Cochrane · systematic review · CD011903
Robotic versus open radical cystectomy for bladder cancer in adults
Rai, BP, Bondad, J, Vasdev, N, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
UrologyAMSTAR 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 14.3%Low 5 · 71.4%Moderate 1 · 14.3%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
Robotic‐assisted laparoscopic vs open radical cystectomy for bladder cancer in adults
Population: bladder cancer in adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Time to recurrence (here: recurrence rate at 5 years) Robotic‐assisted laparoscopic vs open radical cystectomy | HR 1.05 [0.77, 1.43] | 2 studies · 277 participants | Low Downgraded: risk of bias, imprecision |
Major postoperative complications Robotic‐assisted laparoscopic vs open radical cystectomy | RR 1.06 [0.76, 1.48] | 5 studies · 541 participants | Low Downgraded: risk of bias, imprecision |
Minor postoperative complications Robotic‐assisted laparoscopic vs open radical cystectomy | RR 0.82 [0.58, 1.17] | 4 studies · 423 participants | Very low Downgraded: risk of bias, imprecision |
Transfusion rate Robotic‐assisted laparoscopic vs open radical cystectomy | RR 0.58 [0.43, 0.8] | 2 studies · 326 participants | Moderate Downgraded: risk of bias, imprecision |
Hospital stay assessed in days Robotic‐assisted laparoscopic vs open radical cystectomy | no estimate extracted | 5 studies · 541 participants | Low Downgraded: risk of bias, imprecision |
Quality of life (higher scores indicate better quality of life) Robotic‐assisted laparoscopic vs open radical cystectomy | no estimate extracted | 3 studies · 270 participants | Low Downgraded: risk of bias, imprecision |
Positive margins assessed through pathological evaluation of cystectomy specimen Robotic‐assisted laparoscopic vs open radical cystectomy | RR 1.16 [0.56, 2.4] | 5 studies · 541 participants | Low Downgraded: risk of bias, imprecision |