Success of endoscopic dacryocystorhinostomy with or without stents: systematic review and meta-analysis
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1080/01676830.2019.1677726 http://hdl.handle.net/11449/201325 |
Resumo: | Purpose: To evaluate the effect of stents on the success of endoscopic dacryocystorhinostomy (DCR-EN) for treating primary acquired nasolacrimal duct obstruction (NLDO). Method: A systematic review of randomized clinical trials of DCR-EN for NLDO comparing outcomes of surgeries performed with and without the use of bicanalicular stents and the complications associated with each procedure. Two authors independently searched six databases (Scopus, PubMed, EMBASE, Google Scholar, Cochrane Central Register of Controlled Trials, and Web of Science) up to May 2019. Statistical analysis and meta-analysis were performed using RevMan 5.3 software provided by the Cochrane Collaboration. Results: Twelve studies involving 997 surgeries were included in this systematic review. The meta-analysis using a fixed-effects model showed a 94% success rate with stents versus 90.6% without stent. Although stent use favors greater success of DCR-EN, the confidence interval (CI) was wide and very close to nullity line (1.01), decreasing the strength of the recommendation for stent (odds ratio: 1.62, 95% CI: 1.01–2.59, I2 = 0%). Meta-analysis of the adverse effects was not possible. A descriptive analysis was performed of the general complications related to the stents. Conclusions: There is evidence that the use of bicanalicular stents slightly improves the success rate of DCR-EN, but the quality of evidence is low. Future prospective, randomized trials enrolling larger sample sizes may provide stronger evidence to determine whether the stent use influences the success of primary acquired DCR-EN. |
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Repositório Institucional da UNESP |
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Success of endoscopic dacryocystorhinostomy with or without stents: systematic review and meta-analysisEndoscopic dacryocystorhinostomymeta-analysisnasolacrimal duct obstructionstentsuccessPurpose: To evaluate the effect of stents on the success of endoscopic dacryocystorhinostomy (DCR-EN) for treating primary acquired nasolacrimal duct obstruction (NLDO). Method: A systematic review of randomized clinical trials of DCR-EN for NLDO comparing outcomes of surgeries performed with and without the use of bicanalicular stents and the complications associated with each procedure. Two authors independently searched six databases (Scopus, PubMed, EMBASE, Google Scholar, Cochrane Central Register of Controlled Trials, and Web of Science) up to May 2019. Statistical analysis and meta-analysis were performed using RevMan 5.3 software provided by the Cochrane Collaboration. Results: Twelve studies involving 997 surgeries were included in this systematic review. The meta-analysis using a fixed-effects model showed a 94% success rate with stents versus 90.6% without stent. Although stent use favors greater success of DCR-EN, the confidence interval (CI) was wide and very close to nullity line (1.01), decreasing the strength of the recommendation for stent (odds ratio: 1.62, 95% CI: 1.01–2.59, I2 = 0%). Meta-analysis of the adverse effects was not possible. A descriptive analysis was performed of the general complications related to the stents. Conclusions: There is evidence that the use of bicanalicular stents slightly improves the success rate of DCR-EN, but the quality of evidence is low. Future prospective, randomized trials enrolling larger sample sizes may provide stronger evidence to determine whether the stent use influences the success of primary acquired DCR-EN.Faculdade de Medicina–Campus de Botucatu Universidade Estadual Paulista Julio de Mesquita Filho (UNESP)Faculdade de Medicina–Campus de Botucatu Universidade Estadual Paulista Julio de Mesquita Filho (UNESP)Universidade Estadual Paulista (Unesp)Orsolini, Maria Julia [UNESP]Schellini, Silvana Artioli [UNESP]Souza Meneguim, Roberta Lilian Fernandes [UNESP]Catâneo, Antônio José Maria [UNESP]2020-12-12T02:29:44Z2020-12-12T02:29:44Z2019-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1080/01676830.2019.1677726Orbit (London).1744-51080167-6830http://hdl.handle.net/11449/20132510.1080/01676830.2019.16777262-s2.0-85074907611Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengOrbit (London)info:eu-repo/semantics/openAccess2021-10-22T17:11:37Zoai:repositorio.unesp.br:11449/201325Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462021-10-22T17:11:37Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Success of endoscopic dacryocystorhinostomy with or without stents: systematic review and meta-analysis |
title |
Success of endoscopic dacryocystorhinostomy with or without stents: systematic review and meta-analysis |
spellingShingle |
Success of endoscopic dacryocystorhinostomy with or without stents: systematic review and meta-analysis Orsolini, Maria Julia [UNESP] Endoscopic dacryocystorhinostomy meta-analysis nasolacrimal duct obstruction stent success |
title_short |
Success of endoscopic dacryocystorhinostomy with or without stents: systematic review and meta-analysis |
title_full |
Success of endoscopic dacryocystorhinostomy with or without stents: systematic review and meta-analysis |
title_fullStr |
Success of endoscopic dacryocystorhinostomy with or without stents: systematic review and meta-analysis |
title_full_unstemmed |
Success of endoscopic dacryocystorhinostomy with or without stents: systematic review and meta-analysis |
title_sort |
Success of endoscopic dacryocystorhinostomy with or without stents: systematic review and meta-analysis |
author |
Orsolini, Maria Julia [UNESP] |
author_facet |
Orsolini, Maria Julia [UNESP] Schellini, Silvana Artioli [UNESP] Souza Meneguim, Roberta Lilian Fernandes [UNESP] Catâneo, Antônio José Maria [UNESP] |
author_role |
author |
author2 |
Schellini, Silvana Artioli [UNESP] Souza Meneguim, Roberta Lilian Fernandes [UNESP] Catâneo, Antônio José Maria [UNESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) |
dc.contributor.author.fl_str_mv |
Orsolini, Maria Julia [UNESP] Schellini, Silvana Artioli [UNESP] Souza Meneguim, Roberta Lilian Fernandes [UNESP] Catâneo, Antônio José Maria [UNESP] |
dc.subject.por.fl_str_mv |
Endoscopic dacryocystorhinostomy meta-analysis nasolacrimal duct obstruction stent success |
topic |
Endoscopic dacryocystorhinostomy meta-analysis nasolacrimal duct obstruction stent success |
description |
Purpose: To evaluate the effect of stents on the success of endoscopic dacryocystorhinostomy (DCR-EN) for treating primary acquired nasolacrimal duct obstruction (NLDO). Method: A systematic review of randomized clinical trials of DCR-EN for NLDO comparing outcomes of surgeries performed with and without the use of bicanalicular stents and the complications associated with each procedure. Two authors independently searched six databases (Scopus, PubMed, EMBASE, Google Scholar, Cochrane Central Register of Controlled Trials, and Web of Science) up to May 2019. Statistical analysis and meta-analysis were performed using RevMan 5.3 software provided by the Cochrane Collaboration. Results: Twelve studies involving 997 surgeries were included in this systematic review. The meta-analysis using a fixed-effects model showed a 94% success rate with stents versus 90.6% without stent. Although stent use favors greater success of DCR-EN, the confidence interval (CI) was wide and very close to nullity line (1.01), decreasing the strength of the recommendation for stent (odds ratio: 1.62, 95% CI: 1.01–2.59, I2 = 0%). Meta-analysis of the adverse effects was not possible. A descriptive analysis was performed of the general complications related to the stents. Conclusions: There is evidence that the use of bicanalicular stents slightly improves the success rate of DCR-EN, but the quality of evidence is low. Future prospective, randomized trials enrolling larger sample sizes may provide stronger evidence to determine whether the stent use influences the success of primary acquired DCR-EN. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-01-01 2020-12-12T02:29:44Z 2020-12-12T02:29:44Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1080/01676830.2019.1677726 Orbit (London). 1744-5108 0167-6830 http://hdl.handle.net/11449/201325 10.1080/01676830.2019.1677726 2-s2.0-85074907611 |
url |
http://dx.doi.org/10.1080/01676830.2019.1677726 http://hdl.handle.net/11449/201325 |
identifier_str_mv |
Orbit (London). 1744-5108 0167-6830 10.1080/01676830.2019.1677726 2-s2.0-85074907611 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Orbit (London) |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1803047193332940800 |