Critical appraisal:Bemelman WA, van Delden OM, van Lanschot JJ, de Wit LT, Smits NJ, Fockens P, et al 1995

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Critical Appraisal

Article being appraised

Bemelman WA, van Delden OM, van Lanschot JJ, de Wit LT, Smits NJ, Fockens P, et al. Laparoscopy and laparoscopic ultrasonography in staging of carcinoma of the esophagus and gastric cardia. J Am Coll Surg 1995 Nov;181(5):421-5 Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/7582209.


Applicable clinical question

Key Facts

Study Design

case series

Number of Patients:

56


Includes an economic evaluation

no

Evidence ratings

Level of evidence

IV

Risk of bias
High risk of bias Comments: This is a prospective case series of 56 patients at a single institution to assess the contribution of laparoscopy combined with laparoscopic ultrasound in the pre-operative staging of patients with carcinoma of the oesophagus and cardia.

Risk of bias assessment: case series

Subject selection:
Highly selected or not described (e.g. single-institution study)
Were the outcome measures blind to pre/post-intervention?
No, but objective measures used
Follow-up complete and all patients included in the analysis?
Yes (follow-up >95%)
Size of effect
5 Reason for decision: Statistical significance is not reported in this study.
Relevance of evidence
2 Additional comments: This study showed the clinically relevant outcome that laparoscopy and laparoscopic ultrasound showed the presence of intra-abdominal the metastases in three (5%) of the 56 patients resulting in exclusion of laparotomy.
Result of appraisal

Jutta's exclamation mark icon.png Excluded

Reason for decision

Participants in this study did not have early oesophageal cancer.


Completed by

Dr Jeremy Dwyer MBBS (Hons)


Jutta's tick icon.png This appraisal has been completed.


Article
Bemelman WA, van Delden OM, van Lanschot JJ, de Wit LT, Smits NJ, Fockens P, et al. Laparoscopy and laparoscopic ultrasonography in staging of carcinoma of the esophagus and gastric cardia. J Am Coll Surg 1995 Nov;181(5):421-5 Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/7582209.
Assigned to
User:Alan.moss
Topic area
Guidelines:Barrett's
Clinical question
Form
Form:Critical appraisal


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