SynthesisWorld journal of emergency surgery : WJES2018
Outcomes of selective nonoperative management of civilian abdominal gunshot wounds: a systematic review and meta-analysis.
Synthesis in World journal of emergency surgery : WJES, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- [Clinical disaster medicine: recommendations of the Surgical Working Group for Military and Emergency Surgery].Unfallchirurgie (Heidelberg, Germany) · 2025Guideline
- Selective Nonoperative Management of Abdominal Stab Wounds in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.World journal of surgery · 2025Pooled it
- Selective nonoperative versus operative management of liver gunshot injuries: a retrospective cohort study.Annals of the Royal College of Surgeons of England · 2025Article
- Role of preoperative CT imaging in penetrating thoraco-abdominal injuries: A multicenter study of urban trauma centers.American journal of surgery · 2025Article
- Clinical predictors of therapeutic laparotomy in anterior abdominal stab injuries: a multicenter study from low-income institutions in Ethiopia.Journal of trauma and injury · 2024Article
- Outcomes of Nonoperative Management of Penetrating Abdominal Trauma Injury: A Retrospective Study.Cureus · 2024Article
- Injury Patterns and Treatment Strategies in Civilian and Military Isolated Abdominal Gunshot Wounds.World journal of surgery · 2023Article
- Penetrating renal injuries: an observational study of non-operative management and the impact of opening Gerota's fascia.World journal of emergency surgery : WJES · 2022Observational
- Trends in the Management of Abdominal Gunshot Wounds Over the Last Decade: A South African Experience.World journal of surgery · 2022Article
- Penetrating abdominal trauma in the era of selective conservatism: a prospective cohort study in a level 1 trauma center.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Conservative Management of Gunshot Wound to Anterior Abdomen in a Resource-Poor Setting in the Caribbean.Cureus · 2021Article
- Patients with gunshot wounds to the torso differ in risk of mortality depending on treating hospital.Updates in surgery · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 4 institutions in 3 countries.
Funding
Abstract
Background: Although mandatory laparotomy has been standard of care for patients with abdominal gunshot wounds (GSWs) for decades, this approach is associated with non-therapeutic operations, morbidity, and long hospital stays. This systematic review and meta-analysis sought to summarize outcomes of selective nonoperative management (SNOM) of civilian abdominal GSWs. Methods: We searched electronic databases (March 1966-April 1, 2017) and reference lists of articles included in the systematic review for studies reporting outcomes of SNOM of civilian abdominal GSWs. We meta-analyzed the associated risks of SNOM-related failure (defined as laparotomy during hospital admission), mortality, and morbidity across included studies using DerSimonian and Laird random-effects models. Between-study heterogeneity was assessed by calculating Results: Of 7155 citations identified, we included 41 studies [ Conclusions: SNOM of abdominal GSWs is safe when conducted in hemodynamically stable patients without a reduced level of consciousness or signs of peritonitis. Failure of SNOM may be lower in patients with GSWs to the back, flank, or right thoracoabdomen and be decreased by mandatory use of abdominopelvic CT scans.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.