- •Many surgical technique reporting guidelines have been published covering a broad spectrum of clinical specialties.
- •The development methodology of guidelines that assist with the reporting of surgical technique could be improved.
- •The level of detailed description that current guidelines require to make the surgical technique more reproducible is low.
Study Design and Setting
- •Many surgical technique reporting guidelines have been published, covering a broad spectrum of clinical specialties.
- •For most reporting guidelines the developers have failed to describe how the guidance was developed, and the level of detailed description they require to make the surgical technique more reproducible is low.
- •Standardized and transparent reporting of surgical technique is the cornerstone of effective dissemination and implementation. However the reporting of surgical technique in the literature is currently inadequate. We found the development methodology and clinical practicality in the current guidelines that assist with the reporting of surgical technique has a large potential for improvement.
What this adds to what is known?
- •Surgical technique reporting guideline developers need to optimize how their guidelines are developed and implemented, and provide more structured information on how details of surgical technique and factors contributing to outcome variations should be reported in the future.
What is the implication, what should change now?
2. Materials and methods
- Peters M.D.J.
- Godfrey C.
- McInerney P.
- Munn Z.
- Tricco A.C.
- Khalil H.
2.1 Search strategy
2.2 Inclusion and exclusion criteria
2.3 Study selection and data extraction
2.4 Data analysis
3.1 Search results
3.2 Characteristics of surgical technique reporting guidelines
|Year of publication|
|Country of origin|
|United States of America||35 (63.6)|
|United Kingdom||7 (12.7)|
|Coverage of surgical technique aspects|
|All specialties of surgery||4 (7.3)|
|Vascular surgery||18 (32.7)|
|General surgery||7 (12.7)|
|Urinary surgery||4 (7.3)|
|Cardiac surgery||3 (5.5)|
|Gynecology and obstetrics||3 (5.5)|
|Plastic surgery||1 (1.8)|
|Spine surgery||1 (1.8)|
|Thoracic surgery||1 (1.8)|
|Working group with a specific name||21 (38.2)|
|Working group with no specific name||1 (1.8)|
|New reporting guidelines||40 (72.7)|
|Update of existing guidelines||10 (18.2)|
|Building on existing guidelines||5 (9.1)|
|Focus of reporting guidelines|
|Study design not specified||45 (81.8)|
|Clinical trials||4 (7.3)|
|Case series||3 (5.5)|
|Multiple study designs||1 (1.8)|
|Observational study||1 (1.8)|
|Case reports||1 (1.8)|
|Republished since the first publication|
|Indexed by the EQUATOR network|
|Total citation count|
|N ≥ 100||18 (32.7)|
|N ≥ 1,000||4 (7.3)|
3.3 Reporting guideline development process
3.3.1 In the initial steps
3.3.2 In the premeeting activities
3.3.3 In the postmeeting activities
3.3.4 In the postpublication activities
3.4 Surgical technique related items recommended to report by the included guidelines
3.4.1 Before the performance of the surgical technique
3.4.2 During the performance of the surgical technique
- •In the case of isolated stent graft implantation, basic details—such as the access site and entry method (cut down vs. percutaneous, surgical conduits for stent graft delivery and predilatation of access vessels), procedural time, fluoroscopy time, contrast volume, results of intraoperative angiography including endoleaks, stent graft apposition, length of the functional proximal and distal landing zone, degree of oversizing, conversion to open surgery, and any other intraoperative complications—should be given [].
Adequate but without a clear structure
- •Clear and detailed description of the new/planned technique/device, including necessary preprocedure and postprocedure care [].
- •Clear presentation of the surgical intervention and dosing regimen with a flow diagram outlining the pertinent study procedures [].
- •Regardless of the treatment modality being reported, sufficiently clear technical details should be given to allow other investigators to replicate the study. Each treatment modality should be clearly described in the sequence utilized. The number of times the process is repeated and alterations in the sequence should be presented [].
Inadequate or unclear
3.4.3 After the surgical technique is performed
3.4.4 Additional items related to surgical technique
3.4.5 Items to make the surgical technique more reproducible
3.5 Mapping of existing surgical technique reporting guidelines
4.1 Principal findings
4.2 Study implications for research and practice
- Barbour G.
4.3 Strengths and limitations
- Peters M.D.J.
- Godfrey C.
- McInerney P.
- Munn Z.
- Tricco A.C.
- Khalil H.
What is a reporting guideline?.
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Author Contributions: Qianling Shi contributed to methodology, validation, formal analysis, investigation, data curation, visualization, writing-original draft. Yanfang Ma contributed to methodology, investigation, data curation, writing-review and editing. Xianzhuo Zhang contributed to investigation, data curation, writing-review and editing. Panpan Jiao contributed to investigation, data curation, writing-review and editing. Kaiping Zhang contributed to methodology, writing-review and editing. Leandro Cardoso Barchi contributed to writing-review and editing. Benedetta Bedetti: contributed to writing- review and editing. Jinlin Wu contributed to writing-review and editing. Benjamin Wei contributed to writing-review and editing. Calvin S.H. Ng contributed to writing-review and editing. Alper Toker contributed to writing-review and editing. Jianfei Shen contributed to writing-review and editing. Robert Fruscio contributed to writing- review and editing. Sebastien Gilbert contributed to writing - review and editing. Rene Horsleben Petersen contributed to writing-review and editing. Steven Hochwald contributed to writing-review and editing. Tomaž Štupnik contributed to writing-review and editing. Hussein Elkhayat contributed to writing-review and editing. Marco Scarci: contributed to writing-review and editing. Giovanni Battista Levi Sandri contributed to writing-review and editing. Firas Abu Akar contributed to writing-review and editing. Ryuichi Waseda contributed to writing-review and editing. Alan D. L. Sihoe contributed to writing-review and editing. Alfonso Fiorelli contributed to writing-review and editing. Michel Gonzalez contributed to writing-review and editing. Fabio Davoli contributed to writing-review and editing. Grace S. Li contributed to writing -review and editing. Xueqin Tang contributed to writing-review and editing. Bin Qiu contributed to writing-review and editing. Stephen D. Wang contributed to conceptualization, supervision, writing-Review and editing. Yaolong Chen contributed to conceptualization, supervision, writing-review and editing. Shugeng Gao contributed to supervision, writing-review and editing.
Funding: This project is supported by the AME Reporting Guidelines Research Fund (No. 2020-1016-885) and Lanzhou University Research Unit for Evidence-Based Evaluation and Guidelines, Chinese Academy of Medical Sciences Fund (2021RU017). The study sponsor participated in the design, with no involvement in collection, analysis, and interpretation of the data, in the writing of the article.
Competing interests: All authors have completed the ICMJE uniform disclosure form and declare no conflict of interest.
Ethical approval: Not required.
Data sharing: Data are available upon reasonable request to the corresponding author.
Declaration of interests: None declared.
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