Cargando…
Amputation and limb salvage following endovascular and open surgery for the treatment of peripheral artery illnesses: A meta‐analysis
A meta‐analysis investigation was executed to measure the outcome of endovascular surgery (ES) and open surgery (OS) for the management of peripheral artery diseases (PADs) on amputation and limb salvage (LS). A comprehensive literature inspection till February 2023 was applied and 3451 interrelated...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Blackwell Publishing Ltd
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10588360/ https://www.ncbi.nlm.nih.gov/pubmed/37328950 http://dx.doi.org/10.1111/iwj.14229 |
_version_ | 1785123565793705984 |
---|---|
author | Wang, Guohua Li, Huipeng Chen, Baoxing Guo, Pengwei Zhang, Hua |
author_facet | Wang, Guohua Li, Huipeng Chen, Baoxing Guo, Pengwei Zhang, Hua |
author_sort | Wang, Guohua |
collection | PubMed |
description | A meta‐analysis investigation was executed to measure the outcome of endovascular surgery (ES) and open surgery (OS) for the management of peripheral artery diseases (PADs) on amputation and limb salvage (LS). A comprehensive literature inspection till February 2023 was applied and 3451 interrelated investigations were reviewed. The 31 chosen investigations enclosed 19 948 individuals with PADs were in the chosen investigations' starting point, 8861 of them were utilising ES, and 11 087 were utilising OS. Odds ratio (OR) in addition to 95% confidence intervals (CIs) were utilised to compute the value of the effect of ES and OS for the management of PADs on amputation and LS by the dichotomous approaches and a fixed or random model. ES had significantly lower amputation (OR, 0.80; 95% CI, 0.68‐0.93, P = 0.005) compared with those with OS in individuals with PADs. No significant difference was found between ES and OS in 30‐day LS (OR, 0.95; 95% CI, 0.64‐1.42, P = 0.81), 1‐year LS (OR, 1.06; 95% CI, 0.81‐1.39, P = 0.68), and 3‐year LS (OR, 0.86; 95% CI, 0.61‐1.19, P = 0.36) in individuals with PADs. ES had significantly lower amputation, 30‐day LS, 1‐year LS, and 3‐year LS compared with those with OS in individuals with PADs. However, care must be exercised when dealing with its values because of the low sample size of some of the nominated investigations for the meta‐analysis. |
format | Online Article Text |
id | pubmed-10588360 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Blackwell Publishing Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-105883602023-10-21 Amputation and limb salvage following endovascular and open surgery for the treatment of peripheral artery illnesses: A meta‐analysis Wang, Guohua Li, Huipeng Chen, Baoxing Guo, Pengwei Zhang, Hua Int Wound J Original Articles A meta‐analysis investigation was executed to measure the outcome of endovascular surgery (ES) and open surgery (OS) for the management of peripheral artery diseases (PADs) on amputation and limb salvage (LS). A comprehensive literature inspection till February 2023 was applied and 3451 interrelated investigations were reviewed. The 31 chosen investigations enclosed 19 948 individuals with PADs were in the chosen investigations' starting point, 8861 of them were utilising ES, and 11 087 were utilising OS. Odds ratio (OR) in addition to 95% confidence intervals (CIs) were utilised to compute the value of the effect of ES and OS for the management of PADs on amputation and LS by the dichotomous approaches and a fixed or random model. ES had significantly lower amputation (OR, 0.80; 95% CI, 0.68‐0.93, P = 0.005) compared with those with OS in individuals with PADs. No significant difference was found between ES and OS in 30‐day LS (OR, 0.95; 95% CI, 0.64‐1.42, P = 0.81), 1‐year LS (OR, 1.06; 95% CI, 0.81‐1.39, P = 0.68), and 3‐year LS (OR, 0.86; 95% CI, 0.61‐1.19, P = 0.36) in individuals with PADs. ES had significantly lower amputation, 30‐day LS, 1‐year LS, and 3‐year LS compared with those with OS in individuals with PADs. However, care must be exercised when dealing with its values because of the low sample size of some of the nominated investigations for the meta‐analysis. Blackwell Publishing Ltd 2023-06-16 /pmc/articles/PMC10588360/ /pubmed/37328950 http://dx.doi.org/10.1111/iwj.14229 Text en © 2023 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Articles Wang, Guohua Li, Huipeng Chen, Baoxing Guo, Pengwei Zhang, Hua Amputation and limb salvage following endovascular and open surgery for the treatment of peripheral artery illnesses: A meta‐analysis |
title | Amputation and limb salvage following endovascular and open surgery for the treatment of peripheral artery illnesses: A meta‐analysis |
title_full | Amputation and limb salvage following endovascular and open surgery for the treatment of peripheral artery illnesses: A meta‐analysis |
title_fullStr | Amputation and limb salvage following endovascular and open surgery for the treatment of peripheral artery illnesses: A meta‐analysis |
title_full_unstemmed | Amputation and limb salvage following endovascular and open surgery for the treatment of peripheral artery illnesses: A meta‐analysis |
title_short | Amputation and limb salvage following endovascular and open surgery for the treatment of peripheral artery illnesses: A meta‐analysis |
title_sort | amputation and limb salvage following endovascular and open surgery for the treatment of peripheral artery illnesses: a meta‐analysis |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10588360/ https://www.ncbi.nlm.nih.gov/pubmed/37328950 http://dx.doi.org/10.1111/iwj.14229 |
work_keys_str_mv | AT wangguohua amputationandlimbsalvagefollowingendovascularandopensurgeryforthetreatmentofperipheralarteryillnessesametaanalysis AT lihuipeng amputationandlimbsalvagefollowingendovascularandopensurgeryforthetreatmentofperipheralarteryillnessesametaanalysis AT chenbaoxing amputationandlimbsalvagefollowingendovascularandopensurgeryforthetreatmentofperipheralarteryillnessesametaanalysis AT guopengwei amputationandlimbsalvagefollowingendovascularandopensurgeryforthetreatmentofperipheralarteryillnessesametaanalysis AT zhanghua amputationandlimbsalvagefollowingendovascularandopensurgeryforthetreatmentofperipheralarteryillnessesametaanalysis |