Image-guided surgery influences perioperative morbidity from endoscopic sinus surgery: a systematic review and meta-analysis

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dc.contributor.authorDalgorf, D.
dc.contributor.authorSacks, R.
dc.contributor.authorWormald, P.
dc.contributor.authorNaidoo, Y.
dc.contributor.authorPanizza, B.
dc.contributor.authorUren, B.
dc.contributor.authorBrown, C.
dc.contributor.authorCurotta, J.
dc.contributor.authorSnidvongs, K.
dc.contributor.authorHarvey, R.
dc.date.issued2013
dc.description.abstract<h4>Objective</h4>Although image-guided surgery (IGS) is considered a valuable tool, its impact on perioperative morbidity for endoscopic sinus surgery (ESS) remains unclear. The evidence from reported literature is systematically reviewed with meta-analysis.<h4>Data sources</h4>MEDLINE (1946 to September 14, 2012, week 2) and EMBASE (1974 to September 14, 2012, week 37).<h4>Review methods</h4>MEDLINE and EMBASE were searched using a search strategy for publications on IGS during ESS that reported original data on perioperative morbidity. PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) guidelines were followed. Both comparative cohort studies with non-IGS cases and case series were included. Primary outcome was major and total complications. Secondary outcomes were specific orbital and intracranial injury, major hemorrhage, ability to complete the operation, and revision surgery. The incidence of these events was defined as dichotomous variables and expressed as a risk ratio (RR) in a fixed-effects model.<h4>Results</h4>In total, 2586 articles fulfilled the search, producing 55 included studies. Fourteen were comparative cohorts of IGS and non-IGS sinus surgical patient populations used for meta-analysis. Among the cohorts, major complications were more common in the non-IGS group (RR = 0.48; 95% confidence interval [CI], 0.28-0.82; P = .007). Total complications were greater in the non-IGS group (RR = 0.66; 95% CI, 0.47-0.94; P = .02). All other outcomes did not reach significance on meta-analysis.<h4>Conclusion</h4>Contrary to current review articles on the topic of IGS use during ESS, there is evidence from published studies that the use of IGS for sinus surgery, within selected populations, is associated with a lower risk of major and total complications compared with non-IGS sinus surgery.
dc.description.statementofresponsibilityDustin M. Dalgorf, Raymond Sacks, Peter-John Wormald, Yuresh Naidoo, Ben Panizza, Brent Uren, Chris Brown, John Curotta, Kornkiat Snidvongs, and Richard J. Harvey
dc.identifier.citationOtolaryngology, 2013; 149(1):17-29
dc.identifier.doi10.1177/0194599813488519
dc.identifier.issn0194-5998
dc.identifier.issn1097-6817
dc.identifier.orcidWormald, P. [0000-0001-7753-7277]
dc.identifier.urihttp://hdl.handle.net/2440/80520
dc.language.isoen
dc.publisherMosby Inc
dc.rights© American Academy of Otolaryngology—Head and Neck Surgery Foundation 2013
dc.source.urihttps://doi.org/10.1177/0194599813488519
dc.subjectimage-guided surgery
dc.subjectendoscopic sinus surgery
dc.subjectperioperative morbidity
dc.subjectmajor complications
dc.subjectpatient reported outcome measures
dc.subjectsystematic review
dc.subjectmeta-analysis
dc.titleImage-guided surgery influences perioperative morbidity from endoscopic sinus surgery: a systematic review and meta-analysis
dc.typeJournal article
pubs.publication-statusPublished

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