Evidence map›Paper›PMID 35985776›Full record

ArticleBMJ open2022

Prospective multicentre observational cohort to assess quality of life, functional outcomes and cost-effectiveness following minimally invasive surgical techniques for rectal cancer in 'dedicated centres' in the Netherlands (VANTAGE trial): a protocol.

Ritch Geitenbeek, Thijs Burghgraef, Roel Hompes, David Zimmerman, Marcel Dijkgraaf, Maarten Postma, Adelita Ranchor, Paul Verheijen, Esther Consten, MIRECA study group

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 23% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. A Cost Overview of Minimally Invasive Total Mesorectal Excision in Rectal Cancer Patients: A Population-based Cohort in Experienced Centres.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2023
    Article
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

10 authors at 4 institutions in 1 country.

Ritch Geitenbeek *Department of Surgery, University Medical Centre, Groningen, The Netherlands.ORCID 0000-0002-4707-0319
Thijs Burghgraef *Department of Surgery, University Medical Centre, Groningen, The Netherlands.
Roel HompesDepartment of Surgery, UMC Locatie AMC, Amsterdam, The Netherlands.
David ZimmermanDepartment of Surgery, Elisabeth-TweeSteden Ziekenhuis, Tilburg, The Netherlands.
Marcel DijkgraafDepartment of Clinical Epidemiology, Biostatistics and Bioinformatics, UMC - Locatie AMC, Amsterdam, The Netherlands.ORCID 0000-0003-0750-8790
Maarten PostmaDepartment of Pharmacoepidemiology and Pharmacoeconomics, University Medical Centre, Groningen, The Netherlands.
Adelita RanchorDepartment of Health Psychology, University of Groningen, Groningen, The Netherlands.
Paul VerheijenDepartment of Surgery, Meander Medical Centre, Amersfoort, The Netherlands.
Esther ConstenDepartment of Surgery, Meander Medical Centre, Amersfoort, The Netherlands ecj.consten@meandermc.nl.
MIRECA study group
University Medical Center Groningen · NLMeander Medisch Centrum · NLElisabeth-TweeSteden Ziekenhuis · NLUniversity of Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTotal mesorectal excision is the standard of care for rectal cancer, which can be performed using open, laparoscopic, robot-assisted and transanal technique. Large prospective (randomised controlled) trials comparing these techniques are lacking, do not take into account the learning curve and have short-term or long-term oncological results as their primary endpoint, without addressing quality of life, functional outcomes and cost-effectiveness. Comparative data with regard to these outcomes are necessary to identify the optimal minimally invasive technique and provide guidelines for clinical application. METHODS AND ANALYSIS: This trial will be a prospective observational multicentre cohort trial, aiming to compare laparoscopic, robot-assisted and transanal total mesorectal excision in adult patients with rectal cancer performed by experienced surgeons in dedicated centres. Data collection will be performed in collaboration with the prospective Dutch ColoRectal Audit and the Prospective Dutch ColoRectal Cancer Cohort. Quality of life at 1 year postoperatively will be the primary outcome. Functional outcomes, cost-effectiveness, short-term outcomes and long-term oncological outcomes will be the secondary outcomes. In total, 1200 patients will be enrolled over a period of 2 years in 26 dedicated centres in the Netherlands. The study is registered at https://www.trialregister.nl/9734 (NL9734). ETHICS AND DISSEMINATION: Data will be collected through collaborating parties, who already obtained approval by their medical ethical committee. Participants will be included in the trial after having signed informed consent. Results of this study will be disseminated to participating centres, patient organisations, (inter)national society meetings and peer-reviewed journals.

Indexed as

LaparoscopyRectal NeoplasmsAdultCost-Benefit AnalysisHumansMulticenter Studies as TopicNetherlandsObservational Studies as TopicProspective StudiesQuality of LifeTreatment OutcomeColorectal surgeryHEALTH ECONOMICSSURGERY

Identifiers

PMID35985776
PMCPMC9396149
OpenAlexW4292380025

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.