Evidence map›Paper›PMID 31230107›Full record

ArticleInternational journal of colorectal disease2019

Robotic versus laparoscopic elective colectomy for left side diverticulitis: a propensity score-matched analysis of the NSQIP database.

Mohammed H Al-Temimi, Bindupriya Chandrasekaran, Johan Agapian, Walter R Peters, Katrina O Wells

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
4.2field-weighted citation impact, top 6% 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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 43 citations in OpenAlex.

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  20. Anastomotic Considerations in Diverticulitis.Clinics in colon and rectal surgery · 2023
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Mohammed H Al-TemimiDepartment of Surgery, Division of Colorectal Surgery, Baylor University Medical Center, 3409 Worth St# 640, Dallas, TX, 75246, USA. mohammed.altemimi@bswhealth.org.ORCID http://orcid.org/0000-0001-7393-4929
Bindupriya ChandrasekaranDepartment of Surgery, Kaiser Permanente Fontana Medical Center, 9961 Sierra Ave., Fontana, CA, 92335, USA.
Johan AgapianDepartment of Surgery, Riverside University Health system, 26520 Cactus Ave,, Moreno Valley, CA, 92555, USA.
Walter R PetersDepartment of Surgery, Division of Colorectal Surgery, Baylor University Medical Center, 3409 Worth St# 640, Dallas, TX, 75246, USA.
Katrina O WellsDepartment of Surgery, Division of Colorectal Surgery, Baylor University Medical Center, 3409 Worth St# 640, Dallas, TX, 75246, USA.
Baylor University Medical Center · USKaiser Permanente Fontana Medical Center · USRiverside University Health System - Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRobotic surgery might have an advantage over conventional laparoscopy for colonic diverticulitis. We intend to compare both approaches in the elective management of left side diverticulitis.

methodsThe National Surgical Quality Improvement Program (NSQIP) database (2012-2014) was surveyed for patients undergoing elective left/sigmoid colectomy for diverticulitis. Patient demographics, co-morbidities, disease complexity, and intraoperative details were matched on propensity scores derived from logistic regression model.

resultsWe identified 441 robotic and 6584 laparoscopic cases. Mean age was 56.8 years. Mean BMI was 29.5, and 46.5% of patients were males. Low preoperative albumin (< 3.5 mg/dl, 11.1% vs. 6.8%, p = 0.003), splenectomy (0.45% vs. 0.05%, p = 0.002), and enterotomy repair (1.1% vs. 0.4%, p = 0.029) were higher in the robotic group than the laparoscopic group. Hand assistance (35.8% vs. 42.9%, p = 0.003), splenic flexure takedown (41.5% vs. 49.2%, p = 0.002), and ureteric stent placement (18.6% vs. 23.5%, p = 0.017) were less common in the robotic group than the laparoscopic group. Case-matched analysis showed that robotic surgery was associated with shorter hospital stay (3.89 ± 2.18 days vs. 4.75 ± 3.25 days, p < 0.001), lower conversion rate (7.5% vs. 14.3%, p = 0.001), and longer operative time (219.2 ± 95.6 min vs. 188.8 ± 82.3 min, p < 0.001) than laparoscopic surgery. Robotic approach was associated with lower overall morbidity in multivariate analysis (OR = 0.72, 95% CI = 0.55-0.96), but not in case-matched analysis (14.4% vs. 19.2%, p = 0.058).

conclusionsRobotic surgery is associated with shorter hospital stay and lower conversion rate and may offer lower overall morbidity than laparoscopy after elective left side colectomy for diverticulitis. Controlled prospective studies are needed to confirm these findings.

Indexed as

Databases, FactualPropensity ScoreQuality ImprovementCohort StudiesColectomyDiverticulitisElective Surgical ProceduresFemaleHumansLaparoscopyMaleMiddle AgedMultivariate AnalysisRobotic Surgical ProceduresTreatment OutcomeColectomyConcomitant proceduresDiverticulitisFistulaLaparoscopic surgeryRobotic surgery

Identifiers

PMID31230107
OpenAlexW2953094075

What OpenQuestion holds

Textmetadata
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.