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Table 3 A credibility assessment according to the GRADE scoring system

From: Comparative outcomes of obese and non-obese patients with lumbar disc herniation receiving full endoscopic transforaminal discectomy: a systematic review and meta-analysis

Outcome

No. of participants (studies)

Quality of the evidence (GRADE)

Comments and overall results

Mean operative time

228 (3)

High

The findings revealed a statistically significant distinction in surgical duration between obese and non-obese patients. Specifically, obese patients exhibited a prolonged operative time compared to their non-obese counterparts (P = 0.0003)

Improvement of VAS

258 (4)

Moderate

The results of the analyses did not show statistically significant differences in the improvement of VAS for back and leg pain in obese patients compared to non-obese patients after FETD (P > 0.05)

Changes in ODI

228 (3)

Moderate

The results of the analyses did not show statistically significant differences in the improvement of ODI in obese patients compared to non-obese patients after FETD (P > 0.05)

Satisfaction rate

180 (2)

Moderate

The meta-analysis of these results indicated that there was no statistically significant difference in the final satisfaction between obese and non-obese patients following FETD (P = 0.22)

Complication rate

258 (4)

Moderate

The results of this meta-analysis revealed that obese patients exhibited a higher incidence of total complications after FETD compared to their non-obese counterparts (P = 0.02)

Recurrence rate

228 (3)

Low

The meta-analysis revealed that the recurrence rate subsequent to FETD was comparable between non-obese and obese patients, with no statistically significant difference observed (P = 0.06)

  1. VAS: visual analog scale; ODI: Oswestry Disability Index; FETD: full endoscopic transforaminal discectomy