Cochrane · systematic review · CD012506
Stent placement versus surgical palliation for adults with malignant gastric outlet obstruction
Upchurch, E, Ragusa, M, Cirocchi, R · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
GutAMSTAR 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
8
current version
GRADE rated
7
No studies
1
Included studies
NR
No studies 1 · 12.5%Ungraded 0 · 0%Very low 3 · 37.5%Low 2 · 25%Moderate 2 · 25%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
Duodenal stenting compared with surgical palliation for malignant gastric outlet obstruction
Population: people with malignant gastric outlet obstruction
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Re‐establishment of oral intake (technical success of the intervention) Duodenal stenting vs surgical palliation | RR 0.98 [0.88, 1.09] | 3 studies · 82 participants | Low Downgraded: risk of bias |
Time to re‐establishment of oral intake Duodenal stenting vs surgical palliation | no estimate extracted | 2 studies · 57 participants | Low Downgraded: risk of bias |
All‐cause mortality Duodenal stenting vs surgical palliation | RR 0.72 [0.14, 3.64] | 1 study · 27 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Median survival postintervention Duodenal stenting vs surgical palliation | no estimate extracted | 1 study · 39 participants | Very low Downgraded: risk of bias |
Time to recurrence of obstructive symptoms Duodenal stenting vs surgical palliation | RR 5.08 [0.96, 26.74] | 2 studies · 57 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Adverse events Duodenal stenting vs surgical palliation | RR 1.15 [0.33, 3.98] | 3 studies · 84 participants | Very low Downgraded: risk of bias |
Length of hospital stay Duodenal stenting vs surgical palliation | no estimate extracted | 3 studies · 84 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Health‐related quality of life Duodenal stenting vs surgical palliation | no estimate extracted | NR | No studies |