Cochrane · systematic review · CD004122
Preoperative hair removal to reduce surgical site infection
Tanner, J, Melen, K · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
WoundsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
24
current version
GRADE rated
13
No studies
11
Included studies
NR
No studies 11 · 45.8%Ungraded 0 · 0%Very low 3 · 12.5%Low 6 · 25%Moderate 4 · 16.7%High 0 · 0%
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.
Questions and results
Clipping compared with no hair removal for participants undergoing surgery
Population: people undergoing surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Surgical site infection (SSIs) Clipping vs no hair removal | RR 0.95 [0.65, 1.39] | 3 studies · 1733 participants | Low Downgraded: imprecision |
Wound complications Clipping vs no hair removal | no estimate extracted | NR | No studies |
Length of stay Clipping vs no hair removal | no estimate extracted | NR | No studies |
Cost of care Clipping vs no hair removal | no estimate extracted | NR | No studies |
Shaving compared with no hair removal for participants undergoing surgery
Population: people undergoing surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Surgical site infection (SSIs) Shaving vs no hair removal | RR 1.82 [1.05, 3.14] | 7 studies · 1706 participants | Moderate Downgraded: imprecision |
Wound complications Shaving vs no hair removal | RR 1 [0.21, 4.66] | 1 study · 80 participants | Low Downgraded: imprecision |
Length of stay Shaving vs no hair removal | no estimate extracted | 1 study · 136 participants | Low Downgraded: imprecision |
Cost Shaving vs no hair removal | no estimate extracted | 1 study · 278 participants | Very low Downgraded: imprecision, indirectness |
Depilatory cream compared with no hair removal for participants undergoing surgery
Population: people undergoing surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Surgical site infection (SSI) Depilatory cream vs no hair removal | RR 1.02 [0.45, 2.31] | 1 study · 267 participants | Low Downgraded: imprecision |
Wound complications Depilatory cream vs no hair removal | no estimate extracted | NR | No studies |
Length of stay Depilatory cream vs no hair removal | no estimate extracted | NR | No studies |
Cost Depilatory cream vs no hair removal | no estimate extracted | 1 study · 267 participants | Very low Downgraded: imprecision, indirectness |
Shaving compared with clipping for participants undergoing surgery
Population: people undergoing surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Surgical site infection (SSI) Shaving vs clipping | RR 1.64 [1.16, 2.33] | 7 studies · 3723 participants | Moderate Downgraded: risk of bias |
Wound complications Shaving vs clipping | RR 1.74 [1.12, 2.71] | 3 studies · 1333 participants | Moderate Downgraded: imprecision |
Length of stay Shaving vs clipping | no estimate extracted | NR | No studies |
Cost Shaving vs clipping | no estimate extracted | NR | No studies |
Shaving compared with cream for participants undergoing surgery
Population: people undergoing surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Surgical site infection (SSI) Shaving vs cream | RR 2.28 [1.12, 4.65] | 9 studies · 1593 participants | Moderate Downgraded: risk of bias |
Wound complications Shaving vs cream | RR 6.95 [3.45, 13.98] | 5 studies · 937 participants | Low Downgraded: risk of bias, imprecision |
Length of stay Shaving vs cream | no estimate extracted | NR | No studies |
Cost Shaving vs cream | no estimate extracted | 3 studies · 402 participants | Very low Downgraded: imprecision, indirectness |
Hair removal the day before surgery compared with hair removal on the day of surgery for participants undergoing surgery
Population: people undergoing surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Surgical site infection (SSIs) Hair removal the day before surgery vs hair removal on the day of surgery | RR 0.83 [0.54, 1.3] | 1 study · 977 participants | Low Downgraded: imprecision |
Wound complications Hair removal the day before surgery vs hair removal on the day of surgery | no estimate extracted | NR | No studies |
Length of stay Hair removal the day before surgery vs hair removal on the day of surgery | no estimate extracted | NR | No studies |
Cost Hair removal the day before surgery vs hair removal on the day of surgery | no estimate extracted | NR | No studies |