Abstract:
BACKGROUND:Hysterectomy for benign gynecologic diseases, especially dysfunctional uterine bleeding, is one of the most common gynecologic interventions. The uterus can be removed using abdominal, vaginal, laparoscopic, or robotic-assisted laparoscopic hysterectomy. In a robotic-assisted procedure, the surgeon directs the robot while seated at a console in the operating room. This differs from laparoscopic hysterectomy because a "robot" performs the operation, while the surgeon watches a monitor. This systematic review will compare quality of life (QOL) in patients who undergo total robotic-assisted laparoscopic hysterectomy for benign indications and those who undergo conventional laparoscopic surgery. METHODS:We will perform a systematic review according to the Cochrane Methodology for randomized controlled trials. The review will include studies reporting use of QOL metrics to assess patients who undergo total hysterectomy for benign indications using robotic-assisted technique or conventional laparoscopic surgery. QOL will be the primary outcome and will be measured using validated instruments. An overall search strategy will be developed and adapted for Embase, MEDLINE, LILACS, and CENTRAL databases. Two reviewers will independently select the eligible studies, assess the risk of bias, and extract the data from included studies. Similar outcomes measured in at least 2 trials will be plotted in the meta-analysis using Review Manager 5.3. The quality of evidence will be determined using the GRADE approach. RESULTS:This systematic review is designed to provide high quality evidence on QOL in patients undergoing total hysterectomy for benign indications using either robotic-assisted or conventional laparoscopic surgery. CONCLUSION:It is expected that high-quality evidence on QOL can be used to guide decision-making by institutions and clinicians to improve health care; the evidence can also be used in future studies. PROSPERO REGISTRATION NUMBER:PROSPERO CRD 42019129913.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Rodrigues RC,Rodrigues MRK,Freitas NO,Rudge MVC,Lima SAMdoi
10.1097/MD.0000000000015974subject
Has Abstractpub_date
2019-06-01 00:00:00pages
e15974issue
23eissn
0025-7974issn
1536-5964pii
00005792-201906070-00064journal_volume
98pub_type
杂志文章相关文献
MEDICINE文献大全abstract::The objective of this study was to compare the differences between the measurements performed manually to those obtained using a digital model scanner of patients with orthodontic treatment.A cross-sectional study was performed in a sample of 30 study models from patients with permanent dentition who attended a univer...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010887
更新日期:2018-06-01 00:00:00
abstract::The aim of the present study was to investigate the age-related patterns and the relationships between serum levels of tartrate-resistant acid phosphatase-5b (TRACP-5b) or bone-specific alkaline phosphatase (BAP), and the heel stiffness index measured by quantitative ultrasound (QUS) in 429 Japanese men, with special ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000009962
更新日期:2018-02-01 00:00:00
abstract:RATIONALE:Multiple pulmonary leiomyomatous hamartoma (MPLH) is an extremely rare benign disease that mostly occurs in women of reproductive age. PATIENT CONCERNS:A 32-year-old female patient recently diagnosed with multiple bilateral pulmonary nodules. She has the symptoms of dry cough, chest tightness, dyspnea on exe...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016496
更新日期:2019-07-01 00:00:00
abstract::Continuous epidural block (CEB) is a popular clinical method for controlling postherpetic neuralgia (PHN). However, the long-term effects of CEB on PHN have not yet been established. This study aimed to confirm the clinical efficacy of epidural electrical stimulation catheters in CEB to manage PHN.Patients were classi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017026
更新日期:2019-09-01 00:00:00
abstract:BACKGROUND:Polymorphism in miR-27a rs895819 has been associated with breast cancer (BC) risk, but studies have reported inconsistent results. This meta-analysis investigated the possible association between miR-27a rs895819 polymorphism and BC risk. METHODS:PubMed, EMBASE, Google Scholar, and the Chinese National Know...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023834
更新日期:2021-01-15 00:00:00
abstract::Alpha-fetoprotein (AFP)-producing gastric cancer (AFPGC) is rare and associated with a suboptimal prognosis. The aim of this retrospective study was to identify prognostic factors, with a particular focus on the dynamics of serum AFP levels during treatment, in AFPGC patients.Data of patients with pathologically diagn...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000023326
更新日期:2020-11-20 00:00:00
abstract::To investigate the epidemiology of systemic sclerosis (SSc) in southern Europe, we assessed the incidence, prevalence, clinical spectrum, and survival of patients diagnosed with SSc in the Lugo region of northwestern Spain. Between January 1988 and December 2006, SSc was diagnosed in 78 Lugo residents according to the...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0b013e318189372f
更新日期:2008-09-01 00:00:00
abstract:INTRODUCTION:Lateral ligamentous complex injury without fracture or dislocation is rare in the literature. Due to the rare injury, it is not clear yet about the proper treatment. This case report suggests a specific diagnosis of this injury as well as an appropriate surgical method. PATIENT CONCERNS:In one-month perio...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017447
更新日期:2019-10-01 00:00:00
abstract::The aim of the study was to investigate current situation of postoperative pain management in medical institutions in Shandong Province.A questionnaire was developed on the basis of guidelines of acute pain and pain quality assessment scale. The questionnaire was used to obtain information regarding the nature and sca...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002690
更新日期:2016-02-01 00:00:00
abstract::This study aims to evaluate the clinical and radiographic treatment outcomes of comminuted Mason type II radial head fractures, which underwent open reduction and internal fixation (ORIF) using a new implant (mother-child screw, MCS).This study included 16 patients (7 male and 9 female patients; mean age: 40.9 years, ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010086
更新日期:2018-03-01 00:00:00
abstract::The standard treatment for patients with advanced gastric cancer (AGC) is still a matter of debate. The chemotherapy regimen of paclitaxel (PTX) combined with S-1 has been used to treat AGC or metastatic gastric cancer.We conducted a meta-analysis to compare oral S-1 and infusional 5-fluorouracil (5-FU) to determine w...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000000164
更新日期:2014-11-01 00:00:00
abstract:BACKGROUND:Creatine kinase (CK) values are a critical part of the workup of suspected myopathies and are often assessed in patients that develop myalgia on statin therapy. CK elevations may influence the initiation and cessation of statin treatment, and incidentally discovered CK elevation may lead to further testing. ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004344
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:The neutrophil-to-lymphocyte ratio (NLR) has been reported to possess significant prognostic value in multiple types of cancer. We conducted a meta-analysis to evaluate the prognostic value of pretreatment NLR in soft tissue sarcoma (STS). METHODS:A systematic literature search through April 2018 was conduc...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000012176
更新日期:2018-09-01 00:00:00
abstract::The surgical treatment of congenital scoliosis under 10 years is difficult as it involves resecting vertebrae. Moreover, patient follow-up after surgery is extremely important because the patient is a child whose growth has not been completed. However, there are very few long-term follow-up studies after surgical trea...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021720
更新日期:2020-08-07 00:00:00
abstract:RATIONALE:Narcolepsy is a rare sleep disorder with disrupted sleep-architecture. Clinical management of narcolepsy lies dominantly on symptom-driven pharmacotherapy. The treatment role of repetitive transcranial magnetic stimulation (rTMS) for narcolepsy remains unexplored. PATIENT CONCERNS:In this paper, we present a...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008645
更新日期:2017-11-01 00:00:00
abstract:BACKGROUND:The aim of this study is to compare the postoperative quality of life (QoL) and survival outcomes in lower rectal cancer (LRC) patients who undergo either laparoscopic- intersphincteric resection or extralevator abdominoperineal excision (L-ELAPE) after long-course neoadjuvant chemoradiation therapy (nCRT). ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020245
更新日期:2020-05-29 00:00:00
abstract:RATIONALE:Primary intracranial leiomyosarcoma (LMS) is an extremely rare tumor in the central nervous system (CNS), and usually seen in immunocompromised individuals. Only a few cases of primary intracranial LMS have been documented in the literature and no study focused on their MRI findings. We reported a case of pri...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000015269
更新日期:2019-04-01 00:00:00
abstract:RATIONALE:Inflammatory demyelinating neuropathies such as Guillain-Barré syndrome (GBS), chronic inflammatory demyelinating polyneuropathy (CIDP), and focal segmental glomerulosclerosis (FSGS) are autoimmune disorders that may have a common pathogenesis. Here, we describe 2 unique cases of FSGS, 1 with GBS and the othe...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000013304
更新日期:2018-12-01 00:00:00
abstract:RATIONALE:Atopic dermatitis is a frequent, relapsing, chronic inflammatory skin condition with a deep negative impact on quality of life. Three are the major pathological factors driving its complex pathogenesis: the skin barrier disruption, the altered Th2 cell response and itching. Current management of the disease i...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010897
更新日期:2018-06-01 00:00:00
abstract:RATIONALE:Pulmonary blastoma is a rare primary lung cancer that can be categorized into adult type and child type. The clinical symptoms and imaging features of pulmonary blastoma are nonspecific, making it difficult to diagnose preoperatively. Postoperative pathology with immunohistochemical staining can help diagnosi...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008918
更新日期:2017-12-01 00:00:00
abstract:ABSTRACT:Lactic acidosis is one of the most fatal adverse effects of linezolid, an antibiotic used to treat serious infections caused by antibiotic-resistant bacteria. However, the measures to prevent lactic acidosis have not been well established.We performed a retrospective study to analyze the impact of applying a s...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023790
更新日期:2021-01-08 00:00:00
abstract::We aimed to elucidate the incidence of protein-energy malnutrition (PEM) in patients with chronic liver disease and to identify factors linked to the presence of PEM.A total of 432 patients with chronic liver disease were analyzed in the current analysis. We defined patients with serum albumin level of ≤3.5 g/dL and n...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002442
更新日期:2016-01-01 00:00:00
abstract::Hypertension should be best managed under primary care settings. This study aimed to compare, between Shanghai and Shenzhen, the perceived quality of primary care in terms of accessibility, continuity, co-ordination, and comprehensiveness among hypertensive patients.A cross-sectional study was conducted in Shanghai an...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000001388
更新日期:2015-08-01 00:00:00
abstract:BACKGROUND:This trial aimed to evaluate the efficacy and safety of roflumilast for treating Chinese patients with chronic obstructive pulmonary disease (COPD). METHODS:A total of 120 patients with COPD were recruited and were randomly divided into 2 groups (an intervention group and a placebo group) at a 1:1 ratio. Pa...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000009864
更新日期:2018-02-01 00:00:00
abstract::Orthostatic hypotension (OH) is a common problem in the elderly age group, and some studies have reported an association between OH and increased mortality. We evaluated possible associations between OH and mortality in a retrospective study of frail elderly patients who came for a comprehensive geriatric assessment. ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000977
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:To systematically review the impact of remote health interventions based on an internet or mobile communication network on patients with hypertension and to provide a theoretical basis for hypertension patients with the implementation of remote health interventions. METHODS:Data were retrieved from a total ...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000014707
更新日期:2019-03-01 00:00:00
abstract::The metastasis of cervical carcinoma is associated with the lymphovascular spread. The primary objective of the present study was to determine the prognostic value of lymphovascular space invasion (LVSI) in patients with early-stage cervical cancer in Jilin, China.In this retrospective cohort study, patients with earl...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017301
更新日期:2019-10-01 00:00:00
abstract::To compare the epidemiological and psychological features of globus symptoms between individuals from urban and rural areas in Guangzhou.In total, 3360 individuals aged 18 years and over were selected to participate in our questionnaire investigation using random cluster sampling under the stratification of a urban ar...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012986
更新日期:2018-10-01 00:00:00
abstract::This study aimed to investigate the effect of auxiliary Kirschner wire (K-wire) technique in the closed reduction of children with Gartland type III supracondylar humerus fractures by comparing with manual reduction alone.Retrospective analysis was performed on the clinical data of 68 cases of supracondylar humerus fr...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016862
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND:Pentraxin 3 is an acute inflammatory protein of the long pentraxin subfamily. A meta-analysis was performed to assess diagnostic accuracy of pentraxin 3 for respiratory tract infections. METHODS:We identify studies examining diagnostic value of pentraxin 3 for respiratory tract infections by searching Pubme...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000019532
更新日期:2020-04-01 00:00:00