Evidence map›Paper›PMID 26628967›Full record

ArticleInternational journal of clinical and experimental medicine2015

Outcome of extralevator abdominoperineal excision over conventional abdominoperineal excision for low rectal tumor: a meta-analysis.

Yue Yang, Huirong Xu, Zhenhua Shang, Shouzhen Chen, Fan Chen, Qiming Deng, Li Luo, Liang Zhu, Benkang Shi

Abstract read
In one paragraph

Article in International journal of clinical and experimental medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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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

9 authors.

Yue YangDepartment of Surgery, Qilu Hospital of Shandong University Wenhua West Road 44#, Jinan 250100, Shandong Province, China.
Huirong XuDepartment of Surgery, Shandong Tumor Hospital Jinan 250100, Shandong Province, China.
Zhenhua ShangDepartment of Surgery, Qilu Hospital of Shandong University Wenhua West Road 44#, Jinan 250100, Shandong Province, China.
Shouzhen ChenDepartment of Surgery, Qilu Hospital of Shandong University Wenhua West Road 44#, Jinan 250100, Shandong Province, China.
Fan ChenDepartment of Surgery, Qilu Hospital of Shandong University Wenhua West Road 44#, Jinan 250100, Shandong Province, China.
Qiming DengDepartment of Surgery, Qilu Hospital of Shandong University Wenhua West Road 44#, Jinan 250100, Shandong Province, China.
Li LuoDepartment of Surgery, Qilu Hospital of Shandong University Wenhua West Road 44#, Jinan 250100, Shandong Province, China.
Liang ZhuDepartment of Surgery, Qilu Hospital of Shandong University Wenhua West Road 44#, Jinan 250100, Shandong Province, China.
Benkang ShiDepartment of Surgery, Qilu Hospital of Shandong University Wenhua West Road 44#, Jinan 250100, Shandong Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveA meta-analysis was undertaken to provide an evidence-based basis of clinical trials comparing extralevator abdominoperineal excision with conventional abdominoperineal excision for low rectal tumor.

methodsWe searched through the major medical databases such as PubMed, EMBASE, Medline, Science Citation Index, Web of Science for all published studies without any limit on language from January 2009 until January 2015. The following search terms were used: extralevator abdominoperineal excision or cylindrical abdominoperineal resection or conventional abdominoperineal excision or abdominoperineal excision or rectal cancer. Furthermore, Additional related studies were manually searched in the reference lists of all published reviews and retrieved articles.

resultsIn this meta-analysis, there are a total number of 1797 patients included: 1099 patients in the ELAPE group and 698 in the APE group, and there are not statistically differences between groups in CRM [RR=0.65, 95% CI (0.41, 1.04), P=0.07] and wound complications [RR=1.14, 95% CI (1.09, 1.66), P=0.45] between ELAPE and APE. However, ELAPE has a lower rate of intraoperation perforation [RR=0.44; 95% CI (0.33, 0.60); P<0.00001] and local recurrence [RR=0.45, 95% CI (0.27, 0.77), P=0.003] than APE in terms of short follow-up time.

Indexed as

abdominoperineal excisionextralevator abdominoperineal excisionmeta-analysisRectal cancer

Identifiers

PMID26628967
PMCPMC4658856

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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.