Laparoscopic cholecystectomy for acute cholecystitis

Song, Guanghui; Bian, Wei; Zeng, Xian‐Tao; Zhou, Jian; Luo, Yong-Qiang; Tian, Xu

doi:10.1097/md.0000000000003835

Cited by 35 publications

(20 citation statements)

References 37 publications

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“…Meta-analysis of RCTs is considered be the best available source for evidence (36), Decision makers usually refer to meta-analyses to make recommendations on certain clinical topics. In light of this, an increasing number of meta-analyses have been reported to evaluate the differences between unilateral and bilateral PKP.…”

Section: Discussionmentioning

confidence: 99%

“…In light of this, an increasing number of meta-analyses have been reported to evaluate the differences between unilateral and bilateral PKP. However, discordant results have been found (33)(34)(35)(36)(37)(38). These conflicting findings complicate decision making depending on the best available evidence.…”

Section: Discussionmentioning

confidence: 99%

“…These conflicting findings complicate decision making depending on the best available evidence. Systematic reviews of discordant meta-analyses help to interpret and choose the currently discordant available evidence and are increasingly published in medical fields to facilitate decision-making (36,(40)(41)(42)(43). To the best of our knowledge, this is the first systematic review of discordant meta-analyses regarding unilateral PKP versus bilateral PKP for OVCFs.…”

Section: Discussionmentioning

confidence: 99%

“…Jadad et al (48) designed a decision algorithm to identify high-quality evidence from conflicting metaanalyses. This tool was reported to identify the best evidence among discordant meta-analyses (36,(40)(41)(42)(43).…”

Section: Discussionmentioning

confidence: 99%

“…In recent years, there has been an increasing number of systematic reviews on discrepant and overlapping meta-analyses (33)(34)(35)(36)(37)(38). However, to our knowledge, none of these studies have compared the effectiveness between unilateral and bilateral PKP in the treatment of OVCFs.…”

Section: Study Retrievalmentioning

confidence: 99%

See 4 more Smart Citations

Is Unilateral Percutaneous Kyphoplasty Superior to Bilateral Percutaneous Kyphoplasty for Osteoporotic Vertebral Compression Fractures? Evidence from a Systematic Review of Discordant Meta-Analyses

Chen

Guo

et al. 2018

Pain Phys

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Background: Several meta-analyses have been performed to compare unilateral percutaneous kyphoplasty (PKP) and bilateral PKP in the treatment of osteoporotic vertebral compression fractures (OVCFs), but inconsistencies in the results have led to questions as to which technique is preferable. Objective: This study was designed to clarify the benefits and disadvantages of unilateral PKP versus bilateral PKP as found in numerous discordant meta-analyses and thereby present surgical treatment recommendations for OVCFs considering the current best evidence. Study Design: Systematic review/Meta-analysis. Methods: Meta-analyses on unilateral and bilateral PKP for OVCFs were included by searching Pubmed, Embase, and Cochrane library. Meta-analysis quality was assessed using Oxford Levels of Evidence and Assessment of Multiple Systematic Reviews (AMSTAR). The Jadad decision algorithm was used to identify the best evidence. Results: Eight eligible meta-analyses were included, 7 of which were Level-II evidence and one was Level-III evidence. The AMSTAR scores varied from 7 to 8. The Jadad decision algorithm suggested that the best meta-analysis should be selected depending upon publication characteristics and methodology of primary studies, language restrictions, and whether data analysis was performed on individual patients. The best available evidence indicated that both unilateral and bilateral PKP could receive similar good clinical and radiological outcomes. However, without increasing the risk of complications, unilateral PKP required shorter surgical time and less cement volume, offering better pain relief and quality of life at post-operative short term follow-ups. Limitations: Primary studies had defects in their methodologies. Conclusions: Unilateral PKP appears to be superior to bilateral PKP in the treatment of OVCFs. Key words: Osteoporotic vertebral compression fractures, percutaneous kyphoplasty, meta-analysis

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Section: Discussionmentioning

confidence: 99%