Evidence map›Paper›PMID 27795870›Full record

ArticleJournal of radiosurgery and SBRT2016

National trends in inpatient admissions following stereotactic radiosurgery and the in-hospital patient outcomes in the United States from 1998 to 2011.

Allen L Ho, Alexander Y Li, Eric S Sussman, Arjun V Pendharkar, Aditya Iyer, Patricia A Thompson, Armine T Tayag, Steven D Chang

Abstract read
PubMed Full text at PMC
In one paragraph

Article in Journal of radiosurgery and SBRT, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 27% of its field
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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. 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

8 authors at 1 institution in 1 country.

Allen L HoDepartment of Neurosurgery, Stanford School of Medicine, Stanford, CA 94305, USA.
Alexander Y LiDepartment of Neurosurgery, Stanford School of Medicine, Stanford, CA 94305, USA.
Eric S SussmanDepartment of Neurosurgery, Stanford School of Medicine, Stanford, CA 94305, USA.
Arjun V PendharkarDepartment of Neurosurgery, Stanford School of Medicine, Stanford, CA 94305, USA.
Aditya IyerDepartment of Neurosurgery, Stanford School of Medicine, Stanford, CA 94305, USA.
Patricia A ThompsonDepartment of Neurosurgery, Stanford School of Medicine, Stanford, CA 94305, USA.
Armine T TayagDepartment of Neurosurgery, Stanford School of Medicine, Stanford, CA 94305, USA.
Steven D ChangDepartment of Neurosurgery, Stanford School of Medicine, Stanford, CA 94305, USA; Department of Radiation Oncology, Stanford School of Medicine, Stanford, CA 94305, USA.
Stanford Medicine · US

Funding

Spectrum Stanford Center for clinical and Translational Research and EducationUL1TR001085 · NCATS · STANFORD UNIVERSITY · PI CULLEN, MARK RICHARD, GREENBERG, HARRY BERNARD · 2013 to 2017
$37.1M
NCATS NIH HHS UL1 TR001085
6 · The paper itself

Abstract

purposeThis study sought to examine trends in stereotactic radiosurgery (SRS) and in-hospital patient outcomes on a national level by utilizing national administrative data from the Nationwide Inpatient Sample (NIS) database. METHODS AND MATERIALS: Using the NIS database, all discharges where patients underwent inpatient SRS were included in our study from 1998 - 2011 as designated by the ICD9-CM procedural codes. Trends in the utilization of primary and adjuvant SRS, in-hospital complications and mortality, and resource utilization were identified and analyzed.

resultsOur study included over 11,000 hospital discharges following admission for primary SRS or for adjuvant SRS following admission for surgery or other indication. The most popular indication for SRS continues to be treatment of intracranial metastatic disease (36.7%), but expansion to primary CNS lesions and other non-malignant pathology beyond trigeminal neuralgia has occurred over the past decade. Second, inpatient admissions for primary SRS have declined by 65.9% over this same period of time. Finally, as inpatient admissions for SRS become less frequent, the complexity and severity of illness seen in admitted patients has increased over time with an increase in the average comorbidity score from 1.25 in the year 2002 to 2.29 in 2011, and an increase in over-all in-hospital complication rate of 2.8 times over the entire study period.

conclusionsAs the practice of SRS continues to evolve, we have seen several trends in associated hospital admissions. Overall, the number of inpatient admissions for primary SRS has declined while adjuvant applications have remained stable. Over the same period, there has been associated increase in complication rate, length of stay, and mortality in inpatients. These associations may be explained by an increase in the comorbidity-load of admitted patients as more high-risk patients are selected for admission at inpatient centers while more stable patients are increasingly being referred to outpatient centers.

Indexed as

complicationsmortalityNationwide Inpatient Sampleradiosurgery outcomesstereotactic radiosurgeryusage trends

Identifiers

PMID27795870
PMCPMC5081223
OpenAlexW2547666929

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.