Evidence map›Paper›PMID 29071149›Full record

ReviewArab journal of urology2017

Laparoscopic vs robotic nephroureterectomy: Is it time to re-establish the standard? Evidence from a systematic review.

Thomas Stonier, Nick Simson, Su-Min Lee, Ian Robertson, Tarik Amer, Bhaskar K Somani, Bhavan P Rai, Omar Aboumarzouk

Abstract readReview
In one paragraph

Review in Arab journal of urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Robotics in urology.Annals of the Royal College of Surgeons of England · 2018
    Article
  11. Article
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

8 authors.

Thomas StonierPrincess Alexandra Hospital, Harlow, Essex, UK.
Nick SimsonPrincess Alexandra Hospital, Harlow, Essex, UK.
Su-Min LeeWeston General Hospital, Weston-Super-Mare, North Somerset, UK.
Ian RobertsonSt George's Hospital, Tooting, London, UK.
Tarik AmerQueen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK.
Bhaskar K SomaniUniversity Hospital Southampton NHS Trust, Southampton, Hampshire, UK.
Bhavan P RaiJames Cook University Hospital, Middlesbrough, North Yorkshire, UK.
Omar AboumarzoukQueen Elizabeth University Hospital, NHS Greater Glasgow and Clyde, Glasgow, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo conduct a systematic review of comparative studies of laparoscopic nephroureterectomy (LNU), the standard management for upper urothelial tumours, and robot-assisted NU (RANU) that has emerged as a viable alternative.

methodsMEDLINE, EMBASE and the Cochrane Library were searched according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to identify all studies reporting on both LNU and RANU for upper urothelial tract tumours.

resultsIn all, 1630 patients were included, of which 838 underwent LNU and 792 RANU. Three studies reported on mean operative time and found it to be less in LNU, with two reporting this to be significant (RANU 298 vs LNU 251 min,

conclusionsThis review suggests these techniques are equivalent in terms of perioperative and oncological performance. Furthermore, there may be a lower overall complication rate, as well as postoperative mortality in the robotic group. Further research in the form of a randomised controlled trial is warranted.

Indexed as

CEBM, Centre for Evidence-Based MedicineEBL, estimated blood lossLaparoscopicLND, lymph node dissection(L)(RA)NU, (laparoscopic) (robot-assisted) nephroureterectomyMeSH, Medical Subject HeadingNephroureterectomyOT, operative timePRISMA, Preferred Reporting Items for Systematic Reviews and Meta-AnalysesPSM, positive surgical marginsRoboticUreteric neoplasm ureterVAS, visual analogue scale

Identifiers

PMID29071149
PMCPMC5651951

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.