Cumulative Evidence for Reducing Recurrence of Colonic Diverticular Bleeding Using Endoscopic Clipping versus Band Ligation: Systematic Review and Meta‐analysis

Author(s):  
Naoyoshi Nagata ◽  
Ryota Niikura ◽  
Naoki Ishii ◽  
Mitsuru Kaise ◽  
Fumio Omata ◽  
...  
2013 ◽  
Vol 49 (6) ◽  
pp. 992-1000 ◽  
Author(s):  
Hiroki Yuhara ◽  
Douglas A. Corley ◽  
Fumio Nakahara ◽  
Takayuki Nakajima ◽  
Jun Koike ◽  
...  

2014 ◽  
Vol 49 (10) ◽  
pp. 1440-1440
Author(s):  
Hiroki Yuhara ◽  
Douglas A. Corley ◽  
Fumio Nakahara ◽  
Takayuki Nakajima ◽  
Jun Koike ◽  
...  

2019 ◽  
Vol 42 (9) ◽  
pp. 552-554
Author(s):  
Joana Rita Carvalho ◽  
Carlos Freitas ◽  
Paula Moura Santos ◽  
Mariana Machado ◽  
Cilénia Baldaia ◽  
...  

Author(s):  
C. M. Kugler ◽  
K. Goossen ◽  
T. Rombey ◽  
K. K. De Santis ◽  
T. Mathes ◽  
...  

Abstract Purpose This systematic review and dose–response meta-analysis aimed to investigate the relationship between hospital volume and outcomes for total knee arthroplasty (TKA). Methods MEDLINE, Embase, CENTRAL and CINAHL were searched up to February 2020 for randomised controlled trials and cohort studies that reported TKA performed in hospitals with at least two different volumes and any associated patient-relevant outcomes. The adjusted effect estimates (odds ratios, OR) were pooled using a random-effects, linear dose–response meta-analysis. Heterogeneity was quantified using the I2-statistic. ROBINS-I and the GRADE approach were used to assess the risk of bias and the confidence in the cumulative evidence, respectively. Results A total of 68 cohort studies with data from 1985 to 2018 were included. The risk of bias for all outcomes ranged from moderate to critical. Higher hospital volume may be associated with a lower rate of early revision ≤ 12 months (narrative synthesis of k = 7 studies, n = 301,378 patients) and is likely associated with lower mortality ≤ 3 months (OR = 0.91 per additional 50 TKAs/year, 95% confidence interval [0.87–0.95], k = 9, n = 2,638,996, I2 = 51%) and readmissions ≤ 3 months (OR = 0.98 [0.97–0.99], k = 3, n = 830,381, I2 = 44%). Hospital volume may not be associated with the rates of deep infections within 1–4 years, late revision (1–10 years) or adverse events ≤ 3 months. The confidence in the cumulative evidence was moderate for mortality and readmission rates; low for early revision rates; and very low for deep infection, late revision and adverse event rates. Conclusion An inverse volume–outcome relationship probably exists for some TKA outcomes, including mortality and readmissions, and may exist for early revisions. Small reductions in unfavourable outcomes may be clinically relevant at the population level, supporting centralisation of TKA to high-volume hospitals. Level of evidence III. Registration number The study was registered in the International Prospective Register of Systematic Reviews (PROSPERO CRD42019131209 available at: https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=131209).


2020 ◽  
Vol 96 (1) ◽  
pp. 35-39
Author(s):  
Ayaka Takasu ◽  
Yasutoshi Shiratori ◽  
Takashi Ikeya ◽  
Koichi Takagi ◽  
Katsuyuki Fukuda

2015 ◽  
Vol 81 (5) ◽  
pp. AB334-AB335
Author(s):  
Yuto Shimamura ◽  
Naoki Ishii ◽  
Fumio Omata ◽  
Yoshiyuki Fujita

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