Evidence map›Paper›PMID 38291417›Full record

ArticleBMC surgery2024

Risk factors on surgical compliance and its impact on survival outcomes in meningioma patients: a SEER-based retrospective propensity-score matched analysis.

Shengkai Yang, Hongwei Teng, Yingdan Wang, Kangkang Ji, Weihua Chen, Hai Zhou

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Article in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Shengkai Yang *Department of Neurosurgery, Binhai County People's Hospital, Yancheng, China.
Hongwei Teng *Department of Neurosurgery, Binhai County People's Hospital, Yancheng, China.
Yingdan WangDepartment of Pediatric, Binhai County People's Hospital, Yancheng, China.
Kangkang JiDepartment of Central Laboratory, Binhai County People's Hospital, Yancheng, China.
Weihua ChenDepartment of Neurosurgery, Binhai County People's Hospital, Yancheng, China. 952718168@qq.com.
Hai ZhouDepartment of Neurosurgery, Binhai County People's Hospital, Yancheng, China. zhouhai3212@163.com.
Binzhou People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to analyze the effect of surgical compliance on the survival outcome of patients with meningioma and explore the factors affecting surgical compliance.

methodsWe selected data from the Surveillance, Epidemiology, and End Results database for 122,632 meningioma patients diagnosed between 2004 and 2018. The effect of surgical compliance on patients' overall survival (OS) was analyzed through Cox regression and Kaplan-Meier curves. Independent risk factors for surgical compliance were identified through multifactorial logistic regression analyses to construct diagnostic nomograms, further assessed by receiver operating characteristic curves. Furthermore, we used univariate and multivariate logistic regression analyses to evaluate relevant variables linked to adherence with meningioma surgery. Moreover, 1:1 propensity score matching was applied to assess the validity of the results in patients with favorable and poor surgical compliance.

resultsA total of 48,735 were eligible from the initial cohort of 122,632 patients with meningioma. Among them, 45,038 (92.40%) exhibited good surgical compliance, while 3697 (7.60%) had poor surgical compliance. The rate of patients with good surgical compliance was significantly higher than that of patients with inadequate surgical compliance (p < 0.001). Moreover, surgical compliance is an independent prognostic factor for OS in meningioma patients. Univariate Cox regression analysis indicated that individuals with poor surgical compliance demonstrated lower OS rates than those with good surgical compliance (hazard ratio [HR 2.404; 95% confidence interval [CI] 2.276-2.54, p < 0.001], consistent with the observation in the multivariate analysis (HR 1.564; 95% CI 1.471-1.663, p < 0.001). We developed a prediction model using seven variables: age, sex, race, tumor behavior recode, tumor size, family income, and residential setting (p < 0.05). Surgical compliance was associated with patient age, sex, race, tumor behavior recode, tumor size, family income, and residential setting by logistic regression analysis.

conclusionsSurgical compliance emerged as an independent prognostic factor for survival in patients with meningioma. Poor surgical compliance was associated with older age, black and other races, females, advanced-stage tumors, larger tumor size, lower household income, and rural residence. When patients experienced these conditions, OS was shorter, requiring more aggressive treatment.

Indexed as

Meningeal NeoplasmsMeningiomaFemaleHumansNomogramsPrognosisPropensity ScoreRetrospective StudiesRisk FactorsMeningiomaNomogramOverall survivalPSMSEERSurgical compliance

Identifiers

PMID38291417
PMCPMC10826196
OpenAlexW4391360511

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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.