Evidence map›Paper›PMID 36411068›Full record

ArticleGlobal spine journal2024

Intraoperative Neurophysiological Monitoring for Intradural Extramedullary Spinal Tumours.

Asfand Baig Mirza, Amisha Vastani, Christoforos Syrris, Timothy Boardman, Imran Ghani, Christopher Murphy, Axumawi Gebreyohanes, Francesco Vergani, Ana Mirallave-Pescador, Jose P Lavrador and 2 more

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2024. 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
1.5field-weighted citation impact, top 17% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

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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

12 authors at 3 institutions in 1 country.

Asfand Baig MirzaDepartment of Neurosurgery, King's College Hospital NHS Foundation Trust, London, UK.
Amisha VastaniDepartment of Neurosurgery, King's College Hospital NHS Foundation Trust, London, UK.
Christoforos SyrrisDepartment of Neurosurgery, King's College Hospital NHS Foundation Trust, London, UK.
Timothy BoardmanGKT School of Medical Education, King's College London, London, UK.
Imran GhaniDepartment of Neurosurgery, King's College Hospital NHS Foundation Trust, London, UK.
Christopher MurphyDepartment of Neurosurgery, King's College Hospital NHS Foundation Trust, London, UK.
Axumawi GebreyohanesVictor Horsley Department of Neurosurgery, The National Hospital for Neurology and Neurosurgery, London, UK.ORCID 0000-0001-8181-2139
Francesco VerganiDepartment of Neurosurgery, King's College Hospital NHS Foundation Trust, London, UK.
Ana Mirallave-PescadorDepartment of Neurosurgery, King's College Hospital NHS Foundation Trust, London, UK.
Jose P LavradorDepartment of Neurosurgery, King's College Hospital NHS Foundation Trust, London, UK.
Ahilan Kailaya VasanDepartment of Neurosurgery, King's College Hospital NHS Foundation Trust, London, UK.
Gordan GrahovacDepartment of Neurosurgery, King's College Hospital NHS Foundation Trust, London, UK.
King's College Hospital NHS Foundation Trust · GBKing's College London · GBUniversity Hospital Southampton NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study.

objectivesIntraoperative neurophysiological monitoring (IONM) is widely used in spinal neurosurgery, particularly for intramedullary tumours. However, its validity in intradural extramedullary (IDEM) spinal tumours is less clearly defined, this being the focus of this study.

methodsWe compared outcomes for patients that underwent resection of IDEM tumours with and without IONM between 2010 and 2020. Primary outcomes were postoperative American Spinal Injury Association (ASIA) scores. Other factors assessed were use of intraoperative ultrasound, drain placement, postoperative complications, postoperative Eastern Cooperative Oncology Group (ECOG) score, extent of resection, length of hospital stay, discharge location and recurrence.

results163 patients were included, 71 patients in the IONM group and 92 in the non-IONM group. No significant differences were noted in baseline demographics. For preoperative ASIA D patients, 44.0% remained ASIA D and 49.9% improved to ASIA E in the IONM group, compared to 39.7% and 30.2% respectively in the non-IONM group. For preoperative ASIA E patients, 50.3% remained ASIA E and 44.0% deteriorated to ASIA D in the IONM group, compared to 30.2% and 39.7% respectively in the non-IONM group (all other patients deteriorated further). Length of inpatient stay was significantly shorter in the IONM group (

conclusionsResearch focusing on the use of IONM in IDEM tumour surgery remains scarce. Our study supports the use of IONM during surgical excision of IDEM tumours.

Indexed as

intradural extramedullary spinal cord tumoursintraoperative neurophysiological monitoringspinal neurosurgery

Identifiers

PMID36411068
PMCPMC11289564
OpenAlexW4309521431

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.