| Robotics Compared to Abdominal: Gynecologic Oncology | ||||||
|---|---|---|---|---|---|---|
| Outcomes | Illustrative comparative risks* (95% CI) | Relative effect (95% CI) | No of Participants (studies) | Quality of the evidence (GRADE) | Comments** | |
| Assumed risk | Corresponding risk | |||||
| Abdominal | Robotic | |||||
| Length of Hospitalization | The mean length of hospitalization in the intervention groups was 2.05 lower (2.72 to 1.39 lower) | 671 (6 studies) | □□⊖⊖ low1 |
RB > OS | ||
| Complications | Study population | OR 0.37 (0.23 to 0.61) | 1059 (10 studies) | □□⊖⊖ low1,2 |
RB > OS | |
| 337 per 1000 | 158 per 1000 (105 to 237) | |||||
| Medium risk population | ||||||
| 280 per 1000 | 126 per 1000 (82 to 192) | |||||
| Operation Time | The mean operation time in the intervention groups was 0.66 higher (0.16 to 1.16 higher) | 855 (8 studies) | □□⊖⊖ low3 |
RB < OS | ||
| Blood Loss | The mean blood loss in the intervention groups was 223.07 lower (294.47 to 151.67 lower) | 563 (5 studies) | □□⊖⊖ low1 |
RB > OS | ||
| Lymph Nodes | The mean lymph nodes in the intervention groups was 2.34 lower (6.87 lower to 2.19 higher) | 693 (7 studies) | □⊖⊖⊖ very low4 |
n/a | ||
The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
RB > OS indicates that robotics had a more favourable profile for the specific outcome; RB < OS indicates robotics had a less favourable profile for the specific outcome.
CI: Confidence interval; OR: Odds ratio; RB: Robotics; OS: Open surgery.
GRADE Working Group grades of evidence
High quality: Further research is very unlikely to change our confidence in the estimate of effect.
Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
Very low quality: We are very uncertain about the estimate.
Level of surgeon skill differed across studies.
Complications were reported differently across studies.
Surgeons experienced in robotics had a more favourable operating time.
Inconsistency not explained by level of surgeon skill or patient characteristics