Evidence map›Paper›PMID 28249297›Full record

ReviewPediatric neurosurgery2017

Cerebrospinal Fluid Shunting Complications in Children.

Brian W Hanak, Robert H Bonow, Carolyn A Harris, Samuel R Browd

Open access · greenAbstract readReview
In one paragraph

Review in Pediatric neurosurgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% 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

86 citing papers in PubMed, 1 synthesis or guideline pooled it, 218 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Ultra-late cerebrospinal fluid shunt malfunction following an extended interval of regular follow-up: a case series.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Torticollis as a rare, late complication of VP shunt placement in the pediatric population: a case report.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  18. Review
  19. Article
  20. Article

26 more citing papers are in PubMed but not listed here.

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

4 authors at 3 institutions in 1 country.

Brian W HanakDepartment of Neurological Surgery, University of Washington and Seattle Children's Hospital, Seattle, WA, USA.
Robert H Bonow
Carolyn A Harris
Samuel R Browd
Neurological Surgery · USSeattle Children's Hospital · USWayne State University · US

Funding

Investigating the source and the action behind shunt obstruction in the treatment of pediatric hydrocephalusR01NS094570 · NINDS · WAYNE STATE UNIVERSITY · PI Carolyn A Harris · 2016 to 2026
$4.2M
NINDS NIH HHS L40 NS084478NINDS NIH HHS R01 NS094570
6 · The paper itself

Abstract

Although cerebrospinal fluid (CSF) shunt placement is the most common procedure performed by pediatric neurosurgeons, shunts remain among the most failure-prone life-sustaining medical devices implanted in modern medical practice. This article provides an overview of the mechanisms of CSF shunt failure for the 3 most commonly employed definitive CSF shunts in the practice of pediatric neurosurgery: ventriculoperitoneal, ventriculopleural, and ventriculoatrial. The text has been partitioned into the broad modes of shunt failure: obstruction, infection, mechanical shunt failure, overdrainage, and distal catheter site-specific failures. Clinical management strategies for the various modes of shunt failure are discussed as are research efforts directed towards reducing shunt complication rates. As it is unlikely that CSF shunting will become an obsolete procedure in the foreseeable future, it is incumbent on the pediatric neurosurgery community to maintain focused efforts to improve our understanding of and management strategies for shunt failure and shunt-related morbidity.

Indexed as

Equipment FailurePostoperative ComplicationsCathetersCerebrospinal Fluid ShuntsHumansHydrocephalusNeurosurgeonsPediatricsProstheses and ImplantsCatheter obstructionHydrocephalusShunt failureVentriculoatrial shuntVentriculoperitoneal shuntVentriculopleural shunt

Identifiers

PMID28249297
PMCPMC5915307
OpenAlexW2594135845

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.