Endovascular revascularisation versus surgical revascularisation in patients with lower limb atherosclerosis obliterans: a protocol for systematic review and meta-analysis with trial sequential analysis and meta-regression

Introduction The revascularisation strategy for lower limb atherosclerosis obliterans (ASO) remains controversial. In this meta-analysis, we will summarise existing evidence to compare the long-term and short-term outcomes between endovascular revascularisation and open revascularisation for patient...

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Main Authors: Peng Qiu, Qun Huang, Hongxin Shu, Chuanfei Zeng, Xiaowei Xiong, Xinwu Lu
Format: Article
Language:English
Published: BMJ Publishing Group 2022-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/12/e066903.full
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author Peng Qiu
Qun Huang
Hongxin Shu
Chuanfei Zeng
Xiaowei Xiong
Xinwu Lu
author_facet Peng Qiu
Qun Huang
Hongxin Shu
Chuanfei Zeng
Xiaowei Xiong
Xinwu Lu
author_sort Peng Qiu
collection DOAJ
description Introduction The revascularisation strategy for lower limb atherosclerosis obliterans (ASO) remains controversial. In this meta-analysis, we will summarise existing evidence to compare the long-term and short-term outcomes between endovascular revascularisation and open revascularisation for patients with ASO.Methods Relevant randomised controlled trials (RCTs) and cohort studies are included from the following databases: MEDLINE/PubMed, Embase and the Cochrane Library. The last search time is 1 August 2022. Two reviewers will independently identify RCTs and cohort studies according to eligibility and exclusion criteria. The risk of bias of included cohort studies, and RCTs are assessed with the Newcastle-Ottawa Scale, Methodological Index of Non-randomized Studies and Cochrane Collaboration’s tool, respectively. The primary outcomes include overall survival, amputation-free survival and 30-day mortality. TSA Beta Software V.0.9.5.10 is used to perform the trial sequential analysis for primary outcomes. The Grades of Recommendations, Assessment, Development and Evaluation (GRADE) tool will be used to assess the level of evidence for outcome from RCTs. Stata V.17.0 software is used to pool primary outcomes.Ethics and dissemination This study will be disseminated through peer-reviewed journals or conference reports. No ethical approval requirements are required because the results presented in this study are conducted based on published data.PROSPERO registration number CRD42022359591
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spelling doaj-art-b09a5a9c988845eb88a8584002591bc32025-08-20T02:15:06ZengBMJ Publishing GroupBMJ Open2044-60552022-12-01121210.1136/bmjopen-2022-066903Endovascular revascularisation versus surgical revascularisation in patients with lower limb atherosclerosis obliterans: a protocol for systematic review and meta-analysis with trial sequential analysis and meta-regressionPeng Qiu0Qun Huang1Hongxin Shu2Chuanfei Zeng3Xiaowei Xiong4Xinwu Lu5Department of Vascular and Endovascular Sugery, Shanghai Jiao Tong University School of Medicine Affiliated Ninth People`s Hospital, Shanghai, ChinaThe WenJiang Maternal and Child Health Hospital, Chengdu, Sichuan, ChinaDepartment of Neurosurgery, the 2st affiliated hospital, Jiangxi Medical College, Nanchang University, Nanchang, ChinaDepartment of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan, Hubei, ChinaDepartment of Vascular Surgery, The First Hospital of Nanchang, Nanchang, ChinaDepartment of Vascular Surgery, Shanghai Jiao Tong University School of Medicine Affiliated Ninth People`s Hospital, Shanghai, ChinaIntroduction The revascularisation strategy for lower limb atherosclerosis obliterans (ASO) remains controversial. In this meta-analysis, we will summarise existing evidence to compare the long-term and short-term outcomes between endovascular revascularisation and open revascularisation for patients with ASO.Methods Relevant randomised controlled trials (RCTs) and cohort studies are included from the following databases: MEDLINE/PubMed, Embase and the Cochrane Library. The last search time is 1 August 2022. Two reviewers will independently identify RCTs and cohort studies according to eligibility and exclusion criteria. The risk of bias of included cohort studies, and RCTs are assessed with the Newcastle-Ottawa Scale, Methodological Index of Non-randomized Studies and Cochrane Collaboration’s tool, respectively. The primary outcomes include overall survival, amputation-free survival and 30-day mortality. TSA Beta Software V.0.9.5.10 is used to perform the trial sequential analysis for primary outcomes. The Grades of Recommendations, Assessment, Development and Evaluation (GRADE) tool will be used to assess the level of evidence for outcome from RCTs. Stata V.17.0 software is used to pool primary outcomes.Ethics and dissemination This study will be disseminated through peer-reviewed journals or conference reports. No ethical approval requirements are required because the results presented in this study are conducted based on published data.PROSPERO registration number CRD42022359591https://bmjopen.bmj.com/content/12/12/e066903.full
spellingShingle Peng Qiu
Qun Huang
Hongxin Shu
Chuanfei Zeng
Xiaowei Xiong
Xinwu Lu
Endovascular revascularisation versus surgical revascularisation in patients with lower limb atherosclerosis obliterans: a protocol for systematic review and meta-analysis with trial sequential analysis and meta-regression
BMJ Open
title Endovascular revascularisation versus surgical revascularisation in patients with lower limb atherosclerosis obliterans: a protocol for systematic review and meta-analysis with trial sequential analysis and meta-regression
title_full Endovascular revascularisation versus surgical revascularisation in patients with lower limb atherosclerosis obliterans: a protocol for systematic review and meta-analysis with trial sequential analysis and meta-regression
title_fullStr Endovascular revascularisation versus surgical revascularisation in patients with lower limb atherosclerosis obliterans: a protocol for systematic review and meta-analysis with trial sequential analysis and meta-regression
title_full_unstemmed Endovascular revascularisation versus surgical revascularisation in patients with lower limb atherosclerosis obliterans: a protocol for systematic review and meta-analysis with trial sequential analysis and meta-regression
title_short Endovascular revascularisation versus surgical revascularisation in patients with lower limb atherosclerosis obliterans: a protocol for systematic review and meta-analysis with trial sequential analysis and meta-regression
title_sort endovascular revascularisation versus surgical revascularisation in patients with lower limb atherosclerosis obliterans a protocol for systematic review and meta analysis with trial sequential analysis and meta regression
url https://bmjopen.bmj.com/content/12/12/e066903.full
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