Table 4.
Reported outcome
| Article | Article 1 | Article 2 | Article 3 | Article 4 | Article 5 | Article 6 | |
|---|---|---|---|---|---|---|---|
| Type | Meta-Analysis | Meta-Analysis | Meta-Analysis | Meta-Analysis | Systematic Review | Systematic Review | |
| AMSTAR-2 | Moderate to low | Moderate | Moderate | Moderate to low | Low | Low | |
| Quality of AMSTAR-2 | Critically low | Critically low | Critically low | Low | Critically low | Critically low | |
| WIT | OR/RR/MD | MD : 0.13 min | Hedg : 0.077 | Robot longer | Same | ||
| CI | −0.08/0.35 | −0.125/0.278 | |||||
| I2 | 0 | 55.26 | |||||
| Outcome | Same | Same | |||||
| CIT | OR/RR/MD | MD: 4.78 min | MD : 5.18 min | Hedg: −0.353 | Robot longer (NS) | Robot sightly longer | |
| CI | 1.56/8 | 3.99/6.38 | 0.15/0.555 | ||||
| I2 | 11 | NA | 35.66 | ||||
| Outcome | Robot longer | Robot longer | Robot longer | ||||
| Rewarming time | OR/RR/MD | MD : 20.83 min | NA | Hedg: 0.41 | MD = 11.24 | Robot longer | |
| CI | 14.97/26.69 | NA | 0.237/0.583 | −0.46/22.01 | |||
| I2 | 61 | NA | 59.42 | NA | |||
| Outcome | Robot longer | Robot longer | Robot longer | Robot longer | |||
| Total ischemia time | OR/RR/MD | MD: 17.82 min | MD = 16.51 | Robot longer | |||
| CI | 4.72/30.91 | 9.86/23.16 | |||||
| I2 | 86 | NA | |||||
| Outcome | Robot longer | Robot longer | |||||
| Blood loss | OR/RR/MD | MD = − 16.06 mL | MD = − 54.74 mL | Hedg: −0.398 | MD = −53.68 | Robot better | |
| CI | −35.16/3.04 | −96.6/12.58 | −0.537/−0.259 | −89.78/−17.58 | |||
| I2 | 32 | NA | 19.9 | NA | |||
| Outcome | Same | Robot less | Robot less | Robot less | |||
| Blood transfusion | OR/RR/MD | RR: 0.49 | Robot 29% less | ||||
| CI | 0.23/1.04 | ||||||
| I2 | 0 | ||||||
| Outcome | Same | ||||||
| DGF | OR/RR/MD | RR: 1.10 | RR = 0.99 | RR = 0.927 | RR = 1.23 | Robot better | |
| CI | 0.49/2.44 | 0.63/1.54 | −0.614/1.401 | 0.40/3.74 | |||
| I2 | 0 | NA | 0 | 0 | |||
| Outcome | Same | Same | Same | Same | |||
| SSI | OR/RR/MD | RR: 0.22 | RR = 0.15 | RR = 0.331 | RR = 0.31 | Robot better | Robot better |
| CI | 0.06/0.86 | 0.06/0,38 | 0.131/0.837 | 0.19/0.52 | |||
| I2 | 0 | NA | 26.01 | NA | |||
| Outcome | Robot lower | Robot lower | Robot lower | Robot lower | |||
| Hospital stay | OR/RR/MD | MD: −2.03 d | MD = − 1.69 d | Hedg: −0.088 | MD = −3.07 | Open longer | |
| CI | −5.16/1.11 | −0.15/3.22 | −0.278/0.102 | −6.73/−0.59 | |||
| I2 | 76 | NA | 65 | NA | |||
| Outcome | Same | Same | Same | Open longer | |||
| Graft rejection | OR/RR/MD | RR: 1.16 | RR = 1.06 | RR = 1.215 | RR = 0.96 | ||
| CI | 0.73/1.83 | 0.61/1.84 | 0.718/2.057 | 0.55/1.7 | |||
| I2 | 0 | 2 | 0 | NA | |||
| Outcome | Same | Same | Same (NS) | Same | |||
| Graft failure | OR/RR/MD | RR: 0.94 | Same | ||||
| CI | 0.60/1.48 | ||||||
| I2 | 0 | ||||||
| Outcome | Same | ||||||
| All cause mortality | OR/RR/MD | RR: 1.16 | |||||
| CI | 0.42/3.19 | ||||||
| I2 | 0 | ||||||
| Outcome | Same | ||||||
| Operation time | OR/RR/MD | MD : 24.28 min | Hedg : 0.127 | MD = 6.47 | Robot longer (NS) | Robot longer | |
| CI | 4.06/44.49 | 0.036/0.290 | −12.22/25.16 | ||||
| I2 | NA | 47.4 | NA | ||||
| Outcome | Robot longer | Same | Same | ||||
| Incision length | OR/RR/MD | MD = − 9.13 cm | Hedg: −0.567 | Robot better | |||
| CI | 8.14/10.13 | −0.788/−0.347 | |||||
| I2 | NA | 58.82 | |||||
| Outcome | Robot shorter | Robot shorter | |||||
| Incisional hernia | OR/RR/MD | NA | NA | Robot better | |||
| CI | NA | NA | |||||
| I2 | NA | NA | |||||
| Outcome | NS | Robot better | |||||
| Lymphocele | OR/RR/MD | RR = 0.20 | RR = 0.468 | RR = 0.16 | |||
| CI | 0.04/0.89 | −0.152/1.44 | 0.06/0.43 | ||||
| I2 | NA | 0 | NA | ||||
| Outcome | Robot lower | Robot lower | Robot lower | ||||
| Venous thrombosis | OR/RR/MD | 10 open vs. 0 robot | RR = 0.588 | ||||
| CI | −0.212/1.628 | ||||||
| I2 | 0 | ||||||
| Outcome | Same | ||||||
| Arterial stenosis | OR/RR/MD | 3 open vs. 1 robot | RR = 0.588 | ||||
| CI | −0.212/1.628 | ||||||
| I2 | 0 | ||||||
| Outcome | Same | ||||||
| Ureter leak | OR/RR/MD | 2 open vs. 3 robot | 4 open vs. 1 robot | ||||
| CI | |||||||
| I2 | |||||||
| Outcome | |||||||
| UTI | OR/RR/MD | RR = 1.164 | |||||
| CI | −0.597/2.267 | ||||||
| I2 | 0 | ||||||
| Outcome | Open better | ||||||
| Pain | OR/RR/MD | MD = −1.38 | Hedg: −0.45 | MD = −1.45 | Robot better | ||
| CI | −1.15/−1.61 | −0.578/−0.322 | −1.74/−1.16 | ||||
| I2 | NA | 1.177 | NA | ||||
| Outcome | Robot lower | Robot lower | Robot lower | ||||
| Ileus rate | OR/RR/MD | RR = 3.30 | |||||
| CI | 1.25/8.69 | ||||||
| I2 | NA | ||||||
| Outcome | Robot more (NS) | ||||||
| Arterial anastomosis time | OR/RR/MD | Hedg : 0.167 | MD = 2.33 | Robot longer (non significant) | |||
| CI | −0.395/0.728 | −1.67/6.37 | |||||
| I2 | 88.82 | NA | |||||
| Outcome | Same | Same | |||||
| Venous anastomosis time | OR/RR/MD | Hedg: 0.207 | MD = 2.89 | Robot longer (non significant) | |||
| CI | −0.334/0.748 | −2.94/8.72 | |||||
| I2 | 88 | NA | |||||
| Outcome | Same | Same | |||||
| Ureteral anastomosis time | OR/RR/MD | Hedg: 0.247 | MD = 3.88 | Robot longer (non significant) | |||
| CI | −0.219/0.713 | −4.58/12.33 | |||||
| I2 | 83.91 | NA | |||||
| Outcome | Same | Same | |||||
| Hospital readmission | OR/RR/MD | RR = 1.09 | |||||
| CI | 0.10/11.6 | ||||||
| I2 | NA | ||||||
| Outcome | Same | ||||||
Article 1: Robot-Assisted versus Conventional Open Kidney Transplantation: A Meta-Analysis
Article 2: Robot-assisted Kidney transplantation as a minimally invasive approach for kidney transplant recipients: A systematic review and meta-analyses
Article 3: Comparison of outcomes after open versus robotic Kidney transplantation: A systematic review and meta-analysis
Article 4: Living donor robotic assisted kidney transplant compared to traditional living donor open kidney transplant. Where do we stand now? A systematic review and Meta-analysis
Article 5: Minimally Invasive, Laparoscopic, and Robotic-assisted Techniques Versus Open Techniques for Kidney Transplant Recipients: A Systematic Review
Article 6: Open versus robotic-assisted kidney transplantation: A systematic review by the European Association of Urology (EAU) - Young Academic Urologists (YAU) Kidney Transplant Working Group
WIT: Warm ischemia time; CIT: Cold ischemia time; SSI: Surgical site infections; UTI: Urinary tract infection, OR: Odds ratio, CI: Confidence interval, I2: Heterogeneity test, NS: Non-significant