Evidence map›Paper›PMID 38040433›Full record

ArticleBMJ open2023

Preventive strategies for low anterior resection syndrome: a protocol for systematic review and evidence mapping.

Xin-Yu Zhang, Ke-Lu Yang, Yang Li, Rui-Shu Li, Shi-Qi Wang, Xiao-Nan Liu, Quan Wang

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Xin-Yu ZhangAmbulatory Surgery Center, Xijing Hospital, Air Force Military Medical University, Xi'an, China.
Ke-Lu YangAcademic Center for Nursing and Midwifery, Department of Public Health and Primary Care, University of Leuven (KU Leuven), Leuven, Belgium.
Yang LiDepartment of Nursing, Air Force Military Medical University, Xi'an, China.
Rui-Shu LiAmbulatory Surgery Center, Xijing Hospital, Air Force Military Medical University, Xi'an, China.
Shi-Qi WangDepartment of Gastrointestinal Surgery, Xijing Hospital of Digestive Diseases, Xijing Hospital, Air Force Military Medical University, Xi'an, China.
Xiao-Nan LiuAmbulatory Surgery Center, Xijing Hospital, Air Force Military Medical University, Xi'an, China wangquan2013@126.com liuxnxjh@163.com.
Quan WangAmbulatory Surgery Center, Xijing Hospital, Air Force Military Medical University, Xi'an, China wangquan2013@126.com liuxnxjh@163.com.ORCID 0000-0002-2821-5017

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRectal cancer is one of the top 10 cancers worldwide. Up to 80% of patients with rectal tumours have had sphincter-saving surgery, mainly due to the large expectation of anal preservation. However, patients tend to experience low anterior resection syndrome (LARS) after rectal resection, which is disordered bowel function that includes faecal incontinence, urgency, frequent defecation, constipation and evacuation difficulties. LARS, with an estimated prevalence of 41%, has been reported to substantially decrease the quality of life of patients. However, no comprehensive preventive strategies are currently available for LARS. This systematic review aims to synthesise evidence on the current LARS preventive strategies. METHODS AND ANALYSIS: This protocol is reported according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) checklist. Literature in PubMed (via Medline), Embase and the Cochrane Library from inception to July 2023 will be searched to identify articles relevant to preventive effectiveness against LARS. The Cochrane Collaboration's risk of bias tool for randomised controlled trials and the Newcastle-Ottawa Scale for clinical controlled trials, cohort studies and case-control studies will be used to assess the risk of bias. We will group the included studies by the type of LARS prevention strategy and present an overview of the main findings in the form of evidence mapping. A meta-analysis is planned if there is no substantial clinical heterogeneity between the included studies. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) will be used to evaluate the quality of the evidence. ETHICS AND DISSEMINATION: Ethical approval is not needed for systematic review of published data. The findings will be published in a peer-reviewed journal and disseminated at scientific conferences. PROSPERO REGISTRATION NUMBER: CRD42023402886.

Indexed as

Low Anterior Resection SyndromeRectal NeoplasmsHumansMeta-Analysis as TopicPostoperative ComplicationsQuality of LifeSystematic Reviews as TopicColorectal surgeryFunctional bowel disordersMotility disordersSystematic Review

Identifiers

PMID38040433
PMCPMC10693882

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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.