Eficácia do uso de stents na dacriocistorrinostomia endoscópica: metanálise

Detalhes bibliográficos
Autor(a) principal: Orsolini, Maria Julia de Barros
Data de Publicação: 2018
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://hdl.handle.net/11449/155848
Resumo: Objective: To determine if stents increase the success rate of endoscopic dacryocystorhinostomy (DCR-EN) Method: Systematic review of randomized clinical trials of DCR-EN, comparing surgeries performed with and without stents in children older than 10 years of age and adult patients, with primary lacrimo-nasal duct (LND) obstruction. The outcomes were LND patency and adverse events (complications). We searched the databases of Web of Science, Scopus, Embase, Cochrane, PubMed, Lilacs until May 2018. The RevMan 5.3 software provided by the Cochrane Collaboration was used for meta-analysis. Results: Ten studies involving 887 surgeries were included. Five studies were conducted in India, and each of the others were conducted in Canada, Turkey, Saudi Arabia, China and Finland. Lacrimo-nasal duct patency meta-analysis showed stents did not interfere in the chance of success in relation to non-use of the stents to obtain lacrimal viability (OR 1.62, 95% CI 1.00 to 2.64, I2 = 0%). It was not possible to perform a meta-analysis regarding the adverse effects and a descriptive analysis was made of the general complications and complications due to the stents. Conclusion: The use or no of stents in DCR-EN probably does not make any difference in the NLD patency. Further studies may better define whether there is a trend toward a better success rate with the use of stent. Key words: dacryocystorhinotomy, endoscopic, stent, success, meta-analysis
id UNSP_78c34ed9dab77f8665645baf57825676
oai_identifier_str oai:repositorio.unesp.br:11449/155848
network_acronym_str UNSP
network_name_str Repositório Institucional da UNESP
repository_id_str 2946
spelling Eficácia do uso de stents na dacriocistorrinostomia endoscópica: metanáliseEfficacy of stents in endoscopic dacryocystorhinostomy surgery: meta analysisdacriocistorrinostomiaendoscópicasucessometanálisestentdacryocystorhinotomyendoscopicsuccessmeta-analysisObjective: To determine if stents increase the success rate of endoscopic dacryocystorhinostomy (DCR-EN) Method: Systematic review of randomized clinical trials of DCR-EN, comparing surgeries performed with and without stents in children older than 10 years of age and adult patients, with primary lacrimo-nasal duct (LND) obstruction. The outcomes were LND patency and adverse events (complications). We searched the databases of Web of Science, Scopus, Embase, Cochrane, PubMed, Lilacs until May 2018. The RevMan 5.3 software provided by the Cochrane Collaboration was used for meta-analysis. Results: Ten studies involving 887 surgeries were included. Five studies were conducted in India, and each of the others were conducted in Canada, Turkey, Saudi Arabia, China and Finland. Lacrimo-nasal duct patency meta-analysis showed stents did not interfere in the chance of success in relation to non-use of the stents to obtain lacrimal viability (OR 1.62, 95% CI 1.00 to 2.64, I2 = 0%). It was not possible to perform a meta-analysis regarding the adverse effects and a descriptive analysis was made of the general complications and complications due to the stents. Conclusion: The use or no of stents in DCR-EN probably does not make any difference in the NLD patency. Further studies may better define whether there is a trend toward a better success rate with the use of stent. Key words: dacryocystorhinotomy, endoscopic, stent, success, meta-analysisObjetivo: Definir se o uso de stents aumenta a taxa de sucesso da dacriocistorrinostomia endoscópica (DCR-EN). Método: Revisão sistemática de ensaios clínicos randomizados referentes a DCR-EN, comparando as cirurgias realizadas com e sem uso de stents em crianças acima dos 10 anos de idade e adultos, com obstrução adquirida do ducto lacrimo-nasal (DLN). Os desfechos avaliados foram a patência do DLN e os eventos adversos (complicações). Foram pesquisadas as bases de dados: Web of Science, Scopus, Embase, Cochrane, PubMed, Lilacs até maio de 2018. Utilizou-se para metanálise o software RevMan 5.3 fornecido pela Colaboração Cochrane. Resultados: Dez estudos envolvendo 887 cirurgias foram incluidos. Cinco estudos foram realizados na India, um em cada um dos países a seguir: Canada, Turquia, Arabia Saudita, China e Finlândia. A metanálise da patência do DLN mostrou que os stents não interferiram na chance de sucesso em relação ao não uso dos stents para a obtenção de permeabilidade da via lacrimal (OR 1,62, IC 95% 1.00 a 2.64; I2 = 0%). Quanto aos efeitos adversos não foi possível realizar metanálise, tendo sido feita análise descritiva das complicações gerais e complicações dos stents. Conclusão: O uso ou não de stents na DCR-EN provavelmente faz pouca ou nenhuma diferença na patência do DLN. Novos estudos poderão melhor definir se há tendência de melhor taxa de sucesso com o uso de stents.Universidade Estadual Paulista (Unesp)Schellini, Silvana Artioli [UNESP]Catâneo, Antonio José Maria [UNESP]Meneguim, Roberta Lilian Fernandes Souza [UNESP]Universidade Estadual Paulista (Unesp)Orsolini, Maria Julia de Barros2018-08-31T13:00:09Z2018-08-31T13:00:09Z2018-07-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://hdl.handle.net/11449/15584800090738133004064088P4porinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESP2023-11-25T06:14:48Zoai:repositorio.unesp.br:11449/155848Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-11-25T06:14:48Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Eficácia do uso de stents na dacriocistorrinostomia endoscópica: metanálise
Efficacy of stents in endoscopic dacryocystorhinostomy surgery: meta analysis
title Eficácia do uso de stents na dacriocistorrinostomia endoscópica: metanálise
spellingShingle Eficácia do uso de stents na dacriocistorrinostomia endoscópica: metanálise
Orsolini, Maria Julia de Barros
dacriocistorrinostomia
endoscópica
sucesso
metanálise
stent
dacryocystorhinotomy
endoscopic
success
meta-analysis
title_short Eficácia do uso de stents na dacriocistorrinostomia endoscópica: metanálise
title_full Eficácia do uso de stents na dacriocistorrinostomia endoscópica: metanálise
title_fullStr Eficácia do uso de stents na dacriocistorrinostomia endoscópica: metanálise
title_full_unstemmed Eficácia do uso de stents na dacriocistorrinostomia endoscópica: metanálise
title_sort Eficácia do uso de stents na dacriocistorrinostomia endoscópica: metanálise
author Orsolini, Maria Julia de Barros
author_facet Orsolini, Maria Julia de Barros
author_role author
dc.contributor.none.fl_str_mv Schellini, Silvana Artioli [UNESP]
Catâneo, Antonio José Maria [UNESP]
Meneguim, Roberta Lilian Fernandes Souza [UNESP]
Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Orsolini, Maria Julia de Barros
dc.subject.por.fl_str_mv dacriocistorrinostomia
endoscópica
sucesso
metanálise
stent
dacryocystorhinotomy
endoscopic
success
meta-analysis
topic dacriocistorrinostomia
endoscópica
sucesso
metanálise
stent
dacryocystorhinotomy
endoscopic
success
meta-analysis
description Objective: To determine if stents increase the success rate of endoscopic dacryocystorhinostomy (DCR-EN) Method: Systematic review of randomized clinical trials of DCR-EN, comparing surgeries performed with and without stents in children older than 10 years of age and adult patients, with primary lacrimo-nasal duct (LND) obstruction. The outcomes were LND patency and adverse events (complications). We searched the databases of Web of Science, Scopus, Embase, Cochrane, PubMed, Lilacs until May 2018. The RevMan 5.3 software provided by the Cochrane Collaboration was used for meta-analysis. Results: Ten studies involving 887 surgeries were included. Five studies were conducted in India, and each of the others were conducted in Canada, Turkey, Saudi Arabia, China and Finland. Lacrimo-nasal duct patency meta-analysis showed stents did not interfere in the chance of success in relation to non-use of the stents to obtain lacrimal viability (OR 1.62, 95% CI 1.00 to 2.64, I2 = 0%). It was not possible to perform a meta-analysis regarding the adverse effects and a descriptive analysis was made of the general complications and complications due to the stents. Conclusion: The use or no of stents in DCR-EN probably does not make any difference in the NLD patency. Further studies may better define whether there is a trend toward a better success rate with the use of stent. Key words: dacryocystorhinotomy, endoscopic, stent, success, meta-analysis
publishDate 2018
dc.date.none.fl_str_mv 2018-08-31T13:00:09Z
2018-08-31T13:00:09Z
2018-07-31
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/11449/155848
000907381
33004064088P4
url http://hdl.handle.net/11449/155848
identifier_str_mv 000907381
33004064088P4
dc.language.iso.fl_str_mv por
language por
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Estadual Paulista (Unesp)
publisher.none.fl_str_mv Universidade Estadual Paulista (Unesp)
dc.source.none.fl_str_mv 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_ 1799965064282767360

Registros relacionados