Evidence map›Paper›PMID 31284336›Full record

ArticleNeurospine2019

Towards Guideline-Based Management of Tethered Cord Syndrome in Spina Bifida: A Global Health Paradigm Shift in the Era of Prenatal Surgery.

Viachaslau Bradko, Heidi Castillo, Shruthi Janardhan, Benny Dahl, Kellen Gandy, Jonathan Castillo

Open access · diamondAbstract read
In one paragraph

Article in Neurospine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 22 citations in OpenAlex.

  1. Surgical outcomes of tethered cord syndrome in patients with normal conus medullaris and filum terminale without urologic symptoms.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  2. Article
  3. Article
  4. Diagnosis and Management of Tethered Cord Syndrome.Advances and technical standards in neurosurgery · 2024
    Article
  5. Article
  6. [Classification and microsurgical treatment of primary tethered cord syndrome in adults].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2023
    Article
  7. Article
  8. Article
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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

6 authors at 2 institutions in 1 country.

Viachaslau BradkoDepartment of Orthopedic Surgery, Baylor College of Medicine, Houston, TX, USA.
Heidi CastilloDevelopmental Pediatrics, Department of Pediatrics, Texas Children's Hospital/Baylor College of Medicine, Houston, TX, USA.
Shruthi JanardhanHematology-Oncology, Department of Pediatrics, Baylor College of Medicine, Houston, TX, USA.
Benny DahlDepartment of Orthopedic Surgery, Baylor College of Medicine, Houston, TX, USA.
Kellen GandyDepartment of Pediatrics, Staten Island University Hospital, Staten Island, NY, USA.
Jonathan CastilloDevelopmental Pediatrics, Department of Pediatrics, Texas Children's Hospital/Baylor College of Medicine, Houston, TX, USA.
Baylor College of Medicine · USStaten Island University Hospital · US

Funding

Comp B-Texas Children's Hospital and Baylor Coll of Med Spina Bifida RegistryU01DD001072 · DD · BAYLOR COLLEGE OF MEDICINE · PI CASTILLO, HEIDI, KOH, CHESTER · 2014 to 2018
$327k
NCBDD CDC HHS U01 DD001072NCBDD CDC HHS U01 DD001265
6 · The paper itself

Abstract

An estimated 60% of the world's population lives in Asia, where the incidence of neural tube defects is high. Aware that tethered cord syndrome (TCS) is an important comorbidity, the purpose of this systematic review was to explore the treatment of TCS among individuals living with spina bifida (SB) in Asia. MEDLINE and Embase databases were searched for relevant studies published from January 2000 to June 2018. Search terms such as 'spinal dysraphism,' 'spinabifida,' 'diastematomyelia,' 'lipomeningocele,' 'lypomyelomeningocele,' 'meningomyelocele,' and 'tethered cord syndrome' were used in diverse combinations. Of the 1,290 articles that were identified in accordance with PRISMA (Preferred Items for Systematic Reviews and Meta-Analyses) guidelines, 15 Asia-based studies met the inclusion criteria. Significant differences in the diagnostic criteria and management of TCS were documented. As the surgical techniques for prenatal closure of the spinal defect continue to evolve, their adoption internationally is likely to continue. In this setting, a clear and evidence-based approach to the definition and management of TCS is essential. The recent publication by the Spina Bifida Association of America of their updated care guidelines may serve as a tool used to promote a systematized approach to diagnosing and treating TCS among individuals with SB in the region, as well as globally.

Indexed as

Evidence-based medicineFetoscopyMinimally invasive surgical proceduresNeural tube defectsSpina bifidaSystematic review

Identifiers

PMID31284336
PMCPMC6944994
OpenAlexW2961852378

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.