Evidence map›Paper›PMID 37048699›Full record

ReviewJournal of clinical medicine2023

Endovascular Treatment for Acute Basilar Artery Occlusion: A Fragility Index Meta-Analysis.

Lina Palaiodimou, Andreas Eleftheriou, Aristeidis H Katsanos, Apostolos Safouris, Georgios Magoufis, Stavros Spiliopoulos, Georgios Velonakis, Sofia Vassilopoulou, Diana Aguiar de Sousa, Guillaume Turc and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Review
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  5. Review
  6. 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

12 authors at 9 institutions in 7 countries.

Lina PalaiodimouSecond Department of Neurology, "Attikon" University Hospital, School of Medicine, National and Kapodistrian University of Athens, 15784 Athens, Greece.ORCID 0000-0001-7757-609X
Andreas EleftheriouSecond Department of Neurology, "Attikon" University Hospital, School of Medicine, National and Kapodistrian University of Athens, 15784 Athens, Greece.ORCID 0000-0002-8535-1226
Aristeidis H KatsanosDivision of Neurology, McMaster University and Population Health Research Institute, Hamilton, ON L8L2X2, Canada.ORCID 0000-0002-6359-0023
Apostolos SafourisSecond Department of Neurology, "Attikon" University Hospital, School of Medicine, National and Kapodistrian University of Athens, 15784 Athens, Greece.ORCID 0000-0002-9630-6949
Georgios MagoufisStroke Unit, Metropolitan Hospital, 18547 Piraeus, Greece.
Stavros SpiliopoulosInterventional Radiology Department, "Attikon" University Hospital, 12462 Athens, Greece.ORCID 0000-0003-1860-0568
Georgios VelonakisResearch Unit of Radiology, 2nd Department of Radiology, Eginition Hospital, National and Kapodistrian University of Athens, 15784 Athens, Greece.ORCID 0000-0002-0050-284X
Sofia VassilopoulouFirst Department of Neurology, Eginition Hospital, School of Medicine, National and Kapodistrian University of Athens, 15784 Athens, Greece.
Diana Aguiar de SousaStroke Center, Lisbon Central University Hospital, 1649-024 Lisbon, Portugal.
Guillaume TurcDepartment of Neurology, GHU Paris Psychiatrie et Neurosciences, 75014 Paris, France.
Daniel StrbianDepartment of Neurology, Helsinki University Hospital and University of Helsinki, 00029 Helsinki, Finland.
Georgios TsivgoulisSecond Department of Neurology, "Attikon" University Hospital, School of Medicine, National and Kapodistrian University of Athens, 15784 Athens, Greece.
National and Kapodistrian University of Athens · GRInserm · FRMetropolitan Hospital · GRPopulation Health Research Institute · CASemmelweis University · HUUniversity General Hospital Attikon · GRUniversity of Helsinki · FIUniversity of Lisbon · PTUniversity of Tennessee Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHigh-quality evidence regarding the use of endovascular treatment (EVT) in patients with acute basilar artery occlusion (BAO) has been provided by recently completed randomized controlled clinical trials (RCTs).

methodsWe conducted a systematic review and meta-analysis including all available RCTs that investigated efficacy and safety of EVT in addition to best medical treatment (BMT) versus BMT alone for BAO. The random-effects model was used, while the fragility index (FI) was calculated for dichotomous outcomes of interest.

resultsFour RCTs were included comprising a total of 988 patients with acute BAO (mean age: 65.6 years, 70% men, median NIHSS: 24, 39% pretreatment with intravenous thrombolysis). EVT was related to higher likelihood of good functional outcome (RR: 1.54; 95% CI: 1.16-2.05; I

conclusionsEVT combined with BMT is associated with a higher likelihood of achieving good functional outcomes and a lower risk of death at 3 months compared to BMT alone, despite the higher risk of sICH. An individual-patient data meta-analysis is warranted to uncover and adjust for potential sources of heterogeneity and to provide further insight.

Indexed as

acute basilar artery occlusionacute ischemic strokebasilar strokeendovascular treatmentmechanical thrombectomymeta-analysisposterior circulationrandomized controlled clinical trials

Identifiers

PMID37048699
PMCPMC10094975
OpenAlexW4362465932

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.