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. 2023 Feb 7;2023(2):CD014909. doi: 10.1002/14651858.CD014909.pub2

Suzuki 2020.

Study characteristics
Methods Study design: Parallel‐group randomised trials
Duration of trial: August 2014 to April 2017
Duration of follow‐up: 30 days
Country of origin: Japan
Participants Baseline characteristics
Number randomised: 254 participants
Number analysed: 251 participants

Intervention: MBP+oAB
  • Number of participants [n]: 125

  • Age [years; mean (SD)]: 69 (12)

  • Gender [male/female; n]: 66/61


Control: nBP
  • Number of participants [n]: 126

  • Age [years, mean (SD)]: 70 (9)

  • Gender [male/female; n]: 68/59


Inclusion criteria 
Quote: "Diagnosis of primary colon cancer, age of 20 to 85 years, and Eastern Cooperative Oncology Group performance status of 0 or 1."
Exclusion criteria
Quote: "Patients with a stoma, patients in whom conventional preoperative MBP could not be performed because of stenosis or obstruction, patients with a preoperative diagnosis of stage 4 disease, patients with an American Society of Anesthesi ologists score of ≥4, and patients who were scheduled to simultaneously undergo resection of other organs were excluded from the study"
Baseline imbalances
Quote: "There was no significant difference between the groups in age, sex, or hemoglobin or albumin levels in peripheral blood before surgery, the presence or absence of diabetes mel litus, American Society of Anesthesiologists score, tumor location, or histological stage. There was also no significant difference between the groups in operation time, bleeding volume, or the presence or absence of blood transfusion."
Interventions Comparison
  • Intervention: MBP+oAB

  • Control: nBP


MBP
  • Agent(s): 1) sodium picosulfate and 2) polyethylene glycol‐electrolyte sodium

  • Dose per administration: 1) 10 ml; 2) 2000 ml

  • Time(s) of intake: 1) 2 days before the surgery: 2) on the morning of the day before surgery

  • Route: oral

  • Concomitant medications: ‐


oAB
  • Agent(s): kanamycin sulfate and metronidazole

  • Dose per administration: 500 mg each

  • Time(s) of intake: both at 1:00, 2:00, and 11:00 PM on the day before surgery

  • Route: oral

  • Concomitant medications: ‐


Perioperative intravenous antibiotic prophylaxis
  • Agent(s): flomoxef

  • Dose per administration: 1000 mg

  • Time(s) of intake: "Given as a continuous intravenous infusion starting 1 h before surgery. If the operation time exceeded 3 h, 1 g of flomoxef was additionally given"


Adherence to regimen: ‐
Outcomes Outcomes sought in review and reported in trial
  • SSI (superficial and organ/space)

  • Anastomotic leakage

  • Length of hospital stay


Outcomes sought but not reported in trial
  • Deep SSI

  • Mortality

  • Postoperative complications (mild D/C I + II or severe D/C III + IV)

  • Length of hospital stay

  • Incidence of postoperative ileus

  • Side effects of Interventions


Outcomes reported in trial but not used in review
  • Other infectious complications

  • Small bowel obstruction

Notes Source of funding:
Conflicts of interest:Quote:  "The authors declare that they have no conflicts of interest to disclose"
Ethics approval:Quote:  "Ethical approval of Institutional Review Board of Tokai Uni versity was obtained"
Informed consent: All patients provided written informed consent
Clinical trials registration:
Sample size calculation: Quote: "The required number of patients in each group was estimated to be 115. Given a dropout rate of 10%, the target number of patients per group was set at 127, and the total number of patients in both groups combined was set at 254"