6 authors.

Hua-Yang Pang *Gastrointestinal Cancer Center, Chongqing University Cancer Hospital, Chongqing, China.
Li-Hui Chen *Gastrointestinal Cancer Center, Chongqing University Cancer Hospital, Chongqing, China.
Xiu-Feng ChenGastrointestinal Cancer Center, Chongqing University Cancer Hospital, Chongqing, China.
Meng-Hua YanGastrointestinal Cancer Center, Chongqing University Cancer Hospital, Chongqing, China.
Zhi-Xiong ChenGastrointestinal Cancer Center, Chongqing University Cancer Hospital, Chongqing, China.
Hao SunGastrointestinal Cancer Center, Chongqing University Cancer Hospital, Chongqing, China. sunhao68@sina.com.

Funding

Chongqing Technology Innovation and Application Development Special General Project cstc2019jscx-msxmX0194Research Institutions Performance Incentive Guidance Special Fund cstc2022jxjl0234
6 · The paper itself

Abstract

backgroundThe role of prophylactic drainage (PD) in gastrectomy for gastric cancer (GC) is not well-established. The purpose of this study is to compare the perioperative outcomes between the PD and non-drainage (ND) in GC patients undergoing gastrectomy.

methodsA systematic review of electronic databases including PubMed, Embase, Web of Science, the Cochrane Library, and China National Knowledge Infrastructure was performed up to December 2022. All eligible randomized controlled trials (RCTs) and observational studies were included and meta-analyzed separately. The registration number of this protocol is PROSPERO CRD42022371102.

resultsOverall, 7 RCTs (783 patients) and 14 observational studies (4359 patients) were ultimately included. Data from RCTs indicated that patients in the ND group had a lower total complications rate (OR = 0.68; 95%CI:0.47-0.98; P = 0.04; I

conclusionThe present meta-analysis suggests that routine use of PD may not be necessary and even harmful in GC patients following gastrectomy. However, well-designed RCTs with risk-stratified randomization are still needed to validate the results of our study.

Indexed as

Stomach NeoplasmsAnastomotic LeakDrainageGastrectomyHumansPostoperative ComplicationsRandomized Controlled Trials as TopicGastrectomyGastric cancerMeta-analysisNon-drainageProphylactic drainage

Identifiers

PMID37270519
PMCPMC10239187

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.