Question · asked by 1 review

Superselective neck dissection vs Elective selective neck dissection: Locoregional recurrence

Population
Adults with oral cavity cancer (tongue or floor of mouth) and clinically negative neck nodes
Intervention
Superselective neck dissection
Comparison
Elective selective neck dissection
Outcome
Locoregional recurrence

What each review found

Current versions only
No studies found 0 · 0%GRADE not reported 1 · 50%Very low 1 · 50%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Superselective neck dissection vs Selective neck dissection
Locoregional recurrence · Adults with oral cavity cancer (tongue or floor of mouth) and clinically negative neck nodes
Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment (2023) · Cochrane All outcomes
Locoregional recurrence: data not presented usably and inconsistent; Pandey 2018 no difference (3/12 vs 3/20); Rastogi 2018 lower recurrence with superselective (Kaplan-Meier P<0.05); 72 participants (2 RCTs).2 studies · 72 participantsVery low
Superselective neck dissection vs Selective neck dissection
Locoregional recurrence · Adults with oral cavity cancer (tongue or floor of mouth) and clinically negative neck nodes · 2.5 years
Interventions for the treatment of oral cavity and oropharyngeal cancers: surgical treatment (2018) · Cochrane All outcomesearlier version CD006205.PUB4, superseded
Locoregional recurrence: data not presented in a usable way; report concluded the super-selective procedure showed a lower rate of recurrence (Kaplan-Meier P<0.05) (Rastogi 2018).1 studyGRADE not reported

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.