Evidence map›Paper›PMID 32310341›Full record

SynthesisThoracic cancer2020

Postoperative short-term outcomes of minimally invasive versus open esophagectomy for patients with esophageal cancer: An updated systematic review and meta-analysis.

Naeem M Akhtar, Donglai Chen, Yuhuan Zhao, David Dane, Yuhang Xue, Wenjia Wang, Jiaheng Zhang, Yonghua Sang, Chang Chen, Yongbing Chen

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Thoracic cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
4.7field-weighted citation impact, top 4% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

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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

10 authors at 2 institutions in 1 country.

Naeem M AkhtarDepartment of Thoracic Surgery, School of Medicine, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Donglai ChenDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China.ORCID 0000-0001-7603-4803
Yuhuan ZhaoDepartment of Thoracic Surgery, School of Medicine, The Second Affiliated Hospital of Soochow University, Suzhou, China.
David DaneDepartment of Thoracic Surgery, School of Medicine, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Yuhang XueDepartment of Thoracic Surgery, School of Medicine, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Wenjia WangDepartment of Thoracic Surgery, School of Medicine, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Jiaheng ZhangDepartment of Thoracic Surgery, School of Medicine, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Yonghua SangDepartment of Thoracic Surgery, School of Medicine, The Second Affiliated Hospital of Soochow University, Suzhou, China.
Chang ChenDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji University, Shanghai, China.
Yongbing ChenDepartment of Thoracic Surgery, School of Medicine, The Second Affiliated Hospital of Soochow University, Suzhou, China.ORCID 0000-0002-7595-092X
Soochow University · CNTongji University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe performed a systematic review and meta-analysis to synthesize the available evidence regarding short-term outcomes between minimally invasive esophagectomy (MIE) and open esophagectomy (OE).

methodsStudies were identified by searching databases including PubMed, EMBASE, Web of Science and Cochrane Library up to March 2019 without language restrictions. Results of these searches were filtered according to a set of eligibility criteria and analyzed in line with PRISMA guidelines.

resultsThere were 33 studies included with a total of 13 269 patients in our review, out of which 4948 cases were of MIE and 8321 cases were of OE. The pooled results suggested that MIE had a better outcome regarding all-cause respiratory complications (RCs) (OR = 0.56, 95% CI = 0.41-0.78, P = <0.001), in-hospital duration (SMD = -0.51; 95% CI = -0.78-0.24; P = <0.001), and blood loss (SMD = -1.44; 95% CI = -1.95-0.93; P = <0.001). OE was associated with shorter duration of operation time, while no statistically significant differences were observed regarding other outcomes. Additionally, subgroup analyses were performed for a number of different postoperative events.

conclusionsOur study indicated that MIE had more favorable outcomes than OE from the perspective of short-term outcomes. Further large-scale, multicenter randomized control trials are needed to explore the long-term survival outcomes after MIE versus OE.

Indexed as

ChinaEsophageal NeoplasmsEsophagectomyHumansMinimally Invasive Surgical ProceduresPostoperative ComplicationsPrognosisEsophageal canceresophagectomyminimally-invasive surgery

Identifiers

PMID32310341
PMCPMC7262946
OpenAlexW3016887407

What OpenQuestion holds

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LicenceCC BY
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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.