Gap finder

Search review questions

Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

759 questions in 57 reviews · Colorectal

current versions
No studies 91 · 12%Ungraded 12 · 1.6%Very low 209 · 27.5%Low 229 · 30.2%Moderate 160 · 21.1%High 58 · 7.6%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Intervention NR
Abdominoperineal excision of the rectum rate ‐ Rectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
OR 0.55 [0.42, 0.72]1 study · 894 participantsVery low
Intervention NR
Overall five year survival ‐ Colorectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
HR 0.87 [0.82, 0.92]2 studies · 15462 participantsLow
Intervention NR
Overall five year survival ‐ Colon cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
HR 0.84 [0.76, 0.93]1 study · 2905 participantsLow
Intervention NR
Overall five year survival ‐ Rectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
HR 0.99 [0.86, 1.14]1 study · 1903 participantsLow
Intervention NR
Five year disease specific survival ‐ Colorectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
HR 0.94 [0.78, 1.13]1 study · 1416 participantsLow
Intervention NR
Inpatient and 30 day mortality ‐ Colon cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
OR 0.79 [0.61, 1.02]3 studies · 47584 participantsVery low
Intervention NR
Inpatient and 30 day mortality ‐ Rectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
OR 0.79 [0.51, 1.22]1 study · 1903 participantsLow
Intervention NR
Anastomotic leak rate ‐ Colon cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
OR 0.66 [0.36, 1.21]1 study · 2570 participantsLow
Intervention NR
Anastomotic leak rate ‐ Rectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
OR 0.61 [0.29, 1.28]1 study · 1929 participantsLow
Intervention NR
Overall five year survival ‐ Colon cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
HR 0.97 [0.77, 1.22]2 studies · 5211 participantsVery low
Intervention NR
Permanent stoma rate ‐ Rectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
OR 0.65 [0.46, 0.91]1 study · 1323 participantsLow
Intervention NR
Abdominoperineal excision of rectum rate ‐ Rectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
OR 0.2 [0.1, 0.4]1 study · 180 participantsVery low
Intervention NR
Overall five year survival ‐ Colorectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
HR 0.81 [0.71, 0.94]4 studies · 14628 participantsLow
Intervention NR
Five year disease specific survival ‐ Colorectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
HR 0.74 [0.62, 0.88]1 study · 2186 participantsLow
Intervention NR
Inpatient and 30 day mortality ‐ Colorectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
OR 0.74 [0.6, 0.91]2 studies · 11973 participantsLow
Intervention NR
Five year local recurrence rate ‐ Colorectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
HR 0.56 [0.44, 0.71]1 study · 2587 participantsLow
Intervention NR
Anastomotic leak rate ‐ Colorectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
OR 0.71 [0.31, 1.63]2 studies · 8563 participantsVery low
Intervention NR
Permanent stoma rate ‐ Rectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
OR 0.7 [0.53, 0.94]1 study · 2026 participantsLow
Intervention NR
Overall five year survival ‐ Rectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
HR 0.85 [0.77, 0.95]3 studies · 4028 participantsLow
Intervention NR
Inpatient and 30 day mortality ‐ Colorectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
OR 0.98 [0.79, 1.2]3 studies · 77823 participantsVery low
Intervention NR
Inpatient and 30 day mortality ‐ Colon cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
OR 0.89 [0.78, 1.01]7 studies · 263071 participantsVery low
Intervention NR
Inpatient and 30 day mortality ‐ Rectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
OR 1.07 [0.76, 1.5]5 studies · 14941 participantsVery low
Intervention NR
Five year local recurrence rate ‐ Rectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
HR 0.77 [0.51, 1.16]3 studies · 2986 participantsVery low
Intervention NR
Anastomotic leak rate ‐ Colon cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
OR 1.44 [0.8, 2.59]1 study · 2808 participantsLow
Intervention NR
Anastomotic leak rate ‐ Rectal cancer · Patients with outcomes after colorectal cancer surgery
Workload and surgeon´s specialty for outcome after colorectal cancer surgery (2012) · Cochrane
OR 0.72 [0.48, 1.09]2 studies · 2615 participantsLow
Single layer gastrointestinal anastomosis vs Double layer gastrointestinal anastomosis
Anastomotic leak Odds ratio · patients with Bowel resection
Single layer versus double layer suture anastomosis of the gastrointestinal tract (2012) · Cochrane
OR 0.76 [0.44, 1.32]7 studies · 842 participantsVery low
Single layer gastrointestinal anastomosis vs Double layer gastrointestinal anastomosis
Anastomosis time Mean difference · patients with Bowel resection
Single layer versus double layer suture anastomosis of the gastrointestinal tract (2012) · Cochrane
no estimate extracted2 studies · 218 participantsLow
Single layer gastrointestinal anastomosis vs Double layer gastrointestinal anastomosis
Length of hospital stay Mean difference · patients with Bowel resection
Single layer versus double layer suture anastomosis of the gastrointestinal tract (2012) · Cochrane
no estimate extracted3 studies · 390 participantsLow
Single layer gastrointestinal anastomosis vs Double layer gastrointestinal anastomosis
Mortality Odds ratio · patients with Bowel resection
Single layer versus double layer suture anastomosis of the gastrointestinal tract (2012) · Cochrane
OR 0.56 [0.19, 1.63]4 studies · 403 participantsLow
Single layer gastrointestinal anastomosis vs Double layer gastrointestinal anastomosis
Major complications Odds ratio · patients with Bowel resection
Single layer versus double layer suture anastomosis of the gastrointestinal tract (2012) · Cochrane
OR 0.71 [0.44, 1.16]7 studies · 842 participantsLow
Single layer gastrointestinal anastomosis vs Double layer gastrointestinal anastomosis
Anastomotic leak in high quality trials Odds ratio · patients with Bowel resection
Single layer versus double layer suture anastomosis of the gastrointestinal tract (2012) · Cochrane
OR 1.13 [0.42, 3.01]3 studies · 353 participantsModerate
Single layer gastrointestinal anastomosis vs Double layer gastrointestinal anastomosis
Anastomotic leak in poor quality trials Odds ratio · patients with Bowel resection
Single layer versus double layer suture anastomosis of the gastrointestinal tract (2012) · Cochrane
OR 0.63 [0.32, 1.24]4 studies · 489 participantsVery low
Intervention NR
Total Successful Intubation Rate · patients with
Transparent Cap Colonoscopy versus Standard Colonoscopy to Improve Caecal Intubation (2012) · Cochrane
OR 1.36 [0.95, 1.93]12 studies · 5932 participantsModerate
Sensitivity Analysis; Stretch vs Sphincterotomy excluding Marby & Weaver
Persistance of the Fissure · patients with fissure in ano
Operative procedures for fissure in ano (2011) · Cochrane
OR 4.42 [1.75, 11.18]5 studies · 328 participantsModerate
Sensitivity Analysis; Stretch vs Sphincterotomy excluding Marby & Weaver
Minor incontinence to flatus · patients with fissure in ano
Operative procedures for fissure in ano (2011) · Cochrane
OR 5.73 [2.31, 14.2]5 studies · 309 participantsLow
Open vs closed partial lateral internal sphincterotomy
Persistence of the anal fissure · patients with fissure in ano
Operative procedures for fissure in ano (2011) · Cochrane
OR 1 [0.4, 2.48]5 studies · 336 participantsHigh
Open vs closed partial lateral internal sphincterotomy
Minor incontinence to flatus · patients with fissure in ano
Operative procedures for fissure in ano (2011) · Cochrane
OR 0.87 [0.41, 1.83]5 studies · 336 participantsModerate
Primary analyses ERAS vs conventional
Mortality outpatient · patients with colorectal surgery
Fast track surgery versus conventional recovery strategies for colorectal surgery (2011) · Cochrane
RR 0.53 [0.12, 2.38]4 studies · 237 participantsHigh
Primary analyses ERAS vs conventional
Complications clinical scoring · patients with colorectal surgery
Fast track surgery versus conventional recovery strategies for colorectal surgery (2011) · Cochrane
RR 0.5 [0.35, 0.72]4 studies · 577 participantsVery low
Primary analyses ERAS vs conventional
Readmissions · patients with colorectal surgery
Fast track surgery versus conventional recovery strategies for colorectal surgery (2011) · Cochrane
RR 0.87 [0.08, 9.39]4 studies · 237 participantsLow
Primary analyses ERAS vs conventional
hospital stay days of hospital admittance. Scale from: 1 to 100. · patients with colorectal surgery
Fast track surgery versus conventional recovery strategies for colorectal surgery (2011) · Cochrane
no estimate extracted4 studies · 237 participantsVery low
IAS preserving seton vs Conventional seton
Recurrence · patients with anorectal fistula
Surgical intervention for anorectal fistula (2010) · Cochrane
OR 1.88 [0.15, 22.88]1 study · 34 participantsModerate
Fistulotomy vs Marsupialization fistulotomy
Incontinence · patients with anorectal fistula
Surgical intervention for anorectal fistula (2010) · Cochrane
OR 2.29 [0.66, 7.97]2 studies · 137 participantsModerate
Advancement flap vs Fibrin glue with Flap repair
Recurrence · patients with anorectal fistula
Surgical intervention for anorectal fistula (2010) · Cochrane
OR 0.29 [0.09, 0.92]1 study · 58 participantsHigh
Advancement flap vs Fibrin glue with Flap repair
Incontinence · patients with anorectal fistula
Surgical intervention for anorectal fistula (2010) · Cochrane
no estimate extracted1 study · 58 participantsHigh
Fistulotomy vs Fistulectomy
Recurrence · patients with anorectal fistula
Surgical intervention for anorectal fistula (2010) · Cochrane
OR 1.36 [0.2, 9.02]1 study · 45 participantsModerate
Fistulotomy vs Fistulectomy
Incontinence · patients with anorectal fistula
Surgical intervention for anorectal fistula (2010) · Cochrane
OR 0.26 [0.02, 2.72]1 study · 45 participantsModerate
Island flap anoplasty vs Fistulotomy / seton
Recurrence · patients with anorectal fistula
Surgical intervention for anorectal fistula (2010) · Cochrane
no estimate extracted1 study · 20 participantsHigh
Island flap anoplasty vs Fistulotomy / seton
Incontinence · patients with anorectal fistula
Surgical intervention for anorectal fistula (2010) · Cochrane
no estimate extracted1 study · 20 participantsHigh
IAS preserving seton vs Conventional seton
Incontinence · patients with anorectal fistula
Surgical intervention for anorectal fistula (2010) · Cochrane
OR 0.41 [0.03, 5.03]1 study · 34 participantsModerate