Evidence map›Paper›PMID 36514286›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2024

Basilar artery occlusion management: An international survey of middle versus high-income countries.

Brian Drumm, Ana Herning, Piers Klein, Jean Raymond, Mohamad Abdalkader, Xiaochuan Huo, Yimin Chen, James E Siegler, Meabh Peacock, Wouter J Schonewille and 55 more

Open access · greenAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

65 authors at 20 institutions in 21 countries.

Brian DrummDepartment of Stroke Medicine, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK.
Ana HerningDepartment of Neurology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, USA.
Piers KleinDepartment of Radiology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID 0000-0001-7468-137X
Jean RaymondDepartment of Radiology, Interventional Neuroradiology Division, Centre Hospitalier de l'Universite de Montreal, Montreal, Canada.
Mohamad AbdalkaderDepartment of Radiology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID 0000-0002-9528-301X
Xiaochuan HuoInterventional Neuroradiology, Beijing Tiantan Hospital, Beijing, China.
Yimin ChenDepartment of Neurology, Foshan Sanshui District People's Hospital, Foshan, China.ORCID 0000-0002-1805-6665
James E SieglerDepartment of Neurology, Cooper Neurological Institute, Cooper University Hospital, Camden, NJ, USA.
Meabh PeacockDepartment of Stroke Medicine, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK.
Wouter J SchonewilleDepartment of Neurology, St Antonius Hospital, Nieuwegein, The Netherlands.ORCID 0000-0002-4070-9730
Xinfeng LiuDepartment of Neurology, St Antonius Hospital, Nieuwegein, The Netherlands.
Wei HuStroke Center and Department of Neurology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.
Xunming JiDepartment of Neurosurgery, Xuanwu Hospital, Beijing, China.
Chuanhui LiDepartment of Neurology, Xuanwu Hospital, Beijing, China.
Fana AlemsegedDepartment of Medicine and Neurology, Melbourne Brain Centre at the Royal Melbourne Hospital, University of Melbourne, Parkville, Victoria, Australia.
Liping LiuDepartment of Neurology, Beijing Tiantan Hospital, Beijing, China.
Simon NagelDepartment of Neurology, Heidelberg University Hospital, Heidelberg, Germany.
Daniel StrbianInterventional Neuroradiology, Beijing Tiantan Hospital, Beijing, China.
Leticia C RebelloHospital de Base do Distrito Federal, Brasilia, Brazil.
Shadi YaghiDepartment of Neurology, Rhode Island Hospital, Brown University, Providence, RI, USA.
Muhammad M QureshiDepartment of Radiology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Urs FischerDepartment of Neurology, Bern University Hospital, University of Bern, Bern, Switzerland.
Georgios TsivgoulisSecond Department of Neurology "Attikon" University Hospital, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0002-0640-3797
Johannes KaesmacherInstitute of Diagnostic and Interventional Neuroradiology, University Hospital Bern, Inselspital, Bern, Switzerland.
Hiroshi YamagamiDepartment of Stroke Neurology, National Hospital Organization, Osaka National Hospital, Osaka, Japan.
Volker PuetzDepartment of Neurology, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
P N SylajaSree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
João Pedro MartoDepartment of Neurology, Hospital de Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal.
Simona SaccoDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy.
Espen Saxhaug KristoffersenDepartment of Neurology, Akershus University Hospital, Lørenskog, Norway.
Jelle DemeestereNeurology Department, Leuven University Hospital, Leuven, Belgium.
Adriana B ConfortoHospital das Clínicas, São Paulo University, Sao Paulo, Brazil.
Lukas MeyerDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Daniel P O KaiserDresden Neurovascular Center, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Tilman ReiffDepartment of Neurology, Heidelberg University Hospital, Heidelberg, Germany.ORCID 0000-0001-7700-6134
Kubilay AydinInterventional Neuroradiology, Koc University Hospital, Istanbul University, Istanbul, Turkey.
Michele RomoliNeurology and Stroke Unit, Department of Neuroscience, Bufalini Hospital, Cesena, Italy.
Francesco DianaNeuroradiology, University Hospital 'San Giovanni di Dio e Ruggi d'Aragona', Salerno, Italy.ORCID 0000-0002-3245-917X
Kyriakos LobotesisDepartment of Stroke Medicine, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK.
Dylan RoiDepartment of Stroke Medicine, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK.
Hesham E MasoudDepartment of Neurology, SUNY Upstate Medical University, Syracuse, NY, USA.
Alice MaRoyal North Shore Hospital, Sydney, Australia.
Mahmoud H MohammadenDepartment of Neurology, Grady Memorial Hospital, Atlanta, GA, USA.
Mohamed F DoheimDepartment of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Yuyou ZhuStroke Center and Department of Neurology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.
Hongfei SangDepartment of Neurology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Dapeng SunInterventional Neuroradiology, Beijing Tiantan Hospital, Beijing, China.
Mai Duy TonStroke Center, Bach Mai Hospital, Hanoi Medical University, Hanoi, Vietnam.
RaynaldInterventional Neuroradiology, Beijing Tiantan Hospital, Beijing, China.
Fengli LiDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University, Chongqing, China.
Bertrand LapergueStroke Center Neurology Division, Hôpital Foch, Suresnes, France.
Uta HanningDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Qingwu YangDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University, Chongqing, China.
Jin Soo LeeDepartment of Neurology, Ajou University Hospital, Ajou University School of Medicine, Suwon, Korea.
Götz ThomallaUniversitätsklinikum Hamburg-Eppendorf, Klinik und Poliklinik für Neurologie, Hamburg, Germany.
Pengfei YangNeurovascular Center, Changhai Hospital, Naval Medical University, China.
Jianmin LiuNeurovascular Center, Changhai Hospital, Naval Medical University, China.
Bruce C V CampbellDepartment of Medicine and Neurology, Melbourne Brain Centre at the Royal Melbourne Hospital, University of Melbourne, Parkville, Victoria, Australia.
Hui-Sheng ChenDepartment of Neurology, General Hospital of Northern Theatre Command, Shenyang, China.
Osama O ZaidatNeuroscience and Stroke Program, Bon Secours Mercy Health St Vincent Hospital, Toledo, OH, USA.
Zhongming QiuDepartment of Neurology, The 903rd Hospital of The Chinese People's Liberation Army, Hangzhou, China.
Raul G NogueiraDepartment of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Zhongrong MiaoInterventional Neuroradiology, Beijing Tiantan Hospital, Beijing, China.ORCID 0000-0001-9642-9415
Thanh N NguyenDepartment of Radiology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID 0000-0002-2810-1685
Soma BanerjeeDepartment of Stroke Medicine, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UK.
Boston University · USImperial College Healthcare NHS Trust · GBUniversität Hamburg · DEArmy Medical University · CNBeijing Xuanwu Traditional Chinese Medicine Hospital · CNHeidelberg University · DESecond Military Medical University · CNSt. Antonius Ziekenhuis · NLThe Royal Melbourne Hospital · AUUniversity Hospital Carl Gustav Carus · DEUniversity of Pittsburgh Medical Center · USUniversity of Science and Technology of China · CN117th Hospital of People's Liberation Army · CNAjou University Hospital · KRBeijing Tian Tan Hospital · CNBrown University · USCentre Hospitalier de l’Université de Montréal · CACooper University Hospital · USFoshan Second People's Hospital · CNGeneral Hospital of Shenyang Military Region · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeTwo early basilar artery occlusion (BAO) randomized controlled trials (RCTs) did not establish the superiority of endovascular thrombectomy (EVT) over medical management. Yet many providers continued to recommend EVT. The goal of the present article is to compare physicians' diagnostic and management strategies of BAO among middle-income and high-income countries (MICs and HICs, respectively).

methodsWe conducted an international survey from January to March 2022 regarding management strategies in acute BAO, to examine clinical and imaging parameters influencing clinician management of patients with BAO. We compared responses between physicians from HIC and MIC.

resultsAmong the 1245 respondents from 73 countries, 799 (64.2%) were from HIC, with the remaining 393 (31.6%) from MIC. Most respondents perceived that EVT was superior to medical management for acute BAO, but more so in respondents from HIC (98.0% vs. 94.2%, p < 0.01). MIC respondents were more likely to believe further RCTs were warranted (91.6% vs. 74.0%, p < 0.01) and were more likely to find it acceptable to enroll any patient who met a trial's criteria in the standard medical treatment arm (58.8% vs. 38.5%, p < 0.01).

conclusionsIn an area where clinical equipoise was called into question despite the lack of RCT evidence, we found that respondents from MIC were more likely to express willingness to enroll patients with BAO in an RCT than their HIC counterparts.

Indexed as

Developed CountriesEndovascular ProceduresVertebrobasilar InsufficiencyFemaleHumansMalePractice Patterns, Physicians'Surveys and QuestionnairesThrombectomyBasilar artery occlusionhigh-income countryintravenous thrombolysismechanical thrombectomymiddle-income country

Identifiers

PMID36514286
PMCPMC11569472
OpenAlexW4311331440

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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.