Evidence map›Paper›PMID 30675656›Full record

ArticleActa neurochirurgica2019

Neurosurgical treatment and outcome patterns of meningioma in Sweden: a nationwide registry-based study.

Alba Corell, Erik Thurin, Thomas Skoglund, Dan Farahmand, Roger Henriksson, Bertil Rydenhag, Sasha Gulati, Jiri Bartek, Asgeir Store Jakola

Abstract read
In one paragraph

Article in Acta neurochirurgica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–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.

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

24 citing papers in PubMed.

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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

9 authors.

Alba CorellDepartment of Neurosurgery, Sahlgrenska University Hospital, Gothenburg, Sweden. alba.corell@vgregion.se.ORCID 0000-0002-6329-2392
Erik ThurinInstitute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Thomas SkoglundDepartment of Neurosurgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Dan FarahmandDepartment of Neurosurgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Roger HenrikssonRegional Cancer Centre Stockholm, Stockholm, Gotland, Sweden.
Bertil RydenhagDepartment of Neurosurgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Sasha GulatiDepartment of Neurosurgery, St. Olavs University Hospital, Trondheim, Norway.
Jiri BartekDepartment of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden.
Asgeir Store JakolaDepartment of Neurosurgery, Sahlgrenska University Hospital, Gothenburg, Sweden.

Funding

ALF-funding ALFGBG-716671Vetenskapsr?det 2017-00944
6 · The paper itself

Abstract

backgroundSurgery is the main treatment modality for intracranial meningiomas, but data on short-term surgical outcome are limited. The aim of this Swedish nationwide registry-based study was to benchmark the 30-day complication rate in a cohort of meningioma patients using data from the Swedish brain tumor registry (SBTR). Furthermore, we investigated outcomes for asymptomatic patients.

methodsData were collected from the SBTR for all adults with histopathologically verified intracranial meningioma between 2009 and 2015. Patient symptoms, tumor characteristics, and complications within 30 days postoperatively were analyzed.

resultsIn total, 2324 patients, with a mean age of 58.7 years (SD 13.5), underwent surgery for intracranial meningioma and 14.1% of the patients were asymptomatic before the intervention. The most common symptom prior to treatment was focal deficit, which occurred in 1450 patients (62.4%). Moreover, within 30 days after surgery, 344 patients (14.8%) developed new neurological deficits and new-onset seizures occurred in 105 patients (4.5%), while 8.3% of asymptomatic patients developed neurological deficit and 3.7% new-onset seizures. Due to complications, reoperations were performed in 120 patients (5.2%). The postoperative 30-day mortality in the whole cohort was 1.5%.

conclusionThis study benchmarks the 30-day complication rate after meningioma surgery and provides outcome data in the highly relevant group of asymptomatic patients using data from the Swedish brain tumor registry. Since surgical decision-making is a careful consideration of short-term risk versus long-term benefit, this information may be useful for both caregivers and patients.

Indexed as

AdultAgedFemaleHumansMaleMeningeal NeoplasmsMeningiomaMiddle AgedNeurosurgical ProceduresPostoperative ComplicationsRegistriesReoperationSwedenHealth registryMeningiomaNeurosurgeryPopulation-based

Identifiers

PMID30675656
PMCPMC6373228

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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.