Evidence map›Paper›PMID 38765645›Full record

ArticlePsychiatry and clinical psychopharmacology2021

Treatment Outcomes of Gamma-Knife Radio Surgery in Refractory Obsessive-Compulsive Disorder.

İrem Ekmekçi Ertek, Önder Uçar, Mesut Emre Yaman, Ömer Hakan Emmez, Selçuk Candansayar

Abstract read
In one paragraph

Article in Psychiatry and clinical psychopharmacology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

5 authors.

İrem Ekmekçi ErtekDepartment of Psychiatry, Gazi University School of Medicine, Ankara, Turkey.ORCID 0000-0002-7529-7123
Önder UçarDepartment of Psychiatry, Gazi University School of Medicine, Ankara, Turkey.ORCID 0000-0001-8116-5154
Mesut Emre YamanDepartment of Neurosurgery, Gazi University School of Medicine, Ankara, Turkey.ORCID 0000-0003-0049-1316
Ömer Hakan EmmezDepartment of Neurosurgery, Gazi University School of Medicine, Ankara, Turkey.ORCID 0000-0002-3290-179X
Selçuk CandansayarDepartment of Psychiatry, Gazi University School of Medicine, Ankara, Turkey.ORCID 0000-0002-7708-3321

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Obsessive-compulsive disorder (OCD) is a common disease that has negative effects on functionality, and 10% of the patients do not respond to first-line treatments. Gamma-knife radiosurgery (GKRS) has been used in patients with treatment-resistant OCD, but the data on long-term outcomes are still unsatisfactory. Methods: In this study, 12 patients who underwent GKRS between 2005 and 2020 were evaluated retrospectively. Anterior capsulotomy was performed using two 4-mm isocenters at the midputaminal point of the anterior limb of the internal capsule on each side with a maximum radiation dose of 140-180 Gy. Patients were followed up with the Yale-Brown Obsession and Compulsion Scale (Y-BOCS), Montgomery-Asberg Depression Rating Scale (MADRS), and Brief Psychiatric Rating Scale (BPRS) on the first, third, and sixth months. Results: After the procedure, a 35% reduction was observed in the overall Y-BOCS scores, and full response rate was 50%. There was a 49.5% decrease in the MADRS scores and a 57.8% decrease in the BPRS. Conclusion: GKRS is an effective and non-invasive procedure with favorable side effects in treatment-resistant OCD with selected patients.

Indexed as

Anterior capsulotomyGamma Knifeobsessive-compulsive disorderradiosurgerytreatment resistance

Identifiers

PMID38765645
PMCPMC11079719

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