Kumar 2007.
Methods | Randomised clinical trial with parallel design Generation of the allocation sequence and allocation concealment: were not clearly described in the original article Follow‐up: adequate Duration of follow‐up: 4 weeks | |
Participants | Patients who were diagnosed with gastric cancer Country: Nepal Year of study: between January 2001 and December 2005 Number randomised: 108 Mean age (years): Group 1 (54.3 ± 11.2), Group 2 (57.5 ± 13.4) Sex (M/F): Group 1 (36/20), Group 2 (33/19) Inclusion criteria: not clearly record in the article | |
Interventions | Group 1: drain (n = 56), a single tube drain (28‐F) was used
Group 2: no drain (n = 52)
Antibiotic use: not stated All patients underwent subtotal gastrectomy, regardless whether it was radical or palliative, or D1 or D2 lymph node dissection. All surgical procedures were performed by consultant surgeons in the Surgical Department, Patan Hospital. Splenectomy or pancreatectomy was not clearly described |
|
Outcomes | Mortality (30‐day mortality) Post‐operative complications Operation time Length of post‐operative hospital stay Initiation of soft diet |
|
Notes | Drains were removed when the total output < 50 ml/24 hours Liquid diet was started after confirmation of bowel sound with passage of flatus and advanced to soft diet when the patients tolerated the liquid diet for at least 12 hours Patients were discharged from the hospital after tolerating a soft diet for at least 2 days |
|
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Unclear |
Allocation concealment (selection bias) | Unclear risk | Unclear |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | The authors did not record whether or not the drain was placed by a second surgeon |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Yes |
Selective reporting (reporting bias) | Low risk | Yes |
Other bias | Low risk | Yes |