Cochrane · systematic review · CD007683
Laparoscopy for the management of acute lower abdominal pain in women of childbearing age
Gaitán, HG, Reveiz, L, Farquhar, C, et al. · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library
Gynaecology and FertilityAMSTAR 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
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 55.6%Moderate 4 · 44.4%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
Laparoscopy compared with open appendicectomy
Population: women of childbearing age with acute lower abdominal pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Diagnosis before discharge Laparoscopy vs open appendicectomy | OR 4.1 [2.5, 6.71] | 7 studies · 561 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Any adverse events Laparoscopy vs open appendicectomy | OR 0.46 [0.19, 1.1] | 7 studies · 563 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Total length of in‐patient stay (days) Laparoscopy vs open appendicectomy | no estimate extracted | 6 studies · 455 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Normal appendix removed Laparoscopy vs open appendicectomy | OR 0.13 [0.07, 0.24] | 7 studies · 475 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Laparoscopy compared with 'wait and see' strategy
Population: women of childbearing age with acute lower abdominal pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Diagnosis before discharge Laparoscopy vs 'wait and see' strategy | OR 6.07 [1.85, 19.88] | 4 studies · 395 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Any adverse events Laparoscopy vs 'wait and see' strategy | OR 0.87 [0.45, 1.67] | 4 studies · 399 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Total length of in‐patient stay (days) Laparoscopy vs 'wait and see' strategy | no estimate extracted | 2 studies · 169 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Normal appendix removed Laparoscopy vs 'wait and see' strategy | OR 5.14 [2.22, 11.87] | 1 study · 104 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Mortality Laparoscopy vs 'wait and see' strategy | OR 1.03 [0.06, 16.93] | 3 studies · 334 participants | Low Downgraded: risk of bias, imprecision, inconsistency |