Evidence map›Paper›PMID 36434680›Full record

ArticleChinese neurosurgical journal2022

Endoscopic surgery versus craniotomy in the treatment of spontaneous intracerebral hematoma: a systematic review and meta-analysis.

Xiaolin Du, Xiaoning Lin, Cheng Wang, Kun Zhou, Yigong Wei, Xinhua Tian

Open access · diamondAbstract read
In one paragraph

Article in Chinese neurosurgical journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 22% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 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

6 authors at 2 institutions in 1 country.

Xiaolin DuDepartment of Neurosurgery, The Jinyang Hospital Affiliated to Guizhou Medical University, Guiyang, 550084, China.
Xiaoning LinDepartment of Neurosurgery, Zhong Shan hospital Xiamen University, Xiamen, 361012, China.
Cheng WangDepartment of Neurosurgery, The Jinyang Hospital Affiliated to Guizhou Medical University, Guiyang, 550084, China.
Kun ZhouDepartment of Neurosurgery, The Jinyang Hospital Affiliated to Guizhou Medical University, Guiyang, 550084, China.
Yigong WeiDepartment of Neurosurgery, The Jinyang Hospital Affiliated to Guizhou Medical University, Guiyang, 550084, China.
Xinhua TianDepartment of Neurosurgery, Zhong Shan hospital Xiamen University, Xiamen, 361012, China. txhphd@163.com.
Guiyang Medical University · CNZhongshan Hospital of Xiamen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpontaneous intracerebral hemorrhage (SICH) has high morbidity and mortality, with no clear standard of treatment available. Compared with the craniotomy approach, neuroendoscopy is a relatively minimally invasive treatment method, and may be an efficient alternative. Therefore, this meta-analysis aimed to assess the clinical efficacy of neuroendoscopy and craniotomy in SICH patients.

methodsThe electronic databases Web of Science, PubMed, EmBase, MEDLINE, and the Cochrane Library were systematically searched. According to the PRISMA template, we finally selected and analyzed 14 eligible studies that evaluated neuroendoscopy versus craniotomy. Primary outcomes included operation time, intraoperative blood loss volume, evacuation rate, residual hematoma, complications, hospital stay duration, clinical outcomes, and other parameters.

resultsA total of 4 randomized controlled trials (RCTs) and 10 retrospective studies (non-RCTs) involving 1652 patients were included in the final analysis. In the neuroendoscopy (NE) group, operation time (p < 0.00001), intraoperative blood loss volume (p < 0.0001), hematoma evacuation rate (p = 0.0002), complications (p < 0.00001), hospitalization days (p = 0.004), and mortality (p < 0.0001) were significantly different from those of the craniotomy (C) group, with a higher rate of good recovery compared with the craniotomy group (P < 0.00001).

conclusionsThese findings suggest that patients with SICH and physicians may benefit more from neuroendoscopic surgery than craniotomy.

Indexed as

CraniotomyIntracerebral hematomaNeuroendoscopy

Identifiers

PMID36434680
PMCPMC9701065
OpenAlexW4309961370

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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.