Evidence map›Paper›PMID 30726526›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2019

TROPHY registry study design: a prospective, international multicenter study for the surgical treatment of posthemorrhagic hydrocephalus in neonates.

Ulrich-Wilhelm Thomale, Giuseppe Cinalli, Abhaya V Kulkarni, Sara Al-Hakim, Jonathan Roth, Andreas Schaumann, Christoph Bührer, Sergio Cavalheiro, Spyros Sgouros, Shlomi Constantini and 1 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Comparing ventricular access devices and ventriculosubgaleal shunts for posthemorrhagic ventricular dilatation: systematic review and meta-analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Pooled it
  3. Comparative study between ventriculosubgaleal shunt and external ventricular drain for management of post infective hydrocephalus among pediatrics.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Trial
  4. Review
  5. Article
  6. Article
  7. Neuroendoscopic lavage: a single-center retrospective cohort in the USA.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  8. Article
  9. Review
  10. Posthemorrhagic hydrocephalus management in patients with necrotizing enterocolitis: a monocentric experience.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Review
  11. Article
  12. Neuroendoscopic lavage versus traditional surgical methods for the early management of posthemorrhagic hydrocephalus in neonates.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
    Article
  13. Review
  14. Review
  15. Article
  16. Neuroendoscopic lavage for the management of neonatal post-haemorrhagic hydrocephalus: a retrospective series.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
    Article
  17. Article
  18. TROPHY registry - status report.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Article
  19. Neuroendoscopic surgery in neonates - indication and results over a 10-year practice.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Article
  20. Integrated understanding of hydrocephalus - a practical approach for a complex disease.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021
    Review
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

11 authors at 7 institutions in 6 countries.

Ulrich-Wilhelm ThomalePediatric Neurosurgery, Campus Virchow Klinikum, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany. uthomale@charite.de.
Giuseppe CinalliPediatric Neurosurgery, Santobono-Pausilipon Children's Hospital, Naples, Italy.
Abhaya V KulkarniDivision of Neurosurgery, Hospital for Sick Children, University of Toronto, Toronto, ON, Canada.
Sara Al-HakimPediatric Neurosurgery, Campus Virchow Klinikum, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
Jonathan RothPediatric Neurosurgery, Dana Children's Hospital, Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
Andreas SchaumannPediatric Neurosurgery, Campus Virchow Klinikum, Charité Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Germany.
Christoph BührerDepartment of Neonatology, Charité Universitätsmedizin Berlin, Berlin, Germany.
Sergio CavalheiroNeurosurgery, Federal University of Sao Paulo, Sao Paulo, Brazil.
Spyros SgourosPediatric Neurosurgery, Mitera Children's Hospital, School of Medicine, Athens, Greece.
Shlomi ConstantiniPediatric Neurosurgery, Dana Children's Hospital, Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
Hans Christoph BockPediatric Neurosurgery, Universitätsmedizin Göttingen, Göttingen, Germany.
Charité - Universitätsmedizin Berlin · DETel Aviv Sourasky Medical Center · ILHospital for Sick Children · CAMitera Hospital · GRSantobono Children's Hospital · ITUniversidade Federal de São Paulo · BRUniversitätsmedizin Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAmong children with hydrocephalus, neonates with intraventricular hemorrhage (IVH) and posthemorrhagic hydrocephalus (PH) are considered a group with one of the highest complication rates of treatment. Despite continued progress in neonatal care, a standardized and reliable guideline for surgical management is missing for this challenging condition. Thus, further research is warranted to compare common methods of surgical treatment. The introduction of neuroendoscopic lavage has precipitated the establishment of an international registry aimed at elaborating key elements of a standardized surgical treatment.

methodsThe registry is designed as a multicenter, international, prospective data collection for neonates aged 41 weeks gestation, with an indication for surgical treatment for IVH with ventricular dilatation and progressive hydrocephalus. The following initial temporizing surgical interventions, each used as standard treatment at participating centers, will be compared: external ventricular drainage (EVD), ventricular access device (VAD), ventricular subgaleal shunt (VSGS), and neuroendoscopic lavage (NEL). Type of surgery, perioperative data including complications and mortality, subsequent shunt surgeries, ventricular size, and neurological outcome will be recorded at 6, 12, 36, and 60 months.

resultsAn online, password-protected website will be used to collect the prospective data in a synchronized manner. As a prospective registry, data collection will be ongoing, with no prespecified endpoint. A prespecified analysis will take place after a total of 100 patients in the NEL group have been entered. Analyses will be performed for safety (6 months), shunt dependency (12, 24 months), and neurological outcome (60 months).

conclusionThe design and online platform of the TROPHY registry will enable the collection of prospective data on different surgical procedures for investigation of safety, efficacy, and neurodevelopmental outcome of neonates with IVH and hydrocephalus. The long-term goal is to provide valid data on NEL that is prospective, international, and multicenter. With the comparison of different surgical treatment modalities, we hope to develop better therapy guidelines for this complex neurosurgical condition.

Indexed as

RegistriesResearch DesignCerebral Intraventricular HemorrhageDrainageFemaleHumansHydrocephalusInfant, NewbornInfant, PrematureInfant, Premature, DiseasesMaleNeurosurgical ProceduresVascular Surgical ProceduresCerebrospinal fluid drainageNeuroendoscopyReservoirShunt

Identifiers

PMID30726526
OpenAlexW2913511167

What OpenQuestion holds

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Registered trials

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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.