Evidence map›Paper›PMID 37964033›Full record

SynthesisNeurosurgical review2023

Enhancing meningioma resection: a comprehensive study on the safety and effectiveness of Onyx™ presurgical embolization.

Sávio Batista, Filipi Fim Andreão, Lucca B Palavani, Pedro Borges, Gabriel Verly, Raphael Bertani, José Alberto Almeida Filho, Wellingson S Paiva, Livia V de Abreu, Bruno L Pessoa

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neurosurgical review, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
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.

Sávio BatistaFaculty of Medicine, Federal University of Rio de Janeiro, Cidade Universitária, Av. Carlos Chagas Filho, 373 Ilha do Fundão, Rio de Janeiro, 21941-590, Brazil.
Filipi Fim AndreãoFaculty of Medicine, Federal University of Rio de Janeiro, Cidade Universitária, Av. Carlos Chagas Filho, 373 Ilha do Fundão, Rio de Janeiro, 21941-590, Brazil.
Lucca B PalavaniMax Planck University Center, Indaiatuba, SP, Brazil.
Pedro BorgesFaculty of Medicine, Fundação Técnico-Educacional Souza Marques, Rio de Janeiro, Brazil.
Gabriel VerlyFaculty of Medicine, Federal University of Rio de Janeiro, Cidade Universitária, Av. Carlos Chagas Filho, 373 Ilha do Fundão, Rio de Janeiro, 21941-590, Brazil.
Raphael BertaniDepartment of Neurosurgery, University of São Paulo, São Paulo, Brazil.
José Alberto Almeida FilhoDepartment of Neurosurgery, Hospital Municipal Miguel Couto, Rio de Janeiro, Brazil.
Wellingson S PaivaDepartment of Neurosurgery, University of São Paulo, São Paulo, Brazil.
Livia V de AbreuFaculty of Medicine, Federal University of Rio de Janeiro, Cidade Universitária, Av. Carlos Chagas Filho, 373 Ilha do Fundão, Rio de Janeiro, 21941-590, Brazil. liviavdeabreu@gmail.com.ORCID http://orcid.org/0009-0004-5704-8571
Bruno L PessoaDepartment of Neurosurgery, Federal Fluminense University, Rio de Janeiro, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Presurgical embolization (PE) has emerged as an interesting strategy to help turn brain tumor resection more amenable. This study aims to systematically review the safety and effectiveness of Onyx™ PE in meningioma resection. We followed Cochrane Collaboration and PRISMA for systematic review and meta-analysis, querying PUBMED, Cochrane Library, Web of Science, and Embase databases. Major complications were defined as other artery occlusion, visual deficits due to PE, or non temporary nerve damage, while minor included transitory conditions and others without clinical implications. A total of 186 patients were included, in which 120 were WHO grade I (80%), II (16%), and III (4%). Patient baseline characteristics and complications were distributed in groups without or with individual patient data analysis. Individual Patient Data Meta-Analysis (IPDMA) was performed on the last category, comprising 51 meningiomas that underwent Onyx™ PE. Among available data, 70%, 17%, and 13% were WHO grade I, II, and III, respectively. Considering all studies, tumor characteristics regarding grade underscored a certain homogeneity. Complications occurred at a rate of 9% (95% CI, 4 to 14%; I

Indexed as

MeningiomaNeurosurgical ProceduresCraniotomyHumansMeningeal NeoplasmsPreoperative CareEmbolizationEVOHMeningiomaOnyxPresurgical

Identifiers

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.