Barely Significant

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a marginal trendp = 0.061.2× alphagold
The pooled analysis indicated a marginal trend favoring robotic-assisted (RA) surgery in fluoroscopy time (SMD −0.56; 95% CI −1.15–0.03; p = 0.06), which became significant after excluding Le et al., Lonjon et al., or Zhang et al., suggesting RA may improve intraoperative efficiency despite high heterogeneity [ 21 ].
showed a trendp = 0.061.2× alpha
Fluoroscopy Time Robotic-assisted versus Freehand Including heterogeneous studies (I 2 = 94.9%), the pooled analysis showed a trend toward lower fluoroscopy time in the robotic-assisted group versus freehand group (SMD −0.56, 95% CI −1.15–0.03; p = 0.06) ( Figure 5 a).
a trend toward significancep = 0.061.2× alpha
Comorbidities were significantly associated with complications (ρ = 0.189, p = 0.028; Fisher’s exact test p = 0.045), while postoperative complications showed a strong correlation with diabetes (ρ = 0.213, p = 0.012) and a trend toward significance for vascular disease (ρ = 0.16, p = 0.06).
marginally insignificantp = 0.061.2× alphagold
After combining the results of studies with multiple outcomes, analysis showed that early interventions were marginally insignificant for expressive language ( g = 0.10; 95% CI: −0.00, 0.20; p = 0.06) and not efficacious in improving the receptive language skills of pre-school children with ASDs ( g = 0.12; 95% CI: −0.06, 0.31; p = 0.19).