Evidence map›Paper›PMID 36854814›Full record

SynthesisClinical neuroradiology2023

Preoperative Embolization of Meningiomas Facilitates Reduced Surgical Complications and Improved Clinical Outcomes : A Meta-analysis of Matched Cohort Studies.

Derrek Schartz, Taylor Furst, Nathaniel Ellens, Gurkirat Singh Kohli, Redi Rahmani, Sajal Medha K Akkipeddi, Tyler Schmidt, Tarun Bhalla, Thomas Mattingly, Matthew T Bender

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Clinical neuroradiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Successful pre-operative endovascular intraventricular meningioma embolization: a systematic review and pediatric case analysis.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Pooled it
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  3. Review
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  7. Observational
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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

10 authors at 1 institution in 1 country.

Derrek SchartzDepartment of Imaging Sciences, University of Rochester Medical Center, Rochester, NY, USA. derrek_schartz@urmc.rochester.edu.
Taylor FurstDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
Nathaniel EllensDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
Gurkirat Singh KohliDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
Redi RahmaniDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
Sajal Medha K AkkipeddiDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
Tyler SchmidtDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
Tarun BhallaDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
Thomas MattinglyDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
Matthew T BenderDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
University of Rochester Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe utility of preoperative embolization (PE) of intracranial meningiomas is unclear and controversial. The aim of this study was to investigate the effect of PE on meningioma surgical resection by completing a meta-analysis of matched cohort studies.

methodsA systematic review and meta-analysis of matched cohort studies was completed to evaluate the effect of PE on meningioma resection and outcomes. Outcome measures included: intraoperative blood loss, major surgical complications, total surgical complications including minor ones, total major complications including major surgical and embolization complications, total overall complications, and postoperative functional independence defined as modified Rankin Score (mRS) of 0-2. Pooled odds ratios (OR) were determined via a fixed effects model.

resultsA total of 6 matched cohort studies were identified with 219 embolized and 215 non-embolized meningiomas. There was no significant difference in intraoperative blood loss between the two groups (P = 0.87); however, the embolization group had a significantly lower odds ratio of major surgically related complications (OR: 0.37, 95% confidence interval, CI: 0.21-0.67, P = 0.0009, I

conclusionFor certain meningiomas, PE facilitates lower overall complications, lower major surgical complications, and improved functional independence. Further research is required to identify the particular subset of meningiomas that benefit from PE.

Indexed as

Embolization, TherapeuticMeningeal NeoplasmsMeningiomaBlood Loss, SurgicalCohort StudiesHumansPreoperative CareRetrospective StudiesTreatment OutcomeBrain tumorEmbolizationMeningiomaPreoperativeTransarterial

Identifiers

PMID36854814
OpenAlexW4322624841

What OpenQuestion holds

Textmetadata
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.