Evidence map›Paper›PMID 31300535›Full record

ArticleJournal of neurointerventional surgery2020

Comparison of endoscopic evacuation, stereotactic aspiration, and craniotomy for treatment of basal ganglia hemorrhage.

Wei Guo, Haixiao Liu, Zhijun Tan, Xiaoyang Zhang, Junmei Gao, Lei Zhang, Hao Guo, Hao Bai, Wenxing Cui, Xunyuan Liu and 3 more

Registry-linked trialOpen access · hybridAbstract readComparative Study
In one paragraph

Article in Journal of neurointerventional surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04991233 (The Effectiveness and Safety of Endoscopic Evacuation Versus Suboccipital Craniotomy in the Treatment of Spontaneous Intracerebellar Hemorrhage), which is not on this map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 16% 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.

NCT04991233 naunknown statusnot on this mapstarted 2021, after this paper: background citation

The Effectiveness and Safety of Endoscopic Evacuation Versus Suboccipital Craniotomy in the Treatment of Spontaneous Intracerebellar Hemorrhage (SCH) -a Randomized Control Trial.

TypeinterventionalSponsorTang-Du HospitalRan2021 to 2024Enrolled190ConditionsPosterior Fossa HemorrhageArmsEndoscopic surgery, Suboccipital craniotomy surgery
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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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

13 authors at 1 institution in 1 country.

Wei Guo *Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Haixiao Liu *Department of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Zhijun Tan *Department of Health Statistics, Fourth Military Medical University, Xi'an, China.
Xiaoyang ZhangDepartment of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Junmei GaoDepartment of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Lei ZhangDepartment of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Hao GuoDepartment of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Hao BaiDepartment of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Wenxing CuiDepartment of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Xunyuan LiuDepartment of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Xun WuDepartment of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Jianing LuoDepartment of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Yan QuDepartment of Neurosurgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Air Force Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe main surgical techniques for spontaneous basal ganglia hemorrhage include stereotactic aspiration, endoscopic aspiration, and craniotomy. However, credible evidence is still needed to validate the effect of these techniques.

objectiveTo explore the long-term outcomes of the three surgical techniques in the treatment of spontaneous basal ganglia hemorrhage.

methodsFive hundred and sixteen patients with spontaneous basal ganglia hemorrhage who received stereotactic aspiration, endoscopic aspiration, or craniotomy were reviewed retrospectively. Six-month mortality and the modified Rankin Scale score were the primary and secondary outcomes, respectively. A multivariate logistic regression model was used to assess the effects of different surgical techniques on patient outcomes.

resultsFor the entire cohort, the 6-month mortality in the endoscopic aspiration group was significantly lower than that in the stereotactic aspiration group (odds ratio (OR) 4.280, 95% CI 2.186 to 8.380); the 6-month mortality in the endoscopic aspiration group was lower than that in the craniotomy group, but the difference was not significant (OR=1.930, 95% CI 0.835 to 4.465). A further subgroup analysis was stratified by hematoma volume. The mortality in the endoscopic aspiration group was significantly lower than in the stereotactic aspiration group in the medium (≥40-<80 mL) (OR=2.438, 95% CI 1.101 to 5.402) and large hematoma subgroup (≥80 mL) (OR=66.532, 95% CI 6.345 to 697.675). Compared with the endoscopic aspiration group, a trend towards increased mortality was observed in the large hematoma subgroup of the craniotomy group (OR=8.721, 95% CI 0.933 to 81.551).

conclusionEndoscopic aspiration can decrease the 6-month mortality of spontaneous basal ganglia hemorrhage, especially in patients with a hematoma volume ≥40 mL.

Indexed as

Stereotaxic TechniquesAdultAgedBasal Ganglia HemorrhageCohort StudiesCraniotomyFemaleHumansImaging, Three-DimensionalMaleMiddle AgedNeuroendoscopyParacentesisRetrospective StudiesTreatment Outcomebasal ganglia hemorrhagecraniotomyminimally invasive surgical proceduresneuroendoscopyretrospective studiestreatment outcome

Identifiers

PMID31300535
PMCPMC6996102
OpenAlexW2992256908

What OpenQuestion holds

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LicenceCC BY-NC
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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.