Evidence map›Paper›PMID 38750124›Full record

SynthesisScientific reports2024

Prevalence of free flap failure in mandibular osteoradionecrosis reconstruction: a systematic review and meta-analysis.

Evangelos Kostares, Michael Kostares, Georgia Kostare, Athanasios Tsakris, Maria Kantzanou

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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

5 authors.

Evangelos KostaresDepartment of Microbiology, Medical School, National and Kapodistrian University of Athens, 115 27, Athens, Greece. kostevang@med.uoa.gr.ORCID 0000-0003-1332-0479
Michael KostaresDepartment of Anatomy, Medical School, National and Kapodistrian University of Athens, 115 27, Athens, Greece.ORCID 0000-0003-2361-1050
Georgia KostareDepartment of Microbiology, Medical School, National and Kapodistrian University of Athens, 115 27, Athens, Greece.ORCID 0009-0009-8735-682X
Athanasios TsakrisDepartment of Microbiology, Medical School, National and Kapodistrian University of Athens, 115 27, Athens, Greece.ORCID 0000-0003-0656-4715
Maria KantzanouDepartment of Microbiology, Medical School, National and Kapodistrian University of Athens, 115 27, Athens, Greece.ORCID 0000-0002-4299-9882

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our study aimed to estimate the prevalence of total free flap failure following free flap reconstruction for mandibular osteoradionecrosis (mORN) and assess the impact of potential moderators on this outcome. A comprehensive systematic literature search was independently conducted by two reviewers using the Medline, Scopus, Web of Science and Cochrane Library databases. Quality assessment of the selected studies was performed, and prevalence estimates with 95% confidence intervals (CI) were calculated. Outlier and influential analyses were conducted, and meta-regression analyses was employed to investigate the effects of continuous variables on the estimated prevalence. Ultimately, forty-six eligible studies (involving 1292 participants and 1344 free flaps) were included in our meta-analysis. The findings of our study revealed a prevalence of 3.1% (95% CI 1.3-5.4%) for total free flap failure after reconstruction for mORN. No study was identified as critically influential, and meta-regression analysis did not pinpoint any potential sources of heterogeneity. These findings provide valuable insights for researchers and serve as a foundation for future investigations into the management of mandibular osteoradionecrosis and the prevention of free flap failure in this context.

Indexed as

Free Tissue FlapsOsteoradionecrosisHumansMandibleMandibular DiseasesMandibular ReconstructionPlastic Surgery ProceduresPrevalence

Identifiers

PMID38750124
PMCPMC11096303

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.