Furuya 2012.
Methods | Retrospective review | |
Participants | 24 patients with advanced gynaecological cancer, who developed bowel obstruction and later died with gynaecological cancer between 1996 and 2010 in a single centre | |
Interventions | Surgical intervention 11 patients: 8 ileostomy; 3 percutaneous endoscopic gastrostomy Conservative management 13 patients |
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Outcomes | Average survival period: surgical 101 days; conservative 51 days Oral intake achieved: ileostomy 88%; PEG 100%; conservative 50% Oral intake length: ileostomy 50 days; PEG 48 days; conservative 10 days Rate of outpatient: ileostomy 50%; PEG 66%; conservative 21% Period at home: ileostomy 29 days; PEG 40 days; conservative 8 days |
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Notes | Poster abstract | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | High risk | Retrospective review of case notes. |
Allocation concealment (selection bias) | High risk | Intervention clinical decision. Surgical, endoscopic or conservative |
Blinding (performance bias and detection bias) All outcomes | High risk | Intervention clinical decision. Surgical, endoscopic or conservative |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Intervention clinical decision. Surgical, endoscopic or conservative |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Patient notes analysed retrospectively |
Selective reporting (reporting bias) | Low risk | Outcomes reported for all 24 patients Results reported by surgical intervention |