Faculty Opinions recommendation of Obstetric outcomes after conservative treatment for intraepithelial or early invasive cervical lesions: systematic review and meta-analysis.

Objective This systematic review and meta-analysis evaluated the published data on the efficacy and safety of therapies for superior mesenteric venous thrombosis (SMVT), aiming to provide a reference and set of recommendations for clinical treatment. Methods Relevant databases were searched for studies published from 2000 to June 2020 on SMVT treated with conservative treatment, surgical treatment, or endovascular approach. Different treatment types were grouped for analysis and comparison, and odds ratios with corresponding 95% confidence intervals were calculated. The outcomes were pooled using meta-analytic methods and presented by forest plots. Results Eighteen articles, including eight on SMVT patients treated with endovascular therapies, were enrolled. The treatment effectiveness was compared between different groups according to the change of symptoms, the occurrence of complications, and mortality as well. The conservative treatment group had better efficacy compared to the surgery group (89.0% vs. 78.6%, P <0.05), and the one-year survival rate was also higher (94.4% vs. 80.0%, P >0.05), but without statistical significance. As for endovascular treatment, the effectiveness was significantly higher than the surgery group (94.8% vs. 75.2%, P <0.05), and the conservative treatment group as well (93.3% vs. 86.3%, P >0.05), which still requires further research for the lack of statistical significance. Conclusions Present findings indicate that anticoagulation, as conservative treatment should be the preferred clinical option in the clinic for SMVT, due to its better curative effect compared to other treatment options, including lower mortality, fewer complications, and better prognosis. Moreover, endovascular treatment is a feasible and promising approach that is worth in-depth research, for it is less invasive than surgery and has relatively better effectiveness, thus can provide an alternative option for SMVT treatment and may be considered as a reliable method in clinical.

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Conservative treatment versus surgery for uncomplicated appendicitis in children: a systematic review and meta-analysis

Archives of Disease in Childhood ◽

10.1136/archdischild-2017-313127 ◽

2017 ◽

Vol 102 (12) ◽

pp. 1118-1124 ◽

Cited By ~ 19

Author(s):

Ulf Kessler ◽

Selim Mosbahi ◽

Benedict Walker ◽

Eva M Hau ◽

Michael Cotton ◽

...

Keyword(s):

Systematic Review ◽

Conservative Treatment ◽

Meta Analysis ◽

Uncomplicated Appendicitis

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Do Tooth- and Cavity-related Aspects of Noncarious Cervical Lesions Affect the Retention of Resin Composite Restorations in Adults? A Systematic Review and Meta-analysis

Operative Dentistry ◽

10.2341/19-091-l ◽

2020 ◽

Vol 45 (3) ◽

pp. E124-E140

Author(s):

AMO Correia ◽

E Bresciani ◽

AB Borges ◽

DM Pereira ◽

LC Maia ◽

...

Keyword(s):

Systematic Review ◽

Latin American ◽

Randomized Clinical Trials ◽

Retention Rate ◽

Meta Analysis ◽

Grey Literature ◽

Composite Resins ◽

Cochrane Library ◽

Cervical Lesions ◽

Composite Restorations

SUMMARY Purpose: The purpose was to perform a systematic review and meta-analysis based on the following research question: do tooth- and cavity-related aspects of noncarious cervical lesions (NCCLs) affect the retention of composite restorations? Methods: Randomized clinical trials (RCTs) that evaluated the retention rate of resin restorations in NCCLs were included for the identification and comparison of their characteristics. The search was conducted in PubMed and adapted for Scopus, Web of Science, Latin American and Caribbean Health Sciences Literature database (LILACS), Brazilian Library in Dentistry (BBO), Cochrane Library, and System for Information on Grey Literature in Europe (SIGLE) without restrictions until July 2018. Unpublished and ongoing trial registries were also searched. The Cochrane Collaboration tool was used for assessing risk of bias. The quality of the evidence was graded using the Grading of Recommendations: Assessment, Development and Evaluation. Using the random effects model, a meta-analysis was conducted for each aspect (arch distribution, tooth location, wear facets, dentin sclerosis, shape, size, depth, occluso-gingival distance, and margin location). Results: We retrieved 6738 articles. After removal of duplicates and nonrelevant articles, 24 RCTs remained. The anterior tooth location favored the retention rates of restoration of NCCLs (relative risk [RR], 1.08; 95% confidence interval [CI], 1.00-1.16). The presence of wear facets is a risk factor for the retention of restorations (RR, 0.91; 95% CI, 0.83-0.99). The evidence was moderate for arch distribution and low or very low for all other factors because of heterogeneity, imprecision, and inconsistency. Conclusion: The tooth location and the presence of wear facets can affect the retention of composite resins in NCCLs.

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Surgical versus conservative treatment of unilateral subaxial non-subluxed facet fractures: A systematic review and meta-analysis

Clinical Neurology and Neurosurgery ◽

10.1016/j.clineuro.2020.106280 ◽

2020 ◽

Vol 199 ◽

pp. 106280

Author(s):

Collin J. Larkin ◽

Zachary A. Abecassis ◽

Ketan Yerneni ◽

Dominic A. Nistal ◽

Constantine L. Karras ◽

...

Keyword(s):

Systematic Review ◽

Conservative Treatment ◽

Meta Analysis

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Surgical Compared with Conservative Treatment for Acute Nondisplaced or Minimally Displaced Scaphoid Fractures: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Yearbook of Hand and Upper Limb Surgery ◽

10.1016/j.yhls.2011.04.005 ◽

2011 ◽

Vol 2011 ◽

pp. 73-74

Author(s):

J.C. Elfar

Keyword(s):

Systematic Review ◽

Conservative Treatment ◽

Randomized Controlled Trials ◽

Meta Analysis ◽

Controlled Trials ◽

Randomized Controlled ◽

Scaphoid Fractures

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Effect of flowable composites on the clinical performance of non-carious cervical lesions: A systematic review and meta-analysis

Journal of Dentistry ◽

10.1016/j.jdent.2017.07.007 ◽

2017 ◽

Vol 65 ◽

pp. 11-21 ◽

Cited By ~ 6

Author(s):

Anna Szesz ◽

Sibelli Parreiras ◽

Eveline Martini ◽

Alessandra Reis ◽

Alessandro Loguercio

Keyword(s):

Systematic Review ◽

Clinical Performance ◽

Meta Analysis ◽

Cervical Lesions ◽

Flowable Composites

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Efficacy of foot orthoses for the treatment of plantar heel pain: a systematic review and meta-analysis

British Journal of Sports Medicine ◽

10.1136/bjsports-2017-097892 ◽

2018 ◽

Vol 52 (16) ◽

pp. 1040-1046 ◽

Cited By ~ 13

Author(s):

Nadine Rasenberg ◽

Henrik Riel ◽

Michael S Rathleff ◽

Sita M A Bierma-Zeinstra ◽

Marienke van Middelkoop

Keyword(s):

Systematic Review ◽

Conservative Treatment ◽

Meta Analysis ◽

Heel Pain ◽

Controlled Trials ◽

Cochrane Central Register ◽

Foot Orthoses ◽

Short Term ◽

Eligibility Criteria ◽

Plantar Heel Pain

BackgroundPlantar heel pain (PHP) is common. Foot orthoses are often applied as treatment for PHP, even though there is little evidence to support this.ObjectiveTo investigate the effects of different orthoses on pain, function and self-reported recovery in patients with PHP and compare them with other conservative interventions.DesignSystematic review and meta-analysis.Data sourcesA systematic literature search was conducted in MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, CINAHL and Google Scholar up to January 2017.Eligibility criteria for selecting studiesRandomised controlled trials comparing foot orthoses with a control (defined as no intervention, sham or other type of conservative treatment) reporting on pain, function or self-reported recovery in patients with PHP.ResultsTwenty studies investigating eight different types of foot orthoses were included in the review. Most studies were of high quality. Pooled data from six studies showed no difference between prefabricated orthoses and sham orthoses for pain at short term (mean difference (MD) of 0.26 (95% CI −0.09 to 0.60)). No difference was found between sham orthoses and custom orthoses for pain at short term (MD 0.22 (95% CI −0.05 to 0.50)), nor was there a difference between prefabricated orthoses and custom orthoses for pain at short term (MD 0.03 (95% CI −0.15 to 0.22)). For the majority of other interventions, no significant differences were found.ConclusionsFoot orthoses are not superior for improving pain and function compared with sham or other conservative treatment in patients with PHP.PROSPERO registration numberCRD42015029659.

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