Evidence map›Paper›PMID 27476080›Full record

ArticleJournal of neuro-oncology2016

Predictive model for recovery of visual field after surgery of pituitary adenoma.

Junwon Lee, Seung Woo Kim, Dong Wook Kim, Joo Youn Shin, Moonjung Choi, Min Chul Oh, Seung Min Kim, Eui Hyun Kim, Sun Ho Kim, Suk Ho Byeon

Abstract read
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In one paragraph

Article in Journal of neuro-oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  17. Segmented retinal layer analysis of chiasmal compressive optic neuropathy in pituitary adenoma patients.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2020
    Observational
  18. Article
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  20. Invited Commentary: Ganglion Cell Complex Measurement in Compressive Optic Neuropathy.Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society · 2017
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Junwon LeeDepartment of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, 134 Shinchon-Dong, Seodaemun-Gu, Seoul, 120-752, South Korea.
Seung Woo KimDepartment of Neurology, Yonsei University College of Medicine, Seoul, South Korea.
Dong Wook KimDepartment of Policy Research Affairs, National Health Insurance Corporation Ilsan Hospital, Goyang, South Korea.
Joo Youn ShinDepartment of Ophthalmology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, South Korea.
Moonjung ChoiDepartment of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, 134 Shinchon-Dong, Seodaemun-Gu, Seoul, 120-752, South Korea.
Min Chul OhDepartment of Neurosurgery, Yonsei University College of Medicine, Seoul, South Korea.
Seung Min KimDepartment of Neurology, Yonsei University College of Medicine, Seoul, South Korea.
Eui Hyun KimDepartment of Neurosurgery, Yonsei University College of Medicine, Seoul, South Korea.
Sun Ho KimDepartment of Neurosurgery, Yonsei University College of Medicine, Seoul, South Korea.
Suk Ho ByeonDepartment of Ophthalmology, Institute of Vision Research, Yonsei University College of Medicine, 134 Shinchon-Dong, Seodaemun-Gu, Seoul, 120-752, South Korea. shbyeon@yuhs.ac.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Visual field defect is a major indication for surgery of pituitary adenoma, but visual outcome after surgery is difficult to predict. We developed a nomogram that predicts postoperative restoration of visual field defects in patients with pituitary adenoma. This study was a retrospective cohort investigation of patients who were treated for pituitary adenoma between January 2009 and December 2013. We enrolled 111 eyes of 57 patients who completed one ophthalmological evaluation preoperatively and at least two evaluations within 6 months after surgery. Serial changes in visual fields and retinal nerve fiber layer (RNFL) thickness were evaluated. Multiple logistic regression analysis was performed to select prognostic variables, and a nomogram to predict restoration of visual field defects was constructed. Visual field defects continuously improved until 3 months after surgery. However, average, superior, and inferior RNFL thickness continuously decreased until 6 months after surgery. Multiple logistic regression analysis revealed that worse preoperative visual field defect (p = 0.018), high MRI compression grade (p = 0.009), and inferior RNFL thinning (p = 0.011) were significantly associated with worse visual outcome. The nomogram that predicts the visual restoration showed an area under the receiver operating characteristic curve of 0.84. In conclusion, we developed a nomogram that predicted the restoration of visual field defects after removal of pituitary adenoma. This would allow tailored counseling of individual patients by precisely predicting visual recovery after surgery.

Indexed as

AdenomaAdultCohort StudiesDiagnostic Techniques, OphthalmologicalFemaleHumansLogistic ModelsMagnetic Resonance ImagingMaleMiddle AgedNeurosurgeryNomogramsPituitary NeoplasmsPredictive Value of TestsRecovery of FunctionRetinaNomogramPituitary adenomaVisual field

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Registered trials

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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.