Spin is present in the majority of articles evaluating robot-assisted groin hernia repair: a systematic review

Publikation: Bidrag til tidsskriftReviewForskningfagfællebedømt

Background: The number of scientific articles published each year is increasing, resulting in greater competition to get work published. Spin is defined as specific reporting strategies used to distort the readers’ interpretation of results so that they are viewed more favorable. However, prevalence of spin in studies comparing robot-assisted groin hernia repair with traditional methods is unknown. Objectives/aim: To determine the frequency and extent of spin in studies assessing robot-assisted groin hernia repair. Methods: This systematic review was reported according to PRISMA guidelines, and a protocol was registered at PROSPERO before data extraction. Database search included PubMed, EMBASE, and Cochrane Central. Results: Of 35 included studies, spin was present in 57%. Within these, 95% had spin present in the abstract and 80% in the conclusion of the article. There was no association between study size and spin (p > 0.05). However, presence of spin in studies positively minded towards robot-assisted hernia repair was higher (p < 0.001) compared with those against or being neutral in their view of the procedure. Furthermore, being funded by or receiving grants from Intuitive Surgical were associated with a higher prevalence of spin (p < 0.05) compared with those who were not. Conclusion: Spin was found to be common in articles reporting on robot-assisted groin hernia repair, and presence of spin was higher in studies funded by or receiving grants from the robot company. This suggests that readers should be cautious when reading similar literature.

OriginalsprogEngelsk
TidsskriftSurgical Endoscopy
Vol/bind36
Udgave nummer4
Sider (fra-til)2271-2278
Antal sider8
ISSN0930-2794
DOI
StatusUdgivet - 2022

Bibliografisk note

Funding Information:
The characteristics of each individual study can be seen in Table and a summary of the characteristics across all studies can be seen in Table . The 35 studies evaluated 586,058 patients. Inguinal hernia was investigated by 94% of the studies [, –] and 6% investigated both inguinal and femoral hernias [, ]. Only one of the included studies was an RCT [], whereas the remaining 34 were observational cohort studies with a control group. Use of DaVinci in the intervention group was specified in 80% of the studies [, , –, –, –, , , –] and 20% used register-based codes [, , , , , , ]. In 37% of the studies, the authors declared they had received funding [, , , –, , , –, ], and in 26% they declared that they were funded by or had received grants from Intuitive Surgical [, , –, , , ]. In 14% of the articles, authors declared that they had not received funding [, , , , ], but 49% did not declare whether they were funded or not [–, , , , , , , , –, , ]. In the included articles, 46% declared a conflict of interest [, –, –, , , –, ], 46% declared they had no conflict of interest [, –, –, , , , , , ], and 8% did not declare whether or not they had conflicts of interest [, , ]. Of the included articles, 37% were affiliated with Intuitive Surgical. This was defined as being funded by or receiving grants from Intuitive Surgical, or one or more authors were consultant/proctors for Intuitive Surgical [–, –, , , , ].

Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.

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