Evidence map›Paper›PMID 32665218›Full record

Trial reportBMJ (Clinical research ed.)2020

Robotic versus laparoscopic ventral hernia repair: multicenter, blinded randomized controlled trial.

Oscar A Olavarria, Karla Bernardi, Shinil K Shah, Todd D Wilson, Shuyan Wei, Claudia Pedroza, Elenir B Avritscher, Michele M Loor, Tien C Ko, Lillian S Kao and 1 more

Registry-linked trialAbstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in BMJ (Clinical research ed.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03490266 (Robotic Versus Laparoscopic Ventral Hernia Repair), which is not on this map. Cited by 66 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 12 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.

NCT03490266 nacompletednot on this map

Robotic Versus Laparoscopic Ventral Hernia Repair: A Multicenter Randomized Controlled Trial

TypeinterventionalSponsorThe University of Texas Health Science Center, HoustonRan2018 to 2022Enrolled150ConditionsHernia, VentralArmsRobotic Repair, Laparoscopic Repair
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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  5. End-colostomy parastomal hernia repair: a systematic review on laparoscopic and robotic approaches.Hernia : the journal of hernias and abdominal wall surgery · 2024
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  15. ROBOTIC-ASSISTED VERSUS LAPAROSCOPIC INCISIONAL HERNIA REPAIR: DIFFERENCES IN DIRECT COSTS FROM A BRAZILIAN PUBLIC INSTITUTE PERSPECTIVE.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2023
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6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors.

Oscar A OlavarriaDepartment of Surgery, Lyndon B. Johnson General Hospital, McGovern Medical School at UTHealth, Houston, TX 77026, USA oscarolavarria@hotmail.com.ORCID 0000-0001-8731-5395
Karla BernardiDepartment of Surgery, Lyndon B. Johnson General Hospital, McGovern Medical School at UTHealth, Houston, TX 77026, USA.
Shinil K ShahDepartment of Surgery, Lyndon B. Johnson General Hospital, McGovern Medical School at UTHealth, Houston, TX 77026, USA.
Todd D WilsonDepartment of Surgery, Lyndon B. Johnson General Hospital, McGovern Medical School at UTHealth, Houston, TX 77026, USA.
Shuyan WeiDepartment of Surgery, Lyndon B. Johnson General Hospital, McGovern Medical School at UTHealth, Houston, TX 77026, USA.
Claudia PedrozaDepartment of Pediatrics, McGovern Medical School at UTHealth, Houston, TX, USA.
Elenir B AvritscherDepartment of Pediatrics, McGovern Medical School at UTHealth, Houston, TX, USA.
Michele M LoorMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Tien C KoDepartment of Surgery, Lyndon B. Johnson General Hospital, McGovern Medical School at UTHealth, Houston, TX 77026, USA.
Lillian S KaoDepartment of Surgery, Lyndon B. Johnson General Hospital, McGovern Medical School at UTHealth, Houston, TX 77026, USA.
Mike K LiangDepartment of Surgery, Lyndon B. Johnson General Hospital, McGovern Medical School at UTHealth, Houston, TX 77026, USA.

Funding

Convalescent Plasma to Limit Coronavirus Associated ComplicationsUL1TR003167 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI KARP, DANIEL D, MCPHERSON, DAVID D · 2019 to 2023
$45.3M
ROLE OF THE GUT IN POST INJURY MULTIPLE ORGAN FAILURET32GM008792 · NIGMS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI Charles S Cox · 2001 to 2026
$5.2M
Institutional Career Development CoreKL2TR003168 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILLER, CHARLES C · 2019 to 2023
$4.9M
NCATS NIH HHS KL2 TR003168NCATS NIH HHS UL1 TR003167NIGMS NIH HHS T32 GM008792
6 · The paper itself

Abstract

objectiveTo determine whether robotic ventral hernia repair is associated with fewer days in the hospital 90 days after surgery compared with laparoscopic repair.

designPragmatic, blinded randomized controlled trial.

settingMultidisciplinary hernia clinics in Houston, USA.

participants124 patients, deemed appropriate candidates for elective minimally invasive ventral hernia repair, consecutively presenting from April 2018 to February 2019.

interventionsRobotic ventral hernia repair (n=65) versus laparoscopic ventral hernia repair (n=59).

main outcome measuresThe primary outcome was number of days in hospital within 90 days after surgery. Secondary outcomes included emergency department visits, operating room time, wound complications, hernia recurrence, reoperation, abdominal wall quality of life, and costs from the healthcare system perspective. Outcomes were pre-specified before data collection began and analyzed as intention to treat.

resultsPatients from both groups were similar at baseline. Ninety day follow-up was completed in 123 (99%) patients. No evidence was seen of a difference in days in hospital between the two groups (median 0

conclusionThis study found no evidence of a difference in 90 day postoperative hospital days between robotic and laparoscopic ventral hernia repair. However, robotic repair increased operative duration and healthcare costs.

trial registrationClinicaltrials.gov NCT03490266.

Indexed as

LaparoscopyRobotic Surgical ProceduresEmergency Service, HospitalHernia, VentralHerniorrhaphyHospital CostsHumansLength of StayOperative TimePostoperative ComplicationsQuality of LifeRecurrenceReoperation

Identifiers

PMID32665218
PMCPMC7359869

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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.