Evidence map›Paper›PMID 33222043›Full record

SynthesisJournal of robotic surgery2021

Intracorporeal versus extracorporeal urinary diversion following robot-assisted radical cystectomy: a meta-analysis, cumulative analysis, and systematic review.

Karthik Tanneru, Seyed Behzad Jazayeri, Jatinder Kumar, Muhammad Umar Alam, Daniel Norez, Sabine Nguyen, Soroush Bazargani, Hariharan Palayapalayam Ganapathi, Mark Bandyk, Robert Marino and 4 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis 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 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
4.5field-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

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

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  4. Comparison of Robotic vs Open Cystectomy: A Systematic Review.Bladder cancer (Amsterdam, Netherlands) · 2023
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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

14 authors at 1 institution in 1 country.

Karthik TanneruDepartment of Urology, University of Florida, 655 8th St W, Jacksonville, FL, 32209, USA.ORCID http://orcid.org/0000-0002-0297-3784
Seyed Behzad JazayeriDepartment of Urology, University of Florida, 655 8th St W, Jacksonville, FL, 32209, USA.
Jatinder KumarDepartment of Urology, University of Florida, 655 8th St W, Jacksonville, FL, 32209, USA.
Muhammad Umar AlamDepartment of Urology, University of Florida, 655 8th St W, Jacksonville, FL, 32209, USA.
Daniel NorezCenter for Data Solutions, University of Florida, Jacksonville, FL, USA.
Sabine NguyenDepartment of Urology, University of Florida, 655 8th St W, Jacksonville, FL, 32209, USA.
Soroush BazarganiDepartment of Urology, University of Florida, 655 8th St W, Jacksonville, FL, 32209, USA.
Hariharan Palayapalayam GanapathiDepartment of Urology, University of Florida, 655 8th St W, Jacksonville, FL, 32209, USA.
Mark BandykDepartment of Urology, University of Florida, 655 8th St W, Jacksonville, FL, 32209, USA.
Robert MarinoDepartment of Urology, University of Florida, 655 8th St W, Jacksonville, FL, 32209, USA.
Shahriar KoochekpourDepartment of Urology, University of Florida, 655 8th St W, Jacksonville, FL, 32209, USA.
Shiva GautamDepartment of Urology, University of Florida, 655 8th St W, Jacksonville, FL, 32209, USA.
K C BalajiDepartment of Urology, University of Florida, 655 8th St W, Jacksonville, FL, 32209, USA.
Joseph CostaDepartment of Urology, University of Florida, 655 8th St W, Jacksonville, FL, 32209, USA. joseph.costa@jax.ufl.edu.
University of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Over the last decade, the increased utilization of robot-assisted radical cystectomy (RARC) in the surgical treatment of muscle-invasive bladder cancer has led to an uptrend in intracorporeal urinary diversions (ICUD). However, the operative results comparing ICUD to extracorporeal urinary diversion (ECUD) have varied widely. We performed a meta-analysis to analyze perioperative outcomes and complications of ICUD compared to ECUD following RARC. This study is registered at International Prospective Register of Systematic Reviews (PROSPERO) CRD42020164074. A systematic literature review was conducted using PubMed, EMBASE, and Cochrane databases in August 2019. A total of six studies comparing ICUD vs ECUD were identified and meta-analysis was conducted on these studies. In addition, a cumulative analysis was also performed on 83 studies that reported perioperative outcomes after RARC and ICUD or ECUD. The Weighed Mean Difference of operative time and blood loss between ICUD and ECUD group was (16; 95% confidence interval - 34 to 66) and (- 86; 95% confidence interval - 124 to - 48), respectively. ICUD and ECUD had comparable early (30-day) and mid-term (30-90-day) complication rate (RR 1.19; 95% confidence interval 0.71-2.0; p = 0.5) and (RR 0.91; 95% confidence interval 0.71-1.15 p = 0.4) respectively. In the 83 studies that were included in the cumulative analysis, the mean operative time for ileal conduit and neobladders by ICUD were 307 and 428 min, respectively, compared to ECUD 428 and 426 min, respectively. ICUD and ECUD have comparable short- and mid-term complication rate. The ICUD group has lower blood loss and lower rate of blood transfusion compared to ECUD.

Indexed as

Blood Loss, SurgicalBlood TransfusionCystectomyFemaleHumansMaleNeoplasm InvasivenessPostoperative ComplicationsRobotic Surgical ProceduresTreatment OutcomeUrinary Bladder NeoplasmsUrinary DiversionECUDExtracorporeal urinary diversionICUDIntracorporeal urinary diversionRARC

Identifiers

PMID33222043
OpenAlexW3107545502

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.