论文降重
免费查重- 钛学术文献服务平台 \
- 学术期刊 \
- 医药卫生期刊 \
- 外科学期刊 \
- 世界胃肠外科杂志：英文版（电子版）期刊 \
Influence of postoperative complications on long-term survival in liver transplant patients
Influence of postoperative complications on long-term survival in liver transplant patients
基本信息来源于合作网站，原文需代理用户跳转至来源网站获取
摘要：
BACKGROUND Liver transplant(LT)is a complex procedure with frequent postoperative complications.In other surgical procedures such as gastrectomy,esophagectomy or resection of liver metastases,these complications are associated with poorer long-term survival.It is possible this happens in LT but there are not enough data to establish this relationship.AIM To analyze the possible influence of postoperative complications on long-term survival and the ability of the comprehensive complication index(CCI)to predict this.METHODS Retrospective study in a tertiary-level university hospital.The 164 participants were all patients who received a LT from January 2012 to July 2019.The follow-up was done in the hospital until the end of the study or death.Comorbidity and risk after transplantation were calculated using the Charlson and balance of risk(BAR)scores,respectively.Postoperative complications were graded according to the Clavien-Dindo classification and the CCI.To assess the CCI cut-off value with greater prognostic accuracy a receiver operating characteristic(ROC)curve was built,with calculation of the area under the curve(AUC).Overall survival was estimated according to the Kaplan-Meier test and log-rank test.Groups were compared by the Mann-Whitney test.For the multivariable analysis the Cox regression was used.RESULTS The mean follow-up time of the cohort was 37.76(SD=24.5)mo.A ROC curve of CCI with 5-year survival was built.The AUC was 0.826(0.730-0.922),P<0.001.The cut-off was calculated by means of the Youden index with a result of 35.95.The sensitivity was 84.6%and the specificity 61.3%.Survival curves for comparison of patients with CCI score<36 vs≥36 were calculated.The estimated 5-year survival was 57.65 and 43.95 months,respectively(log-rank<0.001).This suggests that patients with more severe complications exhibit worse long-term survival.Other cut-off values were analysed.Comparison between patients with CCI<33.5 vs>33.5(33.5=median CCI value)showed estimated 5-year survival was 57.4 and 45.71 months,re
推荐文章
The influence of climate and topography on chemical weathering of granitic regoliths in the monsoon
Granitic regolith
Chemical weathering
Supply-limited weathering
Kinetic-limited weathering
The use of in-situ cosmogenic 21Ne in studies on long-term landscape development
Cosmogenic nuclides
21Ne
Long timescale
Landscape evolution
内容分析
关键词云
关键词热度
相关文献总数
(/次)
(/年)
文献信息
| 篇名 | Influence of postoperative complications on long-term survival in liver transplant patients | ||
| 来源期刊 | 世界胃肠外科杂志:英文版(电子版) | 学科 | 医学 |
| 关键词 | Liver transplant COMPLICATION SURVIVAL Comprehensive complication index Clavien PROGNOSIS | ||
| 年，卷（期） | 2020,（8） | 所属期刊栏目 | |
| 研究方向 | 页码范围 | 336-345 | |
| 页数 | 10页 | 分类号 | R73 |
| 字数 | 语种 | ||
| DOI | |||
五维指标
引文网络
引文网络
二级参考文献 (0)
共引文献 (0)
参考文献 (2)
节点文献
引证文献 (0)
同被引文献 (0)
二级引证文献 (0)
2015(1)
- 参考文献（1）
- 二级参考文献（0）
2017(1)
- 参考文献（1）
- 二级参考文献（0）
2020(0)
- 参考文献(0)
- 二级参考文献(0)
- 引证文献(0)
- 二级引证文献(0)
研究主题发展历程
节点文献
Liver
transplant
COMPLICATION
SURVIVAL
Comprehensive
complication
index
Clavien
PROGNOSIS
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界胃肠外科杂志：英文版（电子版）
主办单位：
百世登出版集团有限公司
出版周期：
月刊
ISSN：
1948-9366
CN：
开本：
出版地：
北京市朝阳区东四环中路62号楼远洋国际中
邮发代号：
创刊时间：
语种：
出版文献量（篇）
75
总下载数（次）
0
总被引数（次）
0
期刊文献
相关文献
推荐文献
- 期刊分类
- 期刊（年）
- 期刊（期）
- 期刊推荐
