Protocol for a Systematic Review and Meta-Analysis of multivisceral oncological resections involving the pancreas (Preprint)

Author:

Neuhaus Melina,Friedrichs Juliane,Grilli Maurizio,Ukkat JörgORCID,Klose Johannes,Ronellenfitsch UlrichORCID,Kleeff JörgORCID,Rebelo ArturORCID

Abstract

BACKGROUND

With the continuous advancement of cancer treatments, a comprehensive analysis of the impact of multivisceral oncological pancreatic resections on morbidity, mortality, and long-term survival is currently lacking.

OBJECTIVE

This manuscript presents the protocol for a systematic review and meta-analysis designed to summarize the existing evidence concerning the outcomes of multivisceral oncological pancreatic resections across diverse tumor entities.

METHODS

We will conduct a systematic search of the PubMed/MEDLINE, Embase, Cochrane Library, CINAHL, and ClinicalTrials.gov databases in strict accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The predefined outcomes encompass postoperative mortality, postoperative morbidity, overall and disease-free survival (1- to 5-year survival rates), the proportion of macroscopically complete (R0) resections (according to the Royal College of Pathologists definition), duration of hospital stay (in days), reoperation rate (%), postoperative complications (covering all complications according to the Clavien-Dindo classification) as well as pancreatic fistula, post-pancreatectomy hemorrhage and delayed gastric emptying (all according to the definitions of the International Study Group of Pancreas Surgery).

RESULTS

Systematic database searches will begin in October 2023. The completion of the meta-analysis is anticipated by December 2024.

CONCLUSIONS

The forthcoming findings will provide an up-to-date overview of the feasibility, safety, and oncological efficacy of multivisceral pancreatic resections across diverse tumor entities. This data will serve as a valuable resource for healthcare professionals and patients in making well-informed clinical decisions.

CLINICALTRIAL

PROSPERO Record-ID CRD42023437858

Publisher

JMIR Publications Inc.

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