Evidence map›Paper›PMID 25449064›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2015

A partial least squares analysis of seizure outcomes following resective surgery for tuberous sclerosis complex in children with intractable epilepsy.

George M Ibrahim, Benjamin R Morgan, Aria Fallah

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Treatment options in autism with epilepsy.Frontiers in child and adolescent psychiatry · 2024
    Article
  3. BMJ open · 2022
    Article
  4. Multimodal prognostic features of seizure freedom in epilepsy surgery.Journal of neurology, neurosurgery, and psychiatry · 2022
    Review
  5. Article
  6. Article
  7. Article
4 · The record

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5 · Who and what money

Authors and funding

3 authors.

George M IbrahimDivision of Neurosurgery, Department of Surgery, University of Toronto, Toronto, ON, Canada, george.m.ibrahim@gmail.com.
Benjamin R Morgan
Aria Fallah

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrevious studies aimed at identifying predictors of seizure outcomes following resective surgery for tuberous sclerosis complex (TSC) are limited by multicollinearity among predictors, whereby the high degree of correlation between covariates precludes detection of potentially significant findings. PURPOSE: Here, we apply a data-driven method, partial least squares (PLS) to model multidimensional variance and study significant patterns in data that are associated with seizure outcomes.

methodsPost hoc analysis of 186 children with TSC who underwent resective epilepsy surgery derived from an individual participant data meta-analysis was performed. PLS was used to derive a latent variable (component) that relates clinical covariates with Engel classification. Permutation testing was performed to evaluate the significance of the component, and bootstrapping was used to identify significant contributors to the component.

resultsA significant component was identified, which represents the pattern of covariates related to Engel class. The strongest and significant factors contributing to this component were focal ictal electroencephalogram and concordance of electroencephalography (EEG)-magnetic resonance imaging (MRI) abnormality. Interestingly, covariates contributing the least to the seizure-free patient phenotype were continent of treatment and age at the time of surgery.

conclusionUsing a data-driven, multivariate method, PLS, we describe patient phenotypes that are associated with seizure-freedom following resective surgery for TSC.

Indexed as

AdolescentChildChild, PreschoolEpilepsyFemaleHumansInfantLeast-Squares AnalysisMaleNeurosurgical ProceduresSeizuresTreatment OutcomeTuberous Sclerosis

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.