Evidence map›Paper›PMID 28619838›Full record

ArticleAJNR. American journal of neuroradiology2017

State of Practice: Endovascular Treatment of Acute Aneurysmal SAH in Germany.

H Janssen, A Berlis, J Lutz, N Thon, H Brückmann

Open access · hybridAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Observational
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

5 authors at 4 institutions in 2 countries.

H JanssenFrom the Departments of Neuroradiology (H.J., J.L., H.B.) hendrik.janssen@klinikum-nuernberg.de.ORCID http://orcid.org/0000-0001-5903-1280
A BerlisDepartment of Neuroradiology (A.B.), Klinikum Augsburg, Augsburg, Germany.ORCID http://orcid.org/0000-0001-5321-5118
J LutzFrom the Departments of Neuroradiology (H.J., J.L., H.B.).ORCID http://orcid.org/0000-0003-1188-3219
N ThonNeurosurgery (N.T.) Ludwig-Maximilians-University Hospital, Munich, Germany.ORCID http://orcid.org/0000-0003-0011-5281
H BrückmannFrom the Departments of Neuroradiology (H.J., J.L., H.B.).ORCID http://orcid.org/0000-0001-8034-4345
JDSU (United States) · USLudwig-Maximilians-Universität München · DEParacelsus Medizinische Privatuniversität · DEUniversity Hospital Augsburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeAcute aneurysmal SAH is a severe disease that requires prompt treatment. Endovascular coiling and neurosurgical clipping are established treatment options. Our intention was to determine the state of current practice in acute aneurysmal SAH treatment in Germany, with emphasis on logistic and temporal aspects. MATERIALS AND

methodsWe interviewed 74 German university and nonuniversity hospitals with an anonymous questionnaire comprising 15 questions concerning the practice of treatment and diagnostics of acute aneurysmal SAH at their respective institutions. The response rate was 74% among all institutions (55/74); among university hospitals, 77%; and among nonuniversity hospitals, 72%.

resultsThe majority of all aneurysms were treated endovascularly (66% of acute aneurysmal SAH, 66% of unruptured aneurysms). Treatment on weekends was provided by 100% of endovascular and 96% of neurosurgical facilities. Average patients with acute aneurysmal SAH were not treated during the night (98%). Seventy percent of endovascular and 78% of neurosurgical treatments were not started later than 8:00 pm. Fifty-three percent of hospitals would not start a same-day diagnostic angiography in acute aneurysmal SAH if treatment was scheduled for the following day. Eighty-two percent of all centers performed DSA after clipping to evaluate the treatment results.

conclusionsOur survey gives a detailed summary of the current practice of endovascular treatment and related topics in acute aneurysmal SAH in Germany and also reveals considerable changes in practice in comparison with older data.

Indexed as

Acute DiseaseAdultAneurysm, RupturedCross-Sectional StudiesEndovascular ProceduresFemaleGermanyHealth Care SurveysHospitalsHumansMaleMiddle AgedSubarachnoid HemorrhageSurveys and QuestionnairesTime-to-TreatmentTreatment Outcome

Identifiers

PMID28619838
PMCPMC7960435
OpenAlexW2626486799

What OpenQuestion holds

Textmetadata
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.