Evidence map›Paper›PMID 30356129›Full record

ArticleEye (London, England)2019

The expanding burden of idiopathic intracranial hypertension.

Susan P Mollan, Magda Aguiar, Felicity Evison, Emma Frew, Alexandra J Sinclair

3 registry-linked trialsAbstract read
In one paragraph

Article in Eye (London, England), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 148 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
148citing papers in PubMed, 3 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.

NCT07191873 phase4recruitingstarted 2026, after this paper: background citation

A Phase IV Placebo-controlled Single Center Trial for Tirzepatide in Idiopathic Intracranial Hypertension Trial (TIIHT)

Ran2026Enrolled60Registered outcomes4Posted comparisons0ConditionsIdiopathic Intracranial Hypertension (IIH)ArmsTirzepatide, Tirzepatide Placebo
Open the trial in the graph
NCT06059703 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Biomarkers in the Etiology of Idiopathic Intracranial Hypertension

TypeinterventionalSponsorUniversity Hospital, MontpellierRan2023 to 2026Enrolled60ConditionsIdiopathic Intracranial HypertensionArmsBlood punction, Central blood sampling, Intracranial pressure measurement
NCT06353412 unknown statusnot on this mapstarted 2024, after this paper: background citation

Evaluation of the Current Treatment Methods of Idiopathic Intracranial Hypertension

TypeobservationalSponsorAssiut UniversityRan2024 to 2026Enrolled64ConditionsIIH - Idiopathic Intracranial HypertensionArmsLumbar puncture
3 · Its place in the literature

Who cites it

148 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Therapeutic role of GLP-1 receptor agonists in idiopathic intracranial hypertension: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  17. Fluoroscopic guidance decreases the risk of post-lumbar puncture headache in patients with idiopathic intracranial hypertension.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  18. Idiopathic Intracranial Hypertension: Updates on Pathophysiology and Diagnosis.Advances and technical standards in neurosurgery · 2026
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88 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

5 authors.

Susan P MollanBirmingham Neuro-Ophthalmology Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2TH, UK. susan.mollan@uhb.nhs.uk.ORCID http://orcid.org/0000-0002-6314-4437
Magda AguiarHealth Economics Unit, Institute of Applied Health Research, University of Birmingham, Birmingham, B12 2TT, UK.
Felicity EvisonDepartment of Informatics, University Hospitals Birmingham NHS Trust, Queen Elizabeth Hospital Birmingham, Mindelsohn Way, Edgbaston, Birmingham, B15 2WB, UK.
Emma FrewCentre for Endocrinology, Diabetes and Metabolism, Birmingham Health Partners, Birmingham, B15 2TH, UK.
Alexandra J SinclairBirmingham Neuro-Ophthalmology Unit, University Hospitals Birmingham NHS Foundation Trust, Birmingham, B15 2TH, UK.

Funding

Department of Health NIHR-CS-011-028Medical Research Council MR/K015184/1
6 · The paper itself

Abstract

objectiveTo quantify the hospital burden and health economic impact of idiopathic intracranial hypertension.

methodsHospital Episode Statistics (HES) national data was extracted between 1st January 2002 and 31st December 2016. All those within England with a diagnosis of idiopathic intracranial hypertension were included. Those with secondary causes of raised intracranial pressure such as tumours, hydrocephalus and cerebral venous sinus thrombosis were excluded.

resultsA total of 23,182 new IIH cases were diagnosed. Fifty-two percent resided in the most socially deprived areas (quintiles 1 and 2). Incidence rose between 2002 and 2016 from 2.3 to 4.7 per 100,000 in the general population. Peak incidence occurred in females aged 25 (15.2 per 100,000). 91.6% were treated medically, 7.6% had a cerebrospinal fluid diversion procedure, 0.7% underwent bariatric surgery and 0.1% had optic nerve sheath fenestration. Elective caesarean sections rates were significantly higher in IIH (16%) compared to the general population (9%), p < 0.005. Admission rates rose by 442% between 2002 and 2014, with 38% having repeated admissions in the year following diagnosis. Duration of hospital admission was 2.7 days (8.8 days for those having CSF diversion procedures). Costs rose from £9.2 to £50 million per annum over the study period with costs forecasts of £462 million per annum by 2030.

conclusionsIIH incidence is rising (by greater than 100% over the study), highest in areas of social deprivation and mirroring obesity trends. Re-admissions rates are high and growing yearly. The escalating population and financial burden of IIH has wide reaching implications for the health care system.

Indexed as

AdolescentAdultBariatric SurgeryCerebrospinal Fluid ShuntsDecompression, SurgicalEnglandFemaleHealth Services AccessibilityHealth Services ResearchHumansIncidenceIntracranial PressureMaleMiddle AgedObesityOphthalmologic Surgical Procedures

Identifiers

PMID30356129
PMCPMC6460708

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.