Perri 2014.
Methods | Retrospective review | |
Participants | 68 procedures on 62 patients with gynaecological malignancies between October 2004 and January 2013 at a single centre | |
Interventions | 68 surgical procedures: colostomy 18, ileostomy 27, resection/bypass and anastomosis 13, colonic stent 1, gastrostomy 5, gastroenterostomy 4 | |
Outcomes | Deaths prior to discharge: n = 18, within 3 to 81 days (median 25 days) Postoperative survival: median 106 days (range 3 to 1342) 30‐day mortality = 14.7% 60‐day mortality = 29.4% Postoperative oral intake = 65% Postoperative chemotherapy (additional) = 53% Re‐obstruction: 10/62 median 4.3 months (1 to 36 months) Severe complications: sepsis 5; leak from anastomosis 6; necrotising fascitis 2 |
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Notes | — | |
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 followed up |
Allocation concealment (selection bias) | High risk | Patients allocated to surgery by clinician/patient choice and followed up |
Blinding (performance bias and detection bias) All outcomes | High risk | Patients allocated to surgery by clinician/patient choice and followed up |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Patients allocated to surgery by clinician/patient choice and followed up |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Patients allocated to surgery by clinician/patient choice and followed up |
Selective reporting (reporting bias) | Unclear risk | Not clear if resolution of bowel obstruction is synonymous with relief of symptoms Not reported by procedure |