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一项荟萃分析研究肥胖对原发性卵巢癌手术患者手术部位伤口并发症的影响。

A meta-analysis examining the impact of obesity on surgical site wound complications in patients undergoing primary ovarian cancer surgery.

机构信息

Department of Clinical Pharmacy, College of Pharmacy, Shaqra University, Shaqra, 11961, Saudi Arabia.

Department of Clinical Pharmacy, National Cancer Institute, Cairo University, Fom El Khalig Square, Kasr Al-Aini Street, Cairo, 11796, Egypt.

出版信息

Arch Dermatol Res. 2024 Aug 5;316(8):502. doi: 10.1007/s00403-024-03230-7.

DOI:10.1007/s00403-024-03230-7
PMID:39102155
Abstract

The meta-analysis sought to evaluate and compare the effect of obesity on surgical site wound problems in subjects after primary ovarian cancer surgery. The results found by this meta-analysis were analyzed, and then odds ratio (OR) and mean difference (MD), at 95% confidence intervals (CIs), were calculated. These models might be dichotomous or contentious, random, or fixed effect models. The current meta-analysis included nine exams from 2009 to 2023, including 4362 females with primary ovarian cancer surgeries. Obesity had a significantly higher risk of surgical site wound infections (OR, 2.90; 95% CI, 2.27-3.69, p < 0.001), and wound problems (OR, 4.14; 95% CI, 1.83-9.34, p < 0.001) compared to non-obesity in females with primary ovarian cancer surgeries. It was revealed, by examining the data, that obesity was associated with significantly higher incidence of surgical site wound infections, and wound problems compared to non-obesity in females with primary ovarian cancer surgeries. However, attention should be given to the values because some of the comparisons included a small number of chosen studies,.

摘要

本荟萃分析旨在评估和比较肥胖对原发性卵巢癌手术后患者手术部位伤口问题的影响。对本荟萃分析的结果进行了分析,然后计算了 95%置信区间 (CI) 的优势比 (OR) 和均数差 (MD)。这些模型可能是二项式或有争议的,随机的或固定效应模型。本荟萃分析纳入了 2009 年至 2023 年的 9 项研究,共包括 4362 例原发性卵巢癌手术的女性。肥胖与原发性卵巢癌手术后女性的手术部位伤口感染(OR,2.90;95%CI,2.27-3.69,p<0.001)和伤口问题(OR,4.14;95%CI,1.83-9.34,p<0.001)的风险显著升高有关。通过检查数据发现,与非肥胖相比,肥胖与原发性卵巢癌手术后女性的手术部位伤口感染和伤口问题发生率显著升高有关。然而,应该注意到这些比较中的一些包含了少数选择的研究,因此数值可能存在偏差。

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本文引用的文献

1
Visceral obesity and muscle mass determined by CT scan and surgical outcome in patients with advanced ovarian cancer. A retrospective cohort study.CT 扫描评估的内脏肥胖和肌肉量与晚期卵巢癌患者的手术结局相关:一项回顾性队列研究。
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Neoadjuvant chemotherapy does not disproportionately influence post-operative complication rates or time to chemotherapy in obese patients with advanced-stage ovarian cancer.新辅助化疗不会不成比例地影响肥胖的晚期卵巢癌患者的术后并发症发生率或化疗时间。
Gynecol Oncol. 2020 Dec;159(3):687-691. doi: 10.1016/j.ygyno.2020.09.011. Epub 2020 Sep 18.
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Influence of obesity on surgical complications of patients with ovarian tumors.
肥胖对卵巢肿瘤患者手术并发症的影响。
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Epithelial ovarian cancer.上皮性卵巢癌。
Lancet. 2019 Mar 23;393(10177):1240-1253. doi: 10.1016/S0140-6736(18)32552-2.
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Management of endometrial, ovarian and cervical cancer in the elderly: current approach to a challenging condition.老年子宫内膜癌、卵巢癌和宫颈癌的管理:一种具有挑战性的疾病的当前处理方法。
Arch Gynecol Obstet. 2019 Feb;299(2):299-315. doi: 10.1007/s00404-018-5006-z. Epub 2018 Dec 12.
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Is BMI associated with post-operative complication risk among patients undergoing major abdominal surgery for cancer? A systematic review.身体质量指数(BMI)与接受癌症大腹部手术患者的术后并发症风险是否相关?一项系统评价。
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FDG-PET/CT and MRI for Evaluation of Pathologic Response to Neoadjuvant Chemotherapy in Patients With Breast Cancer: A Meta-Analysis of Diagnostic Accuracy Studies.氟代脱氧葡萄糖正电子发射断层扫描/计算机断层扫描(FDG-PET/CT)与磁共振成像(MRI)用于评估乳腺癌患者新辅助化疗后的病理反应:诊断准确性研究的荟萃分析
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8
Obesity and the Risk for Surgical Site Infection in Abdominal Surgery.肥胖与腹部手术手术部位感染风险
Am Surg. 2016 Apr;82(4):331-6.
9
Venous thromboembolism after major cancer surgery: temporal trends and patterns of care.重大癌症手术后的静脉血栓栓塞症:时间趋势和护理模式。
JAMA Surg. 2014 Jan;149(1):43-9. doi: 10.1001/jamasurg.2013.3172.
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Unintended consequences: surgical complications in gynecologic cancer.意外后果:妇科癌症手术并发症
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