International multicentre review of perioperative management and outcome for catecholamine-producing tumours Article Swipe
Harald Groeben
,
Martin K. Walz
,
B J Nottebaum
,
Pier Francesco Alesina
,
Andrew Greenwald
,
Roman Schumann
,
Markus W. Hollmann
,
Lothar A. Schwarte
,
Matthias Behrends
,
Thomas Rössel
,
Christer Groeben
,
Maximilian Schäfer
,
Aoïfe Lowery
,
Naoyuki Hirata
,
Michiaki Yamakage
,
Julie Ann Miller
,
Tiffany J. Cherry
,
Amanda Nelson
,
Carmen C. Solórzano
,
Benjamin J. Gigliotti
,
T. S. Wang
,
G. Wietasch
,
Pascal Friederich
,
Brett C. Sheppard
,
Paul H. Graham
,
Toby N. Weingarten
,
Juraj Šprung
·
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/bjs.11378
YOU?
·
· 2020
· Open Access
·
· DOI: https://doi.org/10.1002/bjs.11378
Background Surgery for catecholamine-producing tumours can be complicated by intraoperative and postoperative haemodynamic instability. Several perioperative management strategies have emerged but none has been evaluated in randomized trials. To assess this issue, contemporary perioperative management and outcome data from 21 centres were collected. Methods Twenty-one centres contributed outcome data from patients who had surgery for phaeochromocytoma and paraganglioma between 2000 and 2017. The data included the number of patients with and without α-receptor blockade, surgical and anaesthetic techniques, complications and perioperative mortality. Results Across all centres, data were reported on 1860 patients with phaeochromocytoma or paraganglioma, of whom 343 underwent surgery without α-receptor blockade. The majority of operations (78·9 per cent) were performed using minimally invasive techniques, including 16·1 per cent adrenal cortex-sparing procedures. The cardiovascular complication rate was 5·0 per cent overall: 5·9 per cent (90 of 1517) in patients with preoperative α-receptor blockade and 0·9 per cent (3 of 343) among patients without α-receptor blockade. The mortality rate was 0·5 per cent overall (9 of 1860): 0·5 per cent (8 of 517) in pretreated and 0·3 per cent (1 of 343) in non-pretreated patients. Conclusion There is substantial variability in the perioperative management of catecholamine-producing tumours, yet the overall complication rate is low. Further studies are needed to better define the optimal management approach, and reappraisal of international perioperative guidelines appears desirable.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/bjs.11378
- https://academic.oup.com/bjs/article-pdf/107/2/e170/36117243/bjs11378.pdf
- OA Status
- bronze
- Cited By
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- References
- 34
- Related Works
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- OpenAlex ID
- https://openalex.org/W2997530566
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2997530566Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1002/bjs.11378Digital Object Identifier
- Title
-
International multicentre review of perioperative management and outcome for catecholamine-producing tumoursWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2020Year of publication
- Publication date
-
2020-01-01Full publication date if available
- Authors
-
Harald Groeben, Martin K. Walz, B J Nottebaum, Pier Francesco Alesina, Andrew Greenwald, Roman Schumann, Markus W. Hollmann, Lothar A. Schwarte, Matthias Behrends, Thomas Rössel, Christer Groeben, Maximilian Schäfer, Aoïfe Lowery, Naoyuki Hirata, Michiaki Yamakage, Julie Ann Miller, Tiffany J. Cherry, Amanda Nelson, Carmen C. Solórzano, Benjamin J. Gigliotti, T. S. Wang, G. Wietasch, Pascal Friederich, Brett C. Sheppard, Paul H. Graham, Toby N. Weingarten, Juraj ŠprungList of authors in order
- Landing page
-
https://doi.org/10.1002/bjs.11378Publisher landing page
- PDF URL
-
https://academic.oup.com/bjs/article-pdf/107/2/e170/36117243/bjs11378.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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bronzeOpen access status per OpenAlex
- OA URL
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https://academic.oup.com/bjs/article-pdf/107/2/e170/36117243/bjs11378.pdfDirect OA link when available
- Concepts
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Medicine, Perioperative, Paraganglioma, Blockade, Complication, Surgery, Pheochromocytoma, Catecholamine, Anesthesia, Internal medicine, ReceptorTop concepts (fields/topics) attached by OpenAlex
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85Total citation count in OpenAlex
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2025: 10, 2024: 15, 2023: 15, 2022: 14, 2021: 16Per-year citation counts (last 5 years)
- References (count)
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34Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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