神戸大学附属図書館デジタルアーカイブ
https://hdl.handle.net/20.500.14094/0100490340

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メタデータID
0100490340
アクセス権
open access
出版タイプ
Version of Record
タイトル
Is selective neck dissection effective for N1 (Level Ⅰ)? A systematic review
著者
Ueda, Nobuhiro ; Takeda, Daisuke ; Hijioka, Hiroshi ; Adachi, Masatoshi ; Yuasa, Hidemichi ; Uzawa, Narikazu ; Kurita, Hiroshi
著者名
Ueda, Nobuhiro
著者ID
A2567
研究者ID
1000080755637
KUID
https://kuid-rm-web.ofc.kobe-u.ac.jp/search/detail.html?systemId=f59f62b200a1f47c520e17560c007669
著者名
Takeda, Daisuke
武田, 大介
タケダ, ダイスケ
所属機関名
医学部附属病院
著者名
Hijioka, Hiroshi
著者名
Adachi, Masatoshi
著者名
Yuasa, Hidemichi
著者名
Uzawa, Narikazu
著者名
Kurita, Hiroshi
言語
English (英語)
収録物名
Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology
巻(号)
36(4)
ページ
438-443
出版者
Elsevier
刊行日
2024-07
公開日
2024-07-04
抄録
Objective: This systematic review and meta-analysis aimed to compare the effectiveness of selective neck dissection (SND) and comprehensive neck dissection (CND) in patients with oral squamous cell carcinoma N1 (Level I). Methods: Randomized controlled trials and prospective and retrospective non-randomized clinical studies were selected and evaluated for the certainty of evidence using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach. The statistical analysis was performed using Review Manager 5.4 software. Results: We included one observational study. The analysis revealed no difference in survival rates (overall survival, disease-specific survival, and regional control) between SND and CND for oral squamous cell carcinoma N1 (level I) cases. In the included study, the risk of bias was high, total sample size was small, and certainty of evidence was rated as "very low.". Conclusion: This systematic review and analysis suggested no difference in effectiveness between SND and CND; however, a high certainty of evidence could not be determined. Such evidence needs to be established through future systematic reviews, including randomized controlled trials with larger sample sizes.
キーワード
Selective neck dissection
Oral squamous cell carcinoma
Clinically node-positive neck
Systematic review
Comprehensive neck dissection
カテゴリ
医学部附属病院
学術雑誌論文
権利
© 2023Asian AOMS, ASOMP, JSOP, JSOMS, JSOM, and JAMI. Published by Elsevier Ltd.
CC license
This is an open access article under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International license
関連情報
DOI
https://doi.org/10.1016/j.ajoms.2023.08.019