Cardiothoracic & vascular anaesthesia

Early postoperative non-steroidal anti-inflammatory drugs and anastomotic leakage after oesophagectomy

Br J SurgPublished Retrospective cohort study

Main finding · Anastomotic leakageResult — go to the resultOdds ratio 1.04 95 per cent CI 0.97–1.10

Authors' conclusion

Early postoperative NSAID use was not associated with anastomotic leakage or other complications in patients who underwent oesophagectomy.

Study context

Population
Patients who underwent oesophagectomy for cancer, July 2010–March 2019
Participants
39,418 eligible patients
Exposure
Early postoperative non-steroidal anti-inflammatory drug (NSAID) use vs no NSAID use
  • NSAIDsn = 16,211
Outcome
Anastomotic leakage
Methodological detailsJapanese nationwide inpatient database, stabilized inverse probability of treatment weighting (IPTW), propensity score matching, instrumental variable analyses
  • Japanese nationwide inpatient database
  • Stabilized IPTW
  • Propensity score matching
  • Instrumental variable analyses

Main finding

As reported in the abstract

Odds ratio

1.04

95 per cent CI 0.97–1.10

NSAIDs vs No NSAIDs
OR 1.04 (95 per cent CI 0.97–1.10)
Anastomotic leakage overall
5729 (15 per cent)

Observational data: associations, not effects.

Secondary outcomes

30-day mortality and in-hospital mortality

Did not differ according to NSAID use

Safety

AKI and gastrointestinal bleeding

Did not differ according to NSAID use

Original publication

Early postoperative non-steroidal anti-inflammatory drugs and anastomotic leakage after oesophagectomy. Br J Surg. Published 26 November 2022. doi:10.1093/bjs/znac399

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.