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. 2020 Aug 26;155(10):e203025. doi: 10.1001/jamasurg.2020.3025

Table 1. Study, Patient, and Testing Characteristics of Included Studies of Changes in Reoperation.

Variable Studies, No. Patients, No. (%) Study-level estimates, median (range)
All included studies
No. 30 599 016 (100.0) 487 (100-521 578)
Publication type
Full text 15 559 723 (93.4) 846 (201-521 578)
Conference abstract 15 39 293 (6.6) 417 (100-33 966)
Country
United States 20 590 947 (98.7) 449 (100-521 578)
Canada 3 2223 (0.4) 599 (512-1112)
United Kingdom 6 5284 (0.9) 457 (317-2858)
Australia 1 562 (0.1) 562
Study design, change
Actual 21 592 348 (98.9) 599 (100-521 578)
Projected 9 6668 (1.1) 450 (317-2858)
Studies of actual change in reoperation rates
Years of recruitment (midpoint)
Preguideline 20a 151 178 (25.5) 2012 (2006-2013)
Postguideline 20a 441 170 (74.5) 2014 (2014-2016)
Study setting
Institutional 17 8726 (1.5) 463 (100-1205)
Population 4 583 622 (98.5) 30 034 (1976-521 578)
Preguideline margin
1 mm 3b 1645 (31.8) 562 (237-846)
≥2 mm 6b 3534 (68.2) 572 (119-1112)
Studies of projected change in reoperation rates
Years of recruitment (midpoint)
Preguideline 9c 6668 (100.0) 2012 (2005-2016)
Study setting
Institutional 9 6668 (100.0) 450 (317-2858)
Population 0 NA NA
Preguideline margin
1 mm 3 3592 (53.9) 417 (317-2858)
≥2 mm 6 3076 (46.1) 456 (436-779)

Abbreviation: NA, not applicable.

a

One study21 did not report sufficient information to derive midpoints of recruitment.

b

Twelve of 21 studies (57.1%)17,19,21,23,26,28,30,32,33,37,38,40 of actual changes in reoperation did not report the preguideline margin threshold.

c

Two studies35,43 of projected changes included women in the postguideline period. The Society of Surgical Oncology–American Society for Radiation Oncology guideline was not used in this period.