Cochrane · systematic review · CD010583
Prophylactic abdominal drainage for pancreatic surgery
He, S, Xia, J, Zhang, W, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
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
21
current version
GRADE rated
18
No studies
3
Included studies
NR
No studies 3 · 14.3%Ungraded 0 · 0%Very low 12 · 57.1%Low 5 · 23.8%Moderate 1 · 4.8%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
Show all 4 versionsDrain use versus no drain use following pancreatic surgery
Population: people undergoing elective pancreatic resections
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Drain use vs no drain use following pancreatic surgery | RR 0.78 [0.31, 1.99] | 4 studies · 1055 participants | Low Downgraded: risk of bias, imprecision |
Mortality Drain use vs no drain use following pancreatic surgery | RR 0.23 [0.06, 0.9] | 2 studies · 478 participants | Low Downgraded: risk of bias, imprecision |
Intra‐abdominal infection Drain use vs no drain use following pancreatic surgery | RR 0.97 [0.52, 1.8] | 4 studies · 1055 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Wound infection Drain use vs no drain use following pancreatic surgery | RR 0.98 [0.68, 1.41] | 4 studies · 1055 participants | Low Downgraded: risk of bias, imprecision |
Drain‐related complications Drain use vs no drain use following pancreatic surgery | no estimate extracted | 1 study · 179 participants | Low Downgraded: risk of bias, imprecision |
Morbidity Drain use vs no drain use following pancreatic surgery | RR 1.03 [0.94, 1.13] | 4 studies · 1055 participants | Moderate Downgraded: risk of bias |
Length of hospital stay Drain use vs no drain use following pancreatic surgery | no estimate extracted | 3 studies · 876 participants | Low Downgraded: risk of bias |
Active drain versus passive drain following pancreatic surgery
Population: people undergoing elective pancreatic resections
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Active drain vs passive drain following pancreatic surgery | RR 1.23 [0.3, 5.06] | 2 studies · 382 participants | Very low Downgraded: risk of bias, imprecision |
Mortality Active drain vs passive drain following pancreatic surgery | no estimate extracted | NR | No studies |
Intra‐abdominal infection Active drain vs passive drain following pancreatic surgery | RR 0.87 [0.21, 3.66] | 2 studies · 321 participants | Very low Downgraded: risk of bias, imprecision |
Wound infection Active drain vs passive drain following pancreatic surgery | RR 0.92 [0.44, 1.9] | 2 studies · 321 participants | Very low Downgraded: risk of bias, imprecision |
Drain‐related complications Active drain vs passive drain following pancreatic surgery | no estimate extracted | 1 study · 223 participants | Very low Downgraded: risk of bias, imprecision |
Morbidity Active drain vs passive drain following pancreatic surgery | RR 0.97 [0.53, 1.77] | 2 studies · 382 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Length of hospital stay Active drain vs passive drain following pancreatic surgery | no estimate extracted | 2 studies · 321 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Early versus late drain removal following pancreatic surgery
Population: people undergoing elective pancreatic resections
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality Early vs late drain removal following pancreatic surgery | RR 0.99 [0.06, 15.45] | 3 studies · 399 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Mortality Early vs late drain removal following pancreatic surgery | no estimate extracted | NR | No studies |
Intra‐abdominal infection Early vs late drain removal following pancreatic surgery | RR 0.44 [0.22, 0.89] | 2 studies · 285 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Wound infection Early vs late drain removal following pancreatic surgery | RR 1.32 [0.45, 3.85] | 2 studies · 285 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Drain‐related complications Early vs late drain removal following pancreatic surgery | no estimate extracted | NR | No studies |
Morbidity Early vs late drain removal following pancreatic surgery | RR 0.49 [0.3, 0.81] | 2 studies · 258 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Length of hospital stay Early vs late drain removal following pancreatic surgery | no estimate extracted | 3 studies · 399 participants | Very low Downgraded: risk of bias, imprecision, indirectness |