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. 2016 Jan 4;2016(1):CD002764. doi: 10.1002/14651858.CD002764.pub2

Larson 1989.

Methods Retrospective review
Participants 33 patients from July 1980 to June 1987; 56 admissions for these 33 patients
Interventions 19 operations for obstruction took place
Outcomes Symptoms at death: in all 6/19 patients known to have died, all 6 had nausea, vomiting, inability to eat and constipation at death
 Postoperative mortality: (within 30 days) 15.8%
 Median survival: 102 days
Notes 12/19 had bypass, 2/19 colostomy, 5/19 had bypass + colostomy/ gastrostomy
 17/33 patients spent 1/3 of their remaining life in hospital
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Patients allocated to surgery by clinician/patient choice and retrospectively reviewed
Allocation concealment (selection bias) High risk Patients allocated to surgery by clinician/patient choice and retrospectively reviewed
Blinding (performance bias and detection bias) 
 All outcomes High risk Patients allocated to surgery by clinician/patient choice and retrospectively reviewed
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Patients allocated to surgery by clinician/patient choice and retrospectively reviewed
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Patients allocated to surgery by clinician/patient choice and retrospectively reviewed
Selective reporting (reporting bias) Unclear risk Results not reported for different surgical procedures