Evidence map›Paper›PMID 38806857›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2024

Comparison of endoscopic third ventriculostomy versus cerebrospinal fluid shunt procedures for the treatment of pediatric hydrocephalus in Taiwan.

Shu-Mei Chen, Li-Ying Chen, Jiann-Her Lin, Nicole Salazar, Tu-Hsueh Yeh, Wei-Lun Lo, Tai-Ngar Lui, Yi-Chen Hsieh, Li-Nien Chien

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Shu-Mei ChenDepartment of Neurosurgery, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan.
Li-Ying ChenHealth Data Analytics and Statistics Center, Office of Data Science, Taipei Medical University, Taipei, Taiwan.
Jiann-Her LinDepartment of Neurosurgery, Taipei Medical University Hospital, Taipei Medical University, Taipei, Taiwan.
Nicole SalazarJulius L. Chambers Biomedical/Biotechnology Institute and Department of Biological & Biomedical Sciences, North Carolina Central University, Durham, NC, USA.
Tu-Hsueh YehDepartment of Neurology, Taipei Medical University Hospital, Taipei Taipei Medical University, Taipei, Taiwan.
Wei-Lun LoDepartment of Surgery, School of Medicine, Taipei Medical University, Taipei, Taiwan.
Tai-Ngar LuiDepartment of Neurosurgery, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan.
Yi-Chen HsiehThe PhD Program in Medical Neuroscience, College of Medical Science and Technology, Taipei Medical University, 250 Wu-Hsing Street, Taipei, Taiwan. ychsieh@tmu.edu.tw.
Li-Nien ChienInstitute of Health and Welfare Policy, College of Medicine, National Yang Ming Chiao Tung University, No.155, Sec. 2, Linong St., Beitou District, Taipei, Taiwan. linien.chien@nycu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePediatric hydrocephalus is the most common cause of surgically treatable neurological disease in children. Controversies exist whether endoscopic third ventriculostomy (ETV) or cerebrospinal fluid (CSF) shunt placement is the most appropriate treatment for pediatric hydrocephalus. This study aimed to compare the risk of re-operation and death between the two procedures.

methodsWe performed a retrospective population-based cohort study and included patients younger than 20-years-old who underwent CSF shunt or ETV for hydrocephalus from the Taiwan National Health Insurance Research Database.

resultsA total of 3,555 pediatric patients from 2004 to 2017 were selected, including 2,340 (65.8%) patients that received CSF shunt placement and 1215 (34.2%) patients that underwent ETV. The incidence of all-cause death was 3.31 per 100 person-year for CSF shunt group and 2.52 per 100 person-year for ETV group, with an adjusted hazard ratio (HR) of 0.79 (95% confidence interval [CI] = 0.66-0.94, p = 0.009). The cumulative incidence competing risk for reoperation was 31.2% for the CSF shunt group and 26.4% for the ETV group, with an adjusted subdistribution HR of 0.82 (95% CI = 0.70-0.96, p = 0.015). Subgroup analysis showed that ETV was beneficial for hydrocephalus coexisting with brain or spinal tumor, central nervous system infection, and intracranial hemorrhage.

conclusionOur data indicates ETV is a better operative procedure for pediatric hydrocephalus when advanced surgical techniques and instruments are available.

Indexed as

Cerebrospinal Fluid ShuntsHydrocephalusNeuroendoscopyThird VentricleVentriculostomyAdolescentChildChild, PreschoolCohort StudiesFemaleHumansInfantInfant, NewbornMaleReoperationRetrospective StudiesCerebrospinal shuntPediatric hydrocephalusReoperationThird ventriculostomy

Identifiers

PMID38806857

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.