Question · asked by 1 review

Elective radical (comprehensive) neck dissection vs Elective selective neck dissection: Disease-free survival

Population
Adults with oral cavity cancer
Intervention
Elective radical (comprehensive) neck dissection
Comparison
Elective selective neck dissection
Outcome
Disease-free survival

It is very uncertain whether elective radical (comprehensive) neck dissection changes disease-free survival (new disease, progression, and mortality) compared with elective selective neck dissection (very low certainty).

What each review found

Include earlier review versions
FindingEffectStudiesGRADE certainty
Elective radical (comprehensive) neck dissection vs Elective selective neck dissection
Disease-free survival (new disease, progression, and mortality) · Adults with oral cavity cancer · 5 years
It is very uncertain whether elective radical (comprehensive) neck dissection changes disease-free survival (new disease, progression, and mortality) compared with elective selective neck dissection (very low certainty).
Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment (2023) · Cochrane All outcomes
HR 0.57 [0.29, 1.11]1 study · 104 participantsVery low

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment
2023 · Cochrane All outcomes
2022-02Not listedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.