Evidence map›Paper›PMID 26307038›Full record

SynthesisBMC cancer2015

Comparison of the prognosis and recurrence of apparent early-stage ovarian tumors treated with laparoscopy and laparotomy: a meta-analysis of clinical studies.

Ying Zhang, Shuying Fan, Yang Xiang, Hua Duan, Li Sun

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in BMC cancer, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 5% of its field
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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Laparoscopy versus laparotomy for FIGO stage I ovarian cancer.The Cochrane database of systematic reviews · 2016
    Pooled it
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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

5 authors at 4 institutions in 1 country.

Ying ZhangDepartment of Gynecology Minimally Invasive Center, Beijing Obstetrics and Gynecology Hospital,Capital Medical University, #17 Qi He Lou Street, Dongcheng District, Beijing, 100006, China. zyandzm@163.com.
Shuying FanDepartment of Gynecology and Obstetrics, Kailuan General Hospital, #57 Xinhua East Road, Tangshan, 063000, Hebei, China. jingtuxingzhe@126.com.
Yang XiangDepartment of Obsteric and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, #1 Shuai Fu Yuanx, Dong Cheng District, Beijing, 100730, China. xiangyang65@gmail.com.
Hua DuanDepartment of Gynecology Minimally Invasive Center, Beijing Obstetrics and Gynecology Hospital,Capital Medical University, #17 Qi He Lou Street, Dongcheng District, Beijing, 100006, China. lwtgslhy@126.com.
Li SunDepartment of Medical Oncology, the Central Hospital of Xuzhou, the Cancer Institute of Southeast University, Xuzhou, Jiangsu, 221009, China. xzsonya@sohu.com.
Capital Medical University · CNKailuan General Hospital · CNPeking Union Medical College Hospital · CNSoutheast University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis meta-analysis aimed to evaluate the prognosis and recurrence of apparent early-stage ovarian tumors treated with laparoscopy compared with laparotomy.

methodsClinical studies published in English were retrieved from the computerized databases Medline and Embase. A meta-analysis was performed to investigate the differences in the efficacy and safety of laparoscopy versus laparotomy in terms of postoperative complications, lengths of hospital stay, recurrence rates, and disease-free survival times using the random effects model. The studies were independently reviewed by two investigators. Data from the eligible studies were extracted, and the meta-analysis was performed using the Comprehensive Meta-Analysis program, version 2 (CMA-2; Biostat, Englewood, NJ, USA).

resultsA total of 8 studies were included in the analysis. The results showed that laparoscopic surgery was significantly associated with lower rates of complications (OR = 0.433, P = 0.019) and shorter postoperative hospital stays (weighted mean difference [WMD] = -0.974, P < 0.001). There was no significant difference in the rates of recurrence (OR = 0.707, P = 0.521) between patients with apparent early-stage ovarian tumors who were treated using laparoscopy and those who underwent laparotomy. No publication bias was detected.

conclusionsLaparoscopic surgery shows favorable prognostic outcomes in terms of postoperative complication rates and postoperative hospital stay durations. Further studies with longer follow-up periods are required to confirm recurrence and survival outcomes after laparoscopic surgery in patients with apparent early-stage ovarian tumors.

Indexed as

LaparoscopyLaparotomyFemaleHumansNeoplasm Recurrence, LocalNeoplasm StagingOdds RatioOvarian NeoplasmsPrognosisTreatment Outcome

Identifiers

PMID26307038
PMCPMC4549127
OpenAlexW2126283592

What OpenQuestion 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 OpenQuestion graph.