Evidence map›Paper›PMID 37280446›Full record

ArticleWorld journal of surgery2023

Study on the Influencing Factors of Short-Term Recovery of Neurological Symptoms after Carotid Body Tumor Resection.

Wanzhong Yuan, Ran Huo, Chaofan Hou, Zhongzheng Wang, Jun Yang, Tao Wang

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Article in World journal of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Wanzhong YuanDepartment of Neurosurgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Ran HuoDepartment of Radiology, Peking University Third Hospital, Beijing, China.
Chaofan HouDepartment of Neurosurgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Zhongzheng WangDepartment of Neurosurgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Jun YangDepartment of Neurosurgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China.
Tao WangDepartment of Neurosurgery, Peking University Third Hospital, 49 North Garden Road, Haidian District, Beijing, 100191, China. wangtao@bjmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the differences in the short-term recovery from neurological symptoms (SRN) (≤ 6 months) and clinical characteristics of patients with different Shamblin classifications carotid body tumor (CBT) resection and to analyze the risk factors affecting SRN after surgery.

methodsPatients who underwent CBT resection between June 2018 and September 2022 were recruited. Perioperative factors and indicators of the nature of the tumor were recorded. The risk factors affecting SRN after CBT resection were analyzed using logistic regression analysis.

resultsEighty-five patients (43.86 ± 12.7 years, 46 females) were included, 40 (47.06%) of whom exhibited SRN. Univariate logistic regression showed that preoperative symptoms, surgical side, bilateral posterior communicating artery (PcoA) opening, some indicators of tumor size, operative/anesthesia time, and Shamblin III classification were correlated with postoperative neurological prognosis (all p < 0.05). After adjusting for confounders, preoperative symptoms (OR, 5.072; 95% CI 1.027-25.052; p = 0.046), surgical side (OR, 0.025; 95% CI 0.003-0234; p = 0.001), bilateral PcoA opening (OR, 22.671; 95% CI 2.549-201.666; p = 0.005), distance from the tip of the C2 dens to the superior aspect (dens-CBT) (OR, 0.918; 95% CI 0.858-0.982; p = 0.013) and Shamblin III classification (OR, 28.488; 95% CI 1.986-408.580; p = 0.014) were correlated with postoperative neurological symptom recovery.

conclusionPreoperative symptoms, surgical side (right), bilateral PcoA opening, a short dens-CBT and Shamblin III classification are risk factors affecting SRN after CBT resection. Early resection is recommended for small-volume CBTs without neurovascular compression or invasion to obtain SRN.

Indexed as

Carotid Body TumorFemaleHumansPrognosisRetrospective StudiesTreatment OutcomeVascular Surgical Procedures

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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.