Evidence map›Paper›PMID 37564732›Full record

ArticleFrontiers in neurology2023

Comparison of different surgical techniques for chronic subdural hematoma: a network meta-analysis.

Youjia Qiu, Minjia Xie, Aojie Duan, Ziqian Yin, Menghan Wang, Xi Chen, Zhouqing Chen, Wei Gao, Zhong Wang

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. 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

9 authors at 2 institutions in 1 country.

Youjia QiuDepartment of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Minjia XieDepartment of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Aojie DuanDepartment of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Ziqian YinSuzhou Medical College of Soochow University, Suzhou, Jiangsu, China.
Menghan WangSuzhou Medical College of Soochow University, Suzhou, Jiangsu, China.
Xi ChenDepartment of Epidemiology and Statistics, School of Public Health, Medical College, Zhejiang University, Hangzhou, China.
Zhouqing ChenDepartment of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Wei GaoDepartment of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Zhong WangDepartment of Neurosurgery, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Soochow University · CNZhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Chronic subdural hematoma (CSDH) is a neurosurgical condition with high prevalence. Many surgical approaches are recommended for treating CSDH, but there needs to be a consensus on the optimal technique. This network meta-analysis (NMA) compared the efficacy and safety of different surgical treatments for CSDH. Methods: Electronic databases, including PubMed, Embase, and the Cochrane Library, were searched for relevant studies up to February 2023. An NMA was performed to compare the outcomes of patients with CSDH treated by single-hole or double-hole craniotomy (SBHC and DBHC, respectively), twist-drill craniotomy (TDC), mini-craniotomy, and craniotomy. The NMA protocol was registered at INPLASY (registration no. 202320114). Results: The NMA included 38 studies with 7,337 patients. For efficacy outcomes, DBHC showed the highest surface under the cumulative ranking area (SUCRA) values for recurrence (96.3%) and reoperation (87.4%) rates. DBHC differed significantly from mini-craniotomy in recurrence rate (odds ratio [OR] = 0.58, 95% confidence interval [CI]: 0.35, 0.97) and from SBHC (OR = 0.48, 95% CI: 0.25, 0.91) and TDC (OR = 0.40, 95% CI: 0.20, 0.82) in reoperation rate. For operative time, TDC was superior to SBHC (mean difference [MD] = -2.32, 95% CI: -3.78 to -0.86), DBHC (MD = -3.61, 95% CI: -5.55, -1.67), and mini-craniotomy (MD = -3.39, 95% CI: -5.70, -1.08). Patients treated by TDC had a shorter hospital stay than those treated by SBHC (MD = -0.82, 95% CI: -1.51, -0.12). For safety outcomes, there were no significant differences between groups in mortality and complication rates; however, mini-craniotomy (79.8%) and TDC (78.1%) had the highest SUCRAs. Conclusion: DBHC may be the most effective surgical treatment for CSDH based on the low recurrence and reoperation rates, although all examined techniques were relatively safe. Systematic review registration: https://inplasy.com/inplasy-2023-2-0114/.

Indexed as

burr hole craniotomychronic subdural hematomacSDHmini-craniotomytwist drill craniotomy

Identifiers

PMID37564732
PMCPMC10411900
OpenAlexW4385282254

What OpenQuestion holds

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LicenceCC BY
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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.