Table 4: Consistency of Results for Outcomes of Gynecologic Oncology: Qualitative Assessment.
Technology | Outcomes (No. Studies)*,§ | ||||||
---|---|---|---|---|---|---|---|
Morbidity Factors | Peri-Operative Factors | Lymph | |||||
Length of Hospitalization | Complications | Operation Time | Blood Loss | Conversions | Lymph Node Recovery | ||
Endometrial cancer | |||||||
Robotic vs. Laparoscopy | + (7) | = (6) | + or = (7) | + (7) | + (3) | = (7) | |
Cardenas- [2010] | = | -¥ | - | + | +¥ | = | |
Jung [2009] | + | + | = | +† | n/a | + | |
Seamon [2009] | + | = | + | + | + | = | |
Bell [2008]‡ | = | + | = | = | ? | = | |
Boggess [2008]‡ | + | = | + | + | = | + | |
Gehrig [2008]‡ | + | = | + | + | ? | + | |
Veljovich [2008]‡ | = | ? | = | = | ? | = | |
Robotic vs. Abdominal | + (5) | + (5) | - (5) | + (5) | n/a | = (5) | |
Jung [2009] | + | + | = | +† | n/a | - | |
Bell [2008]‡ | + | + | - | + | n/a | = | |
Boggess [2008]‡ | + | + | - | + | n/a | + | |
DeNardis [2008]‡ | + | = | - | + | n/a | = | |
Veljovich [2008]‡ | + | = | - | + | n/a | = | |
Cervical cancer | |||||||
Robotic vs. Laparoscopy | + or = (4) | = (4) | = (4) | + or = (4) | = (1) | = (4) | |
Estape [2009] | = | = | = | = | ? | + | |
Magrina [2008]‡ | +¥ | = | + | +¥ | ? | = | |
Nezhat [2008]‡ | = | = | = | = | n/a | = | |
Sert [2007]‡ | + | +¥ | = | + | ? | = | |
Robotic vs. Abdominal | + (6) | = (6) | - (6) | + (6) | n/a | = (6) | |
Geisler [2009] | + | ? | = | + | n/a | = | |
Estape [2009] | + | = | - | + | n/a | + | |
Maggioni [2009] | + | = | - | + | n/a | - | |
Boggess [2008]‡ | + | = | + | + | n/a | + | |
Ko [2008]‡ | + | = | - | + | n/a | = | |
Magrina [2008]‡ | + | = | - | + | n/a | = |
+/- evidence favouring both technologies;
evidence not provided;
evidence that showed no difference between technologies;
evidence favouring the technology;
evidence not supportive of the technology compared to the referent technology, e.g. laparoscopy or abdominal as the referent group.
Results refer to those that were reported as a result of a statistical test of difference.
Systematic review.
For study completeness, outcome information was also included without a statistical test for difference, especially if the magnitude of the difference was substantial.
Blood transfusions.
Note: Hoekstra et al. (2009) was excluded; Magrina et al. (2008) is based on pairwise comparisons; Jung et al. (2010) and Nezhat et al. (2008), there were zero conversions in both surgical groups.