Evidence map›Paper›PMID 31729310›Full record

ArticleJournal of the International Neuropsychological Society : JINS2020

Long-Term Intellectual and Fine Motor Outcomes in Spina Bifida Are Related to Myelomeningocele Repair and Shunt Intervention History.

Ashley L Ware, Paulina A Kulesz, Julian S Orkisz, C N Arrington, Robin M Bowman, Jack M Fletcher

Open access · greenAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the International Neuropsychological Society : JINS, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Review
  3. What has changed in pediatric neurosurgical care in spina bifida? A 30-year UAB/Children's of Alabama observational overview.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023
    Article
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 4 institutions in 2 countries.

Ashley L WareDepartment of Psychology, University of Calgary, 2500 University Dr. NW, Calgary, AB T2N 1N4, Canada.ORCID 0000-0002-8390-4915
Paulina A KuleszDepartment of Psychology and the Texas Institute for Measurement, Evaluation, and Statistics (TIMES), University of Houston, 4811 Cullen Blvd, Houston, TX 77204-6022, USA.
Julian S OrkiszDepartment of Psychology and the Texas Institute for Measurement, Evaluation, and Statistics (TIMES), University of Houston, 4811 Cullen Blvd, Houston, TX 77204-6022, USA.
C N ArringtonDepartment of Psychology, Georgia State University, 140 Decatur St. SE, Atlanta, GA30303, USA.
Robin M BowmanDivision of Pediatric Neurosurgery, Children's Memorial Hospital, Northwestern University Medical School, Chicago, IL60614, USA.
Jack M FletcherDepartment of Psychology and the Texas Institute for Measurement, Evaluation, and Statistics (TIMES), University of Houston, 4811 Cullen Blvd, Houston, TX 77204-6022, USA.
University of Houston · USGeorgia State University · USNorthwestern University · USUniversity of Calgary · CA

Funding

SUBJECT RECRUITMENT AND EVALUATION COREP01HD035946 · NICHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI FLETCHER, JACK M · 1998 to 2009
$10.8M
NICHD NIH HHS P01 HD035946
6 · The paper itself

Abstract

objectiveLifespan outcomes of simultaneous versus sequential myelomeningocele repair and shunt placement or effects of repeated shunt revisions on specific domains of IQ or fine motor dexterity are largely unknown. The current study addressed these gaps in a large cohort of children and adults with spina bifida myelomeningocele (SBM).

methodsParticipants between 7 and 44 years of age with SBM and shunted hydrocephalus were recruited from international clinics at two time points. Each participant completed a standardized neuropsychological evaluation that included estimates of IQ and fine motor dexterity. Simultaneous versus sequential surgical repair and number of shunt revisions were examined in relation to long-term IQ and fine motor scores.

resultsSimultaneous myelomeningocele repair and shunting were associated with more frequent shunt revisions, as well as to lower Full Scale and verbal IQ scores, controlling for number of shunt revisions. More shunt revisions across study time points were associated with higher nonverbal IQ (NVIQ) scores. No effects were observed on fine motor dexterity.

conclusionsFindings indicate generally greater influence of surgery type over shunt revision history on outcomes in well-managed hydrocephalus. Findings supported apparent, domain-specific benefits of sequential compared to simultaneous surgery across the lifespan in SBM. Higher NVIQ scores with greater number of additional shunt revisions across surgery type supported positive outcomes with effective surgical management for hydrocephalus.

Indexed as

IntelligenceMotor SkillsNeurosurgical ProceduresOutcome Assessment, Health CareReoperationAdolescentAdultCerebrospinal Fluid ShuntsChildCohort StudiesFemaleHumansHydrocephalusLongitudinal StudiesMaleMeningomyeloceleCongenital hydrocephalusFine motor dexterityIntelligenceIQMyelomeningoceleShunt revisionsSpina bifidaSurgical shunt placement

Identifiers

PMID31729310
PMCPMC7125008
OpenAlexW2984228334

What OpenQuestion holds

Textmetadata
LicenceTDM
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.