Evidence map›Paper›PMID 34232381›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2021

Ataxia and mobility in children following surgical resection of posterior fossa tumour: A longitudinal cohort study.

H Hartley, S Lane, B Pizer, L Bunn, B Carter, E Cassidy, C Mallucci, R Kumar

Abstract read
In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2021. 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
–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

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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. Trial
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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

8 authors.

H HartleyAlder Hey Children's NHS Foundation Trust, Liverpool, UK.
S LaneUniversity of Liverpool, Liverpool, UK.
B PizerAlder Hey Children's NHS Foundation Trust, Liverpool, UK.
L BunnUniversity of Plymouth, Plymouth, UK.
B CarterEdge Hill University, Ormskirk, UK. bernie.carter@edgehill.ac.uk.
E CassidyFreelance Academic, London, UK.
C MallucciAlder Hey Children's NHS Foundation Trust, Liverpool, UK.
R KumarAlder Hey Children's NHS Foundation Trust, Liverpool, UK.

Funding

National Institute for Health Research ICA-CDRF-2016-02-065
6 · The paper itself

Abstract

purposeTo report the course of ataxia in children up to 2 years post-operatively, following surgical resection of a posterior fossa tumour (PFT).

methodsThirty-five children, (median age 9 years, range 4-15) having resection of PFT, were assessed using the Scale for the Assessment and Rating of Ataxia (SARA), Brief Ataxia Rating Scale (BARS) and the mobility domain of the Paediatric Evaluation of Disability Index (PEDI-m) at initial post-operative period (baseline), 3 months, 1 year and 2 years post-operatively.

resultsBaseline median scores of the SARA and BARS were 8.5 (range 0-35.5), and 7 (0-25) respectively. Ataxia improved at 3 months (median SARA and BARS reduction 3.5 and 4, respectively). Additional gradual improvements in SARA were recorded at 1 (median reduction 2) and 2 years post-operatively (median reduction 0.5). Median baseline PEDI-m was 54.75 (range 15.2-100) with improvement at 3 months (median increase 36.95) and small improvement at 1 year (median increase 2.5) and 2 years (median increase 5.8). Children with medulloblastoma and midline tumours (median baseline SARA 10 and 11, respectively) demonstrated more severe ataxia than children with low-grade gliomas and unilateral tumours (median baseline SARA 7.5 and 6.5, respectively).

conclusionThe largest improvement in ataxia scores and functional mobility scores is demonstrated within the first 3 months post-operatively, but ongoing gradual improvement is observed at 2 years. Children with medulloblastoma and midline tumour demonstrated higher ataxia scores long term.

Indexed as

Cerebellar NeoplasmsInfratentorial NeoplasmsAtaxiaChildCohort StudiesHumansInfantLongitudinal StudiesSeverity of Illness IndexCerebellumPaediatricsRehabilitation

Identifiers

PMID34232381
PMCPMC8423635

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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.