Evidence map›Paper›PMID 33948314›Full record

ArticleSurgical neurology international2021

Outcomes of infratentorial cranial surgery for tumor resection in older patients: An analysis of the National Surgical Quality Improvement Program.

Krissia M Rivera Perla, Nathan J Pertsch, Owen P Leary, Catherine M Garcia, Oliver Y Tang, Steven A Toms, Robert J Weil

Open access · hybridAbstract read
In one paragraph

Article in Surgical neurology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

7 authors at 1 institution in 1 country.

Krissia M Rivera PerlaDepartment of Neurosurgery, The Warren Alpert Medical School of Brown University, United States.
Nathan J PertschDepartment of Neurosurgery, The Warren Alpert Medical School of Brown University, United States.
Owen P LearyDepartment of Neurosurgery, The Warren Alpert Medical School of Brown University, United States.
Catherine M GarciaDepartment of Neurosurgery, The Warren Alpert Medical School of Brown University, United States.
Oliver Y TangDepartment of Neurosurgery, The Warren Alpert Medical School of Brown University, United States.
Steven A TomsDepartment of Neurosurgery, The Warren Alpert Medical School of Brown University, Rhode Island Hospital, United States.
Robert J WeilDepartment of Neurosurgery, Rhode Island Hospital, Rhode Island, United States.
Rhode Island Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoorer outcomes for infratentorial tumor resection have been reported. There is a lack of large multicenter analyses describing infratentorial surgery outcomes in older patients. We characterized outcomes in patients aged ≥65 years undergoing infratentorial cranial surgery.

methodsThe National Surgical Quality Improvement Project database was queried from 2012 to 2018 for patients ≥18 years undergoing elective infratentorial cranial surgery for tumor resection. Patients were grouped into 65-74 years, ≥75 years, and 18-64 years cohorts. Multivariable regressions compared outcome measures.

resultsOf 2212 patients, 28.3% were ≥65 years, of whom 24.8% were ≥75 years. Both older subpopulations had worse American Society of Anesthesiologists classification compared to controls (

conclusionPatients ≥65 years experienced more complications, prolonged LOS, and were less often discharged home than adults <65 years. Patients ≥75 years had higher rates of 30-day readmission and mortality. There is a need for careful preoperative optimization in older patients undergoing infratentorial tumor cranial surgery.

Indexed as

Brain tumorCranialElderlyInfratentorialMeningioma

Identifiers

PMID33948314
PMCPMC8088538
OpenAlexW3153998939

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.