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Huttman, Marc M.; Robertson, Harry F.; Smith, Alexander N.; Biggs, Sarah E.; Dewi, Ffion; Dixon, Lauren K.; Kirkham, Emily N.; Jones, Conor S.; Ramirez, Jozel; Scroggie, Darren L.; Zucker, Benjamin E.; Pathak, Samir; Blencowe, Natalie S.; Main, Barry G.; Blazeby, Jane M.; Zucker, Ben; Dawson, Sarah; Vallance, Abi; Wilkinson, Aimee; Young, Amber; Jones, Annabel; Abbas, Aya; Turner, Benedict; Thomas, Charlie; [...]

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

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  • Medientyp: E-Artikel
  • Titel: A systematic review of robot-assisted anti-reflux surgery to examine reporting standards
  • Beteiligte: Huttman, Marc M.; Robertson, Harry F.; Smith, Alexander N.; Biggs, Sarah E.; Dewi, Ffion; Dixon, Lauren K.; Kirkham, Emily N.; Jones, Conor S.; Ramirez, Jozel; Scroggie, Darren L.; Zucker, Benjamin E.; Pathak, Samir; Blencowe, Natalie S.; Main, Barry G.; Blazeby, Jane M.; Zucker, Ben; Dawson, Sarah; Vallance, Abi; Wilkinson, Aimee; Young, Amber; Jones, Annabel; Abbas, Aya; Turner, Benedict; Thomas, Charlie; [...]
  • Erschienen: Springer Science and Business Media LLC, 2022
  • Erschienen in: Journal of Robotic Surgery
  • Sprache: Englisch
  • DOI: 10.1007/s11701-022-01453-2
  • ISSN: 1863-2491
  • Schlagwörter: Health Informatics ; Surgery
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:title>Abstract</jats:title><jats:p>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.</jats:p>