Evidence map›Paper›PMID 32783515›Full record

ArticleGlobal spine journal2021

Complete Versus Incomplete Surgical Resection in Intramedullary Ependymomas: A Systematic Review and Meta-analysis.

Farhad Salari, Mehdi Golpayegani, Mohsen Sadeghi-Naini, Sara Hanaei, Farhad Shokraneh, Ayat Ahmadi, Hamid Reza Khayat-Kashani, Alexander R Vacarro, Vafa Rahimi-Movaghar

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Review
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  4. Review
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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 at 6 institutions in 3 countries.

Farhad SalariLoghman Hakim Hospital, 48486Shahid Beheshti University of medical science, Tehran, Iran.
Mehdi GolpayeganiLoghman Hakim Hospital, 48486Shahid Beheshti University of medical science, Tehran, Iran.
Mohsen Sadeghi-NainiEmam Hossein Hospital, 48486Shahid Beheshti University of medical science, Tehran, Iran.
Sara Hanaei557765Universal Scientific Education and Research Network (USERN), Tehran, Iran.
Farhad Shokraneh89988Cochrane Schizophrenia Group, the Institute of Mental Health, Nottingham, UK.
Ayat Ahmadi48439Tehran University of Medical Sciences, Tehran, Iran.
Hamid Reza Khayat-KashaniEmam Hossein Hospital, 48486Shahid Beheshti University of medical science, Tehran, Iran.
Alexander R VacarroRothman Institute, 6559Thomas Jefferson University Hospital, Philadelphia, PA, USA.ORCID https://orcid.org/0000-0002-8073-0796
Vafa Rahimi-Movaghar230233Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.ORCID https://orcid.org/0000-0001-7347-8767
Imam Hossein Hospital · IRShahid Beheshti University · IRTehran University of Medical Sciences · IRInstitute of Mental Health · GBThomas Jefferson University Hospital · USUniversal Scientific Education and Research Network · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSystematic review.

objectiveTo compare outcomes of complete versus incomplete resection in primary intramedullary spinal cord ependymoma.

methodsA comprehensive search of the MEDLINE, CENTRAL, and Embase databases was conducted by 2 independent investigators. Random-effect meta-analysis and meta-regression with seven covariates were performed to evaluate the reason for the heterogeneity among studies. We also used individual patient data in the integrative analysis to compare complete and incomplete resection based on 4 outcomes: progression-free survival (PFS), overall survival (OS), postoperative neurological improvement (PNI), and follow-up neurological improvement (FNI).

resultsA total of 23 studies were identified, including 407 cases. Significant heterogeneity among included studies was observed in risk estimates (I

conclusionThe data presented in this study showed that OS was not significantly affected by the degree of surgery. However, complete resection of intramedullary ependymomas provides the optimal outcomes with longer PFS and better long-term neurological outcomes than incomplete resection.

Indexed as

ependymomaintramedullary tumoroverall survivaltumor

Identifiers

PMID32783515
PMCPMC8165927
OpenAlexW3048619104

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.