Evidence map›Paper›PMID 34079036›Full record

ArticleScientific reports2021

Clinical features and prognostic factors in spinal meningioma surgery from a multicenter study.

Kazuyoshi Kobayashi, Kei Ando, Tomohiro Matsumoto, Koji Sato, Fumihiko Kato, Tokumi Kanemura, Hisatake Yoshihara, Yoshihito Sakai, Atsuhiko Hirasawa, Hiroaki Nakashima and 1 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
6.0field-weighted citation impact, top 3% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. A novel dura splitting technique for surgical resection of anterior spinal meningioma: a case series and systematic review of the literature.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Pooled it
  2. Drain versus no drain after intradural spine surgery: a 10-year multicenter study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  3. Intraoperative neurophysiological monitoring and patient-related outcomes in thoracic spinal meningiomas surgery: a single-center retrospective cohort study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  4. Contralateral vs. ipsilateral hemilaminectomy for spinal meningiomas: impact on resection completeness, stability, and recurrence.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  15. Spinal meningiomas.Neuro-oncology advances · 2023
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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

11 authors at 7 institutions in 1 country.

Kazuyoshi KobayashiDepartment of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8550, Japan. k_koba1@f2.dion.ne.jp.
Kei AndoDepartment of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8550, Japan.
Tomohiro MatsumotoDepartment of Orthopaedic Surgery, Chubu Rosai Hospital, 1-10-6, Komei-cho, Minami-ku, Nagoya, Aichi, 455-8530, Japan.
Koji SatoDepartment of Orthopaedic Surgery, Japanese Red Cross Nagoya Daini Hospital, Myokencho 2-9, Syowa-ku, Nagoya, Aichi, 466-8650, Japan.
Fumihiko KatoDepartment of Orthopaedic Surgery, Chubu Rosai Hospital, 1-10-6, Komei-cho, Minami-ku, Nagoya, Aichi, 455-8530, Japan.
Tokumi KanemuraDepartment of Orthopaedic Surgery, Konan Kousei Hospital, 137, Takaya-cho, Omatsubara, Takaya-cho, Konan, Aichi, 483-8704, Japan.
Hisatake YoshiharaDepartment of Orthopaedic Surgery, Toyohashi Municipal Hospital, 50 Aza Hachiken Nishi, Aotake-cho, Toyohashi, Aichi, 441-8570, Japan.
Yoshihito SakaiDepartment of Orthopaedic Surgery, National Center for Geriatrics and Gerontology, 7-430 Morioka-cho, Obu, Aichi, 474-8511, Japan.
Atsuhiko HirasawaDepartment of Orthopaedic Surgery, Aichi Medical University Hospital, 1-1, Yazakokarimata, Nagakute, Aichi, 480-1195, Japan.
Hiroaki NakashimaDepartment of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8550, Japan.
Shiro ImagamaDepartment of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, 466-8550, Japan.
Nagoya University · JPChubu Rosai Hospital · JPAichi Medical University Hospital · JPJapanese Red Cross Nagoya Daini Hospital · JPKonan Kosei Hospital · JPNational Center for Geriatrics and Gerontology · JPToyohashi Municipal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Meningiomas are benign tumors that are treated surgically. Local recurrence is likely if the dura is preserved, and en bloc tumor and dura resection (Simpson grade I) is recommended. In some cases the dura is cauterized and preserved after tumor resection (Simpson grade II). The purpose of this study was performed to analyze clinical features and prognostic factors associated with spinal meningioma, and to identify the most effective surgical treatment. The subjects were 116 patients (22 males, 94 females) with spinal meningioma who underwent surgery at seven NSG centers between 1998 and 2018. Clinical data were collected from the NSG database. Pre- and postoperative neurological status was defined using the modified McCormick scale. The patients had a mean age of 61.2 ± 14.8 years (range 19-91 years) and mean symptom duration of 11.3 ± 14.7 months (range 1-93 months). Complete resection was achieved in 108 cases (94%), including 29 Simpson grade I and 79 Simpson grade II resections. The mean follow-up period was 84.8 ± 52.7 months. At the last follow-up, neurological function had improved in 73 patients (63%), was stable in 34 (29%), and had worsened in 9 (8%). Eight patients had recurrence, and recurrence rates did not differ significantly between Simpson grades I and II in initial surgery. Kaplan-Meier analysis of recurrence-free survival showed that Simpson grade III or IV, male, and dural tail sign were significant factors associated with recurrence (P < 0.05). In conclusion, Simpson I resection is anatomically favorable for spinal meningiomas. Younger male patients with a dural tail and a high-grade tumor require close follow-up. The tumor location and feasibility of surgery can affect the surgical morbidity in Simpson I or II resection. All patients should be carefully monitored for long-term outcomes, and we recommend lifelong surveillance after surgery.

Indexed as

AdultAgedAged, 80 and overDura MaterFemaleHumansMagnetic Resonance ImagingMaleMeningiomaMiddle AgedNeoplasm GradingPrognosisRetrospective StudiesSpinal NeoplasmsSurvival AnalysisTreatment Outcome

Identifiers

PMID34079036
PMCPMC8172892
OpenAlexW3165257778

What OpenQuestion holds

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LicenceCC BY
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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.