Evidence map›Paper›PMID 32643095›Full record

ArticleJournal of robotic surgery2021

Propensity score-matched analysis comparing laparoscopic to robotic surgery for colorectal cancer shows comparable clinical and oncological outcomes.

Christina A Fleming, Muhamad Fahad Ullah, Kah Hoong Chang, Emma McNamara, Eoghan Condon, David Waldron, J Calvin Coffey, Colin B Peirce

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
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  10. Robotic colorectal surgery in elderly patients: A single-centre experience.The international journal of medical robotics + computer assisted surgery : MRCAS · 2022
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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

8 authors at 2 institutions in 1 country.

Christina A FlemingDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland. christinafleming@rcsi.com.ORCID http://orcid.org/0000-0003-2326-2655
Muhamad Fahad UllahDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
Kah Hoong ChangDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
Emma McNamaraDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
Eoghan CondonDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
David WaldronDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
J Calvin CoffeyDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
Colin B PeirceDepartment of Colorectal Surgery, University Hospital Limerick, Limerick, Ireland.
University Hospital Limerick · IEUniversity of Limerick · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Robotic colorectal surgery is gaining popularity. The objective of this study was to compare clinical and cancer outcomes in propensity-score matched cohorts (PSM-1:1) undergoing colorectal cancer (CRC) surgery performed using laparoscopic or robotic surgery in a single institution. A PSM cohort comparison was performed in a tertiary referral cancer and National accredited rectal cancer surgery centre. Patients with CRC undergoing laparoscopic or robotic resection with curative intent from 2016 to 2019 (inclusive) were assessed for inclusion. Matched cohorts were selected using a 1:1 ratio. Statistical analysis was performed using SPSS, version 22. 128 patients were analysed [laparoscopic (n = 64); robotic (n = 64)]. Median age was 64 years (29-84 years). 55% (n = 70) of patients were male, 45% female (n = 58). SSI rates were slightly lower in the robotic group [10.9% (n = 7) v 12.5% (n = 8) p = 0.40]. Anastomotic leak rates were equal in both groups [5.4% (n = 3)]. All but one patient received an R0 resection in each group, median LNY was 14 in the robotic group and 12 in the laparoscopic group (p = 0.004) and no difference in disease recurrence (p = 0.465) or survival (p = 0.886) was observed. Structured introduction of a robotic colorectal programme over a 3-year period has resulted in equivalent outcomes with an established laparoscopic programme for CRC.

Indexed as

Propensity ScoreAdultAgedAged, 80 and overColorectal NeoplasmsFemaleHumansLaparoscopyMaleMiddle AgedRobotic Surgical ProceduresTime FactorsTreatment OutcomeCancerClinicalColorectal surgeryLaparoscopyOutcomesRobotic surgery

Identifiers

PMID32643095
OpenAlexW3040800668

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.