Evidence map›Paper›PMID 28762635›Full record

SynthesisThe international journal of medical robotics + computer assisted surgery : MRCAS2017

A comparison of operative outcomes between standard and robotic laparoscopic surgery for endometrial cancer: A systematic review and meta-analysis.

Thomas Ind, Alex Laios, Matthew Hacking, Marielle Nobbenhuis

Abstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in The international journal of medical robotics + computer assisted surgery : MRCAS, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 5 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

37 citing papers in PubMed, 5 syntheses or guidelines 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

4 authors.

Thomas IndDepartment of Gynaecological Oncology, Royal Marsden Hospital, London, UK.ORCID http://orcid.org/0000-0001-5260-199X
Alex LaiosDepartment of Gynaecological Oncology, Royal Marsden Hospital, London, UK.
Matthew HackingDepartment of Gynaecological Oncology, Royal Marsden Hospital, London, UK.
Marielle NobbenhuisDepartment of Gynaecological Oncology, Royal Marsden Hospital, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence has been systematically assessed comparing robotic with standard laparoscopy for treatment of endometrial cancer.

methodsA search of Medline, Embase and Cochrane databases was performed until 30th October 2016.

resultsThirty-six papers including 33 retrospective studies, two matched case-control studies and one randomized controlled study were used in a meta-analysis. Information from a further seven registry/database studies were assessed descriptively. There were no differences in the duration of surgery but days stay in hospital were shorter in the robotic arm (0.46 days, 95%CI 0.26 to 0.66). A robotic approach had less blood loss (57.74 mL, 95%CI 38.29 to 77.20), less conversions to laparotomy (RR = 0.41, 95%CI 0.29 to 0.59), and less overall complications (RR = 0.82, 95%CI 0.72 to 0.93). A robotic approach had higher costs ($1746.20, 95%CI $63.37 to $3429.03).

conclusionA robotic approach has favourable clinical outcomes but is more expensive.

Indexed as

Endometrial NeoplasmsFemaleHealth Care CostsHumansLaparoscopyLaparotomyRandomized Controlled Trials as TopicRetrospective StudiesRoboticsRobotic Surgical ProceduresTreatment Outcome

Identifiers

PMID28762635
PMCPMC5724687

What OpenQuestion holds

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Registered trials

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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.