Evidence map›Paper›PMID 32955800›Full record

ReviewBJS open2020

Obese patients and robotic colorectal surgery: systematic review and meta-analysis.

Y Suwa, M Joshi, L Poynter, I Endo, H Ashrafian, A Darzi

Open access · goldAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in BJS open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 6 pooled it
1.0field-weighted citation impact, top 21% 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

15 citing papers in PubMed, 6 syntheses or guidelines pooled it, 31 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

6 authors at 2 institutions in 2 countries.

Y SuwaDepartment of Surgery and Cancer, Imperial College London, London, UK.
M JoshiDepartment of Surgery and Cancer, Imperial College London, London, UK.ORCID https://orcid.org/0000-0003-4417-1437
L PoynterDepartment of Surgery and Cancer, Imperial College London, London, UK.ORCID https://orcid.org/0000-0002-8659-2275
I EndoDepartment of Gastroenterological Surgery, Yokohama City University, Yokohama, Japan.ORCID https://orcid.org/0000-0001-5520-8114
H AshrafianDepartment of Surgery and Cancer, Imperial College London, London, UK.
A DarziDepartment of Surgery and Cancer, Imperial College London, London, UK.
Imperial College London · GBYokohama City University · JP

Funding

National Institute for Health Research (NIHR) Imperial Patient Safety Translational Research CentreNIHR Imperial Biomedical Research Centre - This paper is independent research funded by t
6 · The paper itself

Abstract

backgroundObesity is a major health problem, demonstrated to double the risk of colorectal cancer. The benefits of robotic colorectal surgery in obese patients remain largely unknown. This meta-analysis evaluated the clinical and pathological outcomes of robotic colorectal surgery in obese and non-obese patients.

methodsMEDLINE, Embase, Global Health, Healthcare Management Information Consortium (HMIC) and Midwives Information and Resources Service (MIDIRS) databases were searched on 1 August 2018 with no language restriction. Meta-analysis was performed according to PRISMA guidelines. Obese patients (BMI 30 kg/m

resultsA total of 131 full-text articles were reviewed, of which 12 met the inclusion criteria and were included in the final analysis. There were 3166 non-obese and 1420 obese patients. A longer duration of surgery was documented in obese compared with non-obese patients (weighted mean difference -21·99 (95 per cent c.i. -31·52 to -12·46) min; P < 0·001). Obese patients had a higher rate of conversion to laparotomy than non-obese patients (odds ratio 1·99, 95 per cent c.i. 1·54 to 2·56; P < 0·001). Blood loss, postoperative complications, length of hospital stay and pathological outcomes were not significantly different in obese and non-obese patients.

conclusionRobotic surgery in obese patients results in a significantly longer duration of surgery and higher conversion rates than in non-obese patients. Further studies should focus on better stratification of the obese population with colorectal disease as candidates for robotic procedures.

Identifiers

PMID32955800
PMCPMC7709366
OpenAlexW3087718403

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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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.