A systematic review of robot-assisted anti-reflux surgery to examine reporting standards.

Autor: Huttman MM; Centre for Surgical Research, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.; University College Hospital, University College London Hospitals NHS Foundation Trust, London, UK., Robertson HF; St. Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK., Smith AN; University of Exeter Medical School, Exeter, UK., Biggs SE; University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK., Dewi F; University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK., Dixon LK; Centre for Surgical Research, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.; University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK., Kirkham EN; Centre for Surgical Research, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.; Musgrove Park Hospital, Somerset NHS Foundation Trust, Taunton, UK., Jones CS; Centre for Surgical Research, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.; Torbay Hospital, Torbay and South Devon NHS Foundation Trust, Torquay, UK., Ramirez J; Centre for Surgical Research, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.; University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK., Scroggie DL; Centre for Surgical Research, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK., Zucker BE; Centre for Surgical Research, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.; University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK., Pathak S; Centre for Surgical Research, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK.; St James's University Hospital, Leeds Teaching Hospitals NHS Trust, Leeds, UK., Blencowe NS; Centre for Surgical Research, Population Health Sciences, Bristol Medical School, University of Bristol, Canynge Hall, 39 Whatley Road, Bristol, BS8 2PS, UK. natalie.blencowe@bristol.ac.uk.
Jazyk: angličtina
Zdroj: Journal of robotic surgery [J Robot Surg] 2023 Apr; Vol. 17 (2), pp. 313-324. Date of Electronic Publication: 2022 Sep 08.
DOI: 10.1007/s11701-022-01453-2
Abstrakt: Robot-assisted anti-reflux surgery (RA-ARS) is increasingly being used to treat refractory gastro-oesophageal reflux disease. The IDEAL (Idea, Development, Exploration, Assessment, Long-term follow up) Collaboration's framework aims to improve the evaluation of surgical innovation, but the extent to which the evolution of RA-ARS has followed this model is unclear. This study aims to evaluate the standard to which RA-ARS has been reported during its evolution, in relation to the IDEAL framework. A systematic review from inception to June 2020 was undertaken to identify all primary English language studies pertaining to RA-ARS. Studies of paraoesophageal or giant hernias were excluded. Data extraction was informed by IDEAL guidelines and summarised by narrative synthesis. Twenty-three studies were included: two case reports, five case series, ten cohort studies and six randomised controlled trials. The majority were single-centre studies comparing RA-ARS and laparoscopic Nissen fundoplication. Eleven (48%) studies reported patient selection criteria, with high variability between studies. Few studies reported conflicts of interest (30%), funding arrangements (26%), or surgeons' prior robotic experience (13%). Outcome reporting was heterogeneous; 157 distinct outcomes were identified. No single outcome was reported in all studies.The under-reporting of important aspects of study design and high degree of outcome heterogeneity impedes the ability to draw meaningful conclusions from the body of evidence. There is a need for further well-designed prospective studies and randomised trials, alongside agreement about outcome selection, measurement and reporting for future RA-ARS studies.
(© 2022. The Author(s).)
Databáze: MEDLINE
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