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Emergency laparotomy research methodology: A systematic review.

D M Nally1, J Sorensen2, D O Kavanagh1

  • 1Department of Surgical Affairs, Royal College of Surgeons of Ireland, 121 St. Stephen's Green, Dublin 2, Ireland.

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
|July 27, 2019
PubMed
Summary
This summary is machine-generated.

Emergency laparotomy (EL) research shows varied outcome reporting. Standardizing methods and including patient-centered outcomes are crucial for future studies on EL care.

Keywords:
Emergency general surgeryEmergency laparotomyMortality outcomeOutcome assessmentPatient centred outcomes researchPatient-centred researchResearch methodology

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Area of Science:

  • Surgical Research
  • Outcomes Research
  • Health Services Research

Background:

  • Emergency abdominal surgery (emergency laparotomy, EL) is linked to worse outcomes than elective surgery.
  • Research is shifting from observational studies to interventions for EL care improvement.
  • Optimal research methodology for EL care remains undefined.

Purpose of the Study:

  • To review how mortality and other outcomes are reported in EL research.
  • To identify optimal methods for future EL outcome research.

Main Methods:

  • Systematic review adhering to PRISMA principles.
  • Searched electronic databases for English language studies on EL outcomes.
  • Extracted and analyzed mortality and other reported outcomes from included studies.

Main Results:

  • 16 studies were included, showing significant heterogeneity in case definition, outcome reporting, and data processing.
  • A wide range of mortality and other outcome measures were used.
  • Few studies incorporated patient-reported outcome measures.

Conclusions:

  • Heterogeneity in EL research necessitates careful consideration when comparing outcomes.
  • Standardized approaches to case definition, outcome measurement, and data analysis are needed for valid comparisons.
  • Future EL research should prioritize patient-centered outcomes.