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48, 95%CI (0.85, 2.59) for RCTs and 1.17 (0.89, 1.53) for cohort studies; P-interaction 0.44. Complication rates were not statistically significantly different between ETV and VPS in RCTs (RR 1.34, 95%CI 0.50, 3.59) but were statistically significant for prospective cohort studies (RR 0.47, 95%CI 0.30, 0.78); P-interaction 0.07. Length of hospital stay was no different, when comparing ETV and VPS. These results remained unchanged when stratifying by intervention type and when regressing on age when possible. No significant differences i

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