Evidence map›Paper›PMID 34209578›Full record

ArticleCancers2021

Long-Term Follow-Up and Predictors of Functional Outcome after Surgery for Spinal Meningiomas: A Population-Based Cohort Study.

Jenny Pettersson-Segerlind, Alexander Fletcher-Sandersjöö, Charles Tatter, Gustav Burström, Oscar Persson, Petter Förander, Tiit Mathiesen, Jiri Bartek, Erik Edström, Adrian Elmi-Terander

Abstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Urinary dysfunction in spinal meningiomas: a significant disease severity marker in a cohort of 165 patients.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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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

10 authors.

Jenny Pettersson-SegerlindDepartment of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden.
Alexander Fletcher-SandersjööDepartment of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden.ORCID 0000-0002-3558-3045
Charles TatterDepartment of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden.
Gustav BurströmDepartment of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden.
Oscar PerssonDepartment of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden.
Petter FöranderDepartment of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden.
Tiit MathiesenDepartment of Clinical Neuroscience, Karolinska Institutet, 171 77 Stockholm, Sweden.
Jiri BartekDepartment of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden.
Erik EdströmDepartment of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden.ORCID 0000-0002-8781-1169
Adrian Elmi-TeranderDepartment of Neurosurgery, Karolinska University Hospital, 171 64 Stockholm, Sweden.ORCID 0000-0002-3776-6136

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spinal meningiomas are the most common adult primary spinal tumor, constituting 24-45% of spinal intradural tumors and 2% of all meningiomas. The aim of this study was to assess postoperative complications, long-term outcomes, predictors of functional improvement and differences between elderly (≥70 years) and non-elderly (18-69 years) patients surgically treated for spinal meningiomas. Variables were retrospectively collected from patient charts and magnetic resonance images. Baseline comparisons, paired testing and regression analyses were used. In conclusion, 129 patients were included, with a median follow-up time of 8.2 years. Motor deficit was the most common presenting symptom (66%). The median time between diagnosis and surgery was 1.3 months. A postoperative complication occurred in 10 (7.8%) and tumor growth or recurrence in 6 (4.7%) patients. Surgery was associated with significant improvement of motor and sensory deficit, gait disturbance, bladder dysfunction and pain. Time to surgery, tumor area and the degree of spinal cord compression significantly predicted postoperative improvement in a modified McCormick scale (mMCs) in the univariable regression analysis, and spinal cord compression showed independent risk association in multivariable analysis. There was no difference in improvement, complications or tumor control between elderly and non-elderly patients. We concluded that surgery of spinal meningiomas was associated with significant long-term neurological improvement, which could be predicted by time to surgery, tumor size and spinal cord compression.

Indexed as

ageelderlymeningiomaneurosurgeryspinal meningiomaspinesurgery

Identifiers

PMID34209578
PMCPMC8269374

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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.