Evidence map›Paper›PMID 36706654›Full record

ArticleJournal of stroke and cerebrovascular diseases : the official journal of National Stroke Association2023

Practice variability in the perioperative management of pediatric moyamoya disease in North America.

Lisa R Sun, David S Hersh, Edward R Smith, Philipp R Aldana, Lori C Jordan

Open access · greenAbstract read
In one paragraph

Article in Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Relative anemia and perioperative stroke in children with moyamoya.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024
    Article
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

5 authors at 5 institutions in 1 country.

Lisa R SunDepartment of Neurology, Johns Hopkins School of Medicine, Baltimore, MD, USA. Electronic address: lsun20@jhmi.edu.
David S HershDivision of Neurosurgery, Connecticut Children's, Hartford, CT, USA.
Edward R SmithDepartment of Neurosurgery, Boston Children's Hospital, Boston, MA, USA.
Philipp R AldanaDepartment of Neurosurgery, University of Florida Health, Jacksonville, FL, USA.
Lori C JordanDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
Boston Children's Hospital · USConnecticut Children's Medical Center · USJohns Hopkins University · USUniversity of Florida Health · USVanderbilt University Medical Center · US

Funding

Overall: Eunice Kennedy Shriver Intellectual and Developmental Disabilities Research Center at VanderbiltP50HD103537 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Lea K Davis · 2020 to 2026
$10.3M
Mentoring in Patient-Oriented Research focused on Neurological Complications of Sickle Cell DiseaseK24HL147017 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI JORDAN, LORI CHAFFIN · 2019 to 2023
$547k
American Heart Association-American Stroke Association 850044NHLBI NIH HHS K24 HL147017
6 · The paper itself

Abstract

backgroundRevascularization surgery decreases the long-term risk of stroke in children with moyamoya but carries an increased risk of perioperative ischemic events. Evidence-based approaches to safe perioperative management of children with moyamoya are limited. We aimed to understand practice variability in perioperative moyamoya care.

methodsNeurologists, neurosurgeons, and intensivists practicing in North America with expertise in perioperative pediatric moyamoya care participated in a 138-item anonymous survey focused on interdisciplinary perioperative care surrounding indirect revascularization surgery.

resultsMany perioperative care practices vary substantially between participants. Timing of resumption of antiplatelet therapy postoperatively, choice of sedative agents and vasopressors, goal blood pressures, rate and duration of intravenous fluid administration, and red blood cell transfusion thresholds are among the most variable practices.

conclusionsThis practice variability survey highlights several important knowledge gaps and areas of equipoise that should be targets for future investigation and consensus-building efforts.

Indexed as

Cerebral RevascularizationMoyamoya DiseaseStrokeChildHumansHypnotics and SedativesPerioperative CareTreatment OutcomeHypnotics and SedativesChildhood strokeMoyamoyaPediatric strokeRevascularization

Identifiers

PMID36706654
PMCPMC10941270
OpenAlexW4318391961

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.