Evidence map›Paper›PMID 27815765›Full record

SynthesisNeuropsychology review2016

Are Shunt Revisions Associated with IQ in Congenital Hydrocephalus? A Meta -Analysis.

C Nikki Arrington, Ashley L Ware, Yusra Ahmed, Paulina A Kulesz, Maureen Dennis, Jack M Fletcher

Open access · greenAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in Neuropsychology review, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Neurodevelopmental outcomes after ventriculoperitoneal shunt placement in children with non-infectious hydrocephalus: a meta-analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Value of computerized shunt infusion study in assessment of pediatric hydrocephalus shunt function-a two center cross-sectional study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020
    Article
  6. Review
  7. Article
  8. Article
  9. 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

6 authors at 2 institutions in 2 countries.

C Nikki ArringtonTexas Institute for Measurement, Evaluation and Statistics (TIMES) and Department of Psychology, University of Houston, 4849 Calhoun Rd Rm 373, Houston, TX, 77204-6022, USA. Nikki.Arrington@times.uh.edu.ORCID 0000-0001-5532-6743
Ashley L WareTexas Institute for Measurement, Evaluation and Statistics (TIMES) and Department of Psychology, University of Houston, 4849 Calhoun Rd Rm 373, Houston, TX, 77204-6022, USA.
Yusra AhmedTexas Institute for Measurement, Evaluation and Statistics (TIMES) and Department of Psychology, University of Houston, 4849 Calhoun Rd Rm 373, Houston, TX, 77204-6022, USA.
Paulina A KuleszTexas Institute for Measurement, Evaluation and Statistics (TIMES) and Department of Psychology, University of Houston, 4849 Calhoun Rd Rm 373, Houston, TX, 77204-6022, USA.
Maureen DennisProgram in Neurosciences and Mental Health, The Hospital for Sick Children, Toronto, ON, Canada.
Jack M FletcherTexas Institute for Measurement, Evaluation and Statistics (TIMES) and Department of Psychology, University of Houston, 4849 Calhoun Rd Rm 373, Houston, TX, 77204-6022, USA.
University of Houston · USHospital for Sick Children · CA

Funding

SUBJECT RECRUITMENT AND EVALUATION COREP01HD035946 · NICHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI FLETCHER, JACK M · 1998 to 2009
$10.8M
NICHD NIH HHS P01 HD035946
6 · The paper itself

Abstract

Although it is generally acknowledged that shunt revisions are associated with reductions in cognitive functions in individuals with congenital hydrocephalus, the literature yields mixed results and is inconclusive. The current study used meta-analytic methods to empirically synthesize studies addressing the association of shunt revisions and IQ in individuals with congenital hydrocephalus. Six studies and three in-house datasets yielded 11 independent samples for meta-analysis. Groups representing lower and higher numbers of shunt revisions were coded to generate effect sizes for differences in IQ scores. Mean effect size across studies was statistically significant, but small (Hedges' g = 0.25, p < 0.001, 95 % CI [0.08, 0.43]) with more shunt revisions associated with lower IQ scores. Results show an association of lower IQ and more shunt revisions of about 3 IQ points, a small effect, but within the error of measurement associated with IQ tests. Although clinical significance of this effect is not clear, results suggest that repeated shunt revisions because of shunt failure is associated with a reduction in cognitive functions.

Indexed as

Cerebrospinal Fluid ShuntsCognition DisordersHumansHydrocephalusIntelligenceReoperationCongenital hydrocephalusIntelligence (IQ)ShuntingShunt revisions

Identifiers

PMID27815765
PMCPMC9996637
OpenAlexW2547804595

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.