| Methods |
Retrospective review |
| Participants |
Retrospective study of 2000 patients from 1974 to 1984 |
| Interventions |
92 patients had intestinal obstruction; 64 patients went to operation, 42/64 due to recurrence |
| Outcomes |
Surgical palliation: defined as effective palliation of the symptoms with no subsequent episodes; 45/64 (70%)
Partial palliation 19% (no definition)
No palliation 11%
Re‐obstruction: 12/64 (19%); 2 re‐operated on
Median survival: only those with malignant causes 10 weeks, mean 27 weeks
Postoperative mortality: 7/64 (11%), includes 4 patients where no surgical operation possible |
| Notes |
59 ovarian, 18 cervical, 12 uterine, 3 fallopian tube out of 92
37 ovarian, 17 cervical, 8 uterine, 2 fallopian tube out of 64
Resection +/‐ colostomy in 16, bypass in 23, colostomy in 17, lysis of adhesions in 4
No surgical operation possible in 4 |
| 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 by surgical procedure |
