Evidence map›Paper›PMID 35309589›Full record

ArticleFrontiers in neurology2022

The Bigger the Better? Center Volume Dependent Effects on Procedural and Functional Outcome in Established Endovascular Stroke Centers.

Marianne Hahn, Sonja Gröschel, Yasemin Tanyildizi, Marc A Brockmann, Klaus Gröschel, Timo Uphaus, German Stroke Registry-Endovascular Treatment (GSR-ET) Investigators

Abstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

5 citing papers in PubMed.

  1. Article
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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

7 authors.

Marianne HahnDepartment of Neurology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Sonja GröschelDepartment of Neurology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Yasemin TanyildiziDepartment of Neuroradiology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Marc A BrockmannDepartment of Neuroradiology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Klaus GröschelDepartment of Neurology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Timo UphausDepartment of Neurology, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
German Stroke Registry-Endovascular Treatment (GSR-ET) Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mechanical thrombectomy (MT) rates for the treatment of acute ischaemic stroke due to large vessel occlusion are steadily increasing, but are delivered in heterogenic settings. We aim to investigate effects of procedural load in centers with established MT-structures by comparing high- vs. low-volume centers with regard to procedural characteristics and functional outcomes. Methods: Data from 5,379 patients enrolled in the German Stroke Registry Endovascular Treatment (GSR-ET) between June 2015 and December 2019 were compared between three groups: high volume: ≥180 MTs/year, 2,342 patients; medium volume: 135-179 MTs/year, 2,202 patients; low volume: <135 MTs/year, 835 patients. Univariate analysis and multiple linear and logistic regression analyses were performed to identify differences between high- and low-volume centers. Results: We identified high- vs. low-volume centers to be an independent predictor of shorter intra-hospital (admission to groin puncture: 60 vs. 82 min, β = -26.458; Conclusion: Differences in efficiency measured by procedural times call for analysis and optimization of in-house procedural workflows at regularly used but comparatively low procedural volume MT centers.

Indexed as

center volumeendovascular stroke therapyGSR-ETmechanical thrombectomyprocedural volumestroke

Identifiers

PMID35309589
PMCPMC8925986

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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.