Evidence map›Paper›PMID 34580773›Full record

SynthesisSurgical endoscopy2021

Guidelines for the performance of minimally invasive splenectomy.

Tammy L Kindel, Rebecca C Dirks, Amelia T Collings, Stefan Scholz, Ahmed M Abou-Setta, Vamsi V Alli, Mohammed T Ansari, Ziad Awad, Joseph Broucek, Andre Campbell and 11 more

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
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

21 authors.

Tammy L KindelDepartment of Surgery, Medical College of Wisconsin, Wauwatosa, USA.ORCID 0000-0001-7489-7189
Rebecca C DirksDepartment of Surgery, Indiana University School of Medicine, Indianapolis, USA.
Amelia T CollingsDepartment of Surgery, Indiana University School of Medicine, Indianapolis, USA.
Stefan ScholzDepartment of Surgery, Division of Pediatric Surgery, University of Pittsburgh, Pittsburgh, USA.
Ahmed M Abou-SettaDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Canada.
Vamsi V AlliDepartment of Surgery, Penn State Milton S. Hershey Medical Center, Hershey, USA.
Mohammed T AnsariSchool of Epidemiology and Public Health, University of Ottawa, Ottawa, Canada.
Ziad AwadDepartment of Surgery, University of Florida College of Medicine-Jacksonville, Jacksonville, USA.
Joseph BroucekDepartment of Surgery, Vanderbilt University Medical Center, Nashville, USA.
Andre CampbellDepartment of Surgery, University of California, San Francisco, San Francisco, USA.
Michael W CrippsDepartment of Surgery, University of Texas Southwestern Medical Center, Dallas, USA.
Celeste HollandsDepartment of Surgery, Texas Tech University Health Sciences Center, Lubbock, USA.
Robert LimDepartment of Surgery, University of Oklahoma School of Medicine Tulsa, Tulsa, USA.
Francisco QuinterosChicago Institute of Advanced Surgery, Chicago, USA.
Kim RitcheyDivision of Pediatric Hematology and Oncology, University of Pittsburgh, Pittsburgh, USA.
Jake WhitesideIndiana University School of Medicine, Indianapolis, USA.
Bradley ZagolCharles George Veterans Affairs Medical Center, Asheville, USA.
Aurora D PryorDepartment of Surgery, Stony Brook University, Stony Brook, USA.
Danielle WalshDepartment of Surgery, East Carolina University, Greenville, USA.
Stephen HaggertyNorthShore University Health System, Evanston, USA.
Dimitrios StefanidisDepartment of Surgery, Indiana University School of Medicine, Indianapolis, USA. DimitriosStefanidis@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive splenectomy (MIS) is increasingly favored for the treatment of benign and malignant diseases of the spleen over open access approaches. While many studies cite the superiority of MIS in terms of decreased morbidity and length of stay over a traditional open approach, the comparative effectiveness of specific technical and peri-operative approaches to MIS is unclear.

objectiveTo develop evidence-based guidelines that support clinicians, patients, and others in decisions on the peri-operative performance of MIS.

methodsA guidelines committee panel of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) including methodologists used the Grading of Recommendations Assessment, Development and Evaluation approach to grade the certainty of evidence and formulate recommendations.

resultsInformed by a systematic review of the evidence, the panel agreed on eight recommendations for the peri-operative performance of MIS for adults and children in elective situations addressing six key questions.

conclusionsConditional recommendations were made in favor of lateral positioning for non-hematologic disease, intra-operative platelet administration for patients with idiopathic thrombocytopenic purpura instead of preoperative administration, and the use of mechanical devices to control the splenic hilum. Further, a conditional recommendation was made against routine intra-operative drain placement.

Indexed as

LaparoscopyPurpura, Thrombocytopenic, IdiopathicAdultChildElective Surgical ProceduresHumansSpleenSplenectomyTreatment OutcomeClinical practice guidelinesLaparoscopic splenectomyMinimally invasive splenectomySplenic artery embolizationSurgical drain

Identifiers

PMID34580773

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.