Evidence map›Paper›PMID 36247402›Full record

ArticleBrain & spine2021

The association of patient age with postoperative morbidity and mortality following resection of intracranial tumors.

Yang Yang, Anna M Zeitlberger, Marian C Neidert, Victor E Staartjes, Morgan Broggi, Costanza Maria Zattra, Flavio Vasella, Julia Velz, Jiri Bartek, Alexander Fletcher-Sandersjöö and 25 more

Abstract read
In one paragraph

Article in Brain & spine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

35 authors.

Yang YangDepartment of Neurosurgery, Cantonal Hospital of St. Gallen, St. Gallen, Switzerland.
Anna M ZeitlbergerDepartment of Neurosurgery, Cantonal Hospital of St. Gallen, St. Gallen, Switzerland.
Marian C NeidertDepartment of Neurosurgery, Cantonal Hospital of St. Gallen, St. Gallen, Switzerland.
Victor E StaartjesDepartment of Neurosurgery, University Hospital Zurich and Clinical Neuroscience Center, University of Zurich, Zurich, Switzerland.
Morgan BroggiDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Costanza Maria ZattraDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Flavio VasellaDepartment of Neurosurgery, University Hospital Zurich and Clinical Neuroscience Center, University of Zurich, Zurich, Switzerland.
Julia VelzDepartment of Neurosurgery, University Hospital Zurich and Clinical Neuroscience Center, University of Zurich, Zurich, Switzerland.
Jiri BartekDepartment of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden.
Alexander Fletcher-SandersjööDepartment of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden.
Petter FöranderDepartment of Neurosurgery, Karolinska University Hospital, Stockholm, Sweden.
Darius KalasauskasDepartment of Neurosurgery, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.
Mirjam RenovanzDepartment of Neurosurgery, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.
Florian RingelDepartment of Neurosurgery, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.
Konstantin R BrawanskiDepartment of Neurosurgery, Medical University of Innsbruck, Innsbruck, Austria.
Johannes KerschbaumerDepartment of Neurosurgery, Medical University of Innsbruck, Innsbruck, Austria.
Christian F FreyschlagDepartment of Neurosurgery, Medical University of Innsbruck, Innsbruck, Austria.
Asgeir S JakolaDepartment of Neurosurgery, Sahlgrenska University Hospital, Gothenburg, Sweden.
Kristin SjåvikDepartment of Neurosurgery, University Hospital of North Norway, Tromsö, Norway.
Ole SolheimDepartment of Neurosurgery, St. Olavs University Hospital, Trondheim, Norway.
Bawarjan SchatloDepartment of Neurosurgery, Georg August University, University Medical Center, Göttingen, Germany.
Alexandra SachkovaDepartment of Neurosurgery, Georg August University, University Medical Center, Göttingen, Germany.
Hans Christoph BockDepartment of Neurosurgery, Georg August University, University Medical Center, Göttingen, Germany.
Abdelhalim HusseinDepartment of Neurosurgery, Georg August University, University Medical Center, Göttingen, Germany.
Veit RohdeDepartment of Neurosurgery, Georg August University, University Medical Center, Göttingen, Germany.
Marike L D BroekmanDepartment of Neurosurgery, Haaglanden Medical Center, The Hague, the Netherlands.
Claudine O NogaredeDepartment of Neurosurgery, Haaglanden Medical Center, The Hague, the Netherlands.
Cynthia M C LemmensDepartment of Neurology, Haaglanden Medical Center, The Hague, the Netherlands.
Julius M KernbachDepartment of Neurosurgery, Faculty of Medicine, RWTH Aachen University, Aachen, Germany.
Georg NeulohDepartment of Neurosurgery, Faculty of Medicine, RWTH Aachen University, Aachen, Germany.
Niklaus KrayenbühlDepartment of Neurosurgery, University Hospital Zurich and Clinical Neuroscience Center, University of Zurich, Zurich, Switzerland.
Paolo FerroliDepartment of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, Milan, Italy.
Luca RegliDepartment of Neurosurgery, University Hospital Zurich and Clinical Neuroscience Center, University of Zurich, Zurich, Switzerland.
Oliver BozinovDepartment of Neurosurgery, Cantonal Hospital of St. Gallen, St. Gallen, Switzerland.
Martin N StienenDepartment of Neurosurgery, Cantonal Hospital of St. Gallen, St. Gallen, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The postoperative functional status of patients with intracranial tumors is influenced by patient-specific factors, including age. Research question: This study aimed to elucidate the association between age and postoperative morbidity or mortality following the resection of brain tumors. Material and methods: A multicenter database was retrospectively reviewed. Functional status was assessed before and 3-6 months after tumor resection by the Karnofsky Performance Scale (KPS). Uni- and multivariable linear regression were used to estimate the association of age with postoperative change in KPS. Logistic regression models for a ≥10-point decline in KPS or mortality were built for patients ≥75 years. Results: The total sample of 4864 patients had a mean age of 56.4 ​± ​14.4 years. The mean change in pre-to postoperative KPS was -1.43. For each 1-year increase in patient age, the adjusted change in postoperative KPS was -0.11 (95% CI -0.14 - - 0.07). In multivariable analysis, patients ≥75 years had an odds ratio of 1.51 to experience postoperative functional decline (95%CI 1.21-1.88) and an odds ratio of 2.04 to die (95%CI 1.33-3.13), compared to younger patients. Discussion: Patients with intracranial tumors treated surgically showed a minor decline in their postoperative functional status. Age was associated with this decline in function, but only to a small extent. Conclusion: Patients ≥75 years were more likely to experience a clinically meaningful decline in function and about two times as likely to die within the first 6 months after surgery, compared to younger patients.

Indexed as

AgeFunctional statusIntracranial tumorKPSOutcomeRisk factor

Identifiers

PMID36247402
PMCPMC9560674

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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.