Evidence map›Paper›PMID 39152571›Full record

ArticleEuropean journal of neurology2024

An interdisciplinary integrated specialized one-stop outpatient clinic for idiopathic intracranial hypertension-a comprehensive assessment of clinical outcome.

Gabriel Bsteh, Stefan Macher, Nik Krajnc, Wolfgang Marik, Martin Michl, Nina Müller, Sina Zaic, Jürgen Harreiter, Klaus Novak, Christian Wöber and 1 more

Abstract read
In one paragraph

Article in European journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Observational
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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

11 authors.

Gabriel BstehDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0002-0825-0851
Stefan MacherDepartment of Neurology, Medical University of Vienna, Vienna, Austria.ORCID 0000-0001-8068-1528
Nik KrajncDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Wolfgang MarikComprehensive Centre for Clinical Neurosciences and Mental Health, Medical University of Vienna, Vienna, Austria.
Martin MichlDepartment of Ophthalmology, Medical University of Vienna, Vienna, Austria.
Nina MüllerDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Sina ZaicDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Jürgen HarreiterDivision of Endocrinology, Department of Internal Medicine, Medical University of Vienna, Vienna, Austria.
Klaus NovakComprehensive Centre for Clinical Neurosciences and Mental Health, Medical University of Vienna, Vienna, Austria.
Christian WöberDepartment of Neurology, Medical University of Vienna, Vienna, Austria.
Berthold PempDepartment of Ophthalmology, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeManagement of idiopathic intracranial hypertension (IIH) is complex requiring multiple specialized disciplines. In practice, this creates considerable organizational and communicational challenges for healthcare professionals and patients. Thus, an interdisciplinary integrated outpatient clinic for IIH (comprising neurology, neuroophthalmology, neuroradiology, neurosurgery and endocrinology) was established with central coordination and a one-stop concept. Here, the aim was to evaluate the effects of this one-stop concept on objective clinical outcome.

methodsIn a retrospective cohort study, the one-stop era with integrated care (IC) (1 July 2021 to 31 December 2022) was compared to a reference group receiving standard care (SC) (1 July 2018 to 31 December 2019) regarding visual impairment/worsening and headache improvement/freedom 6 months after diagnosis. Multivariate binary logistic regression models were used to adjust for confounders.

resultsBaseline characteristics of the IC group (n = 85) and SC group (n = 81) were comparable (female 90.6% vs. 90.1%; mean age 33.6 vs. 32.8 years; median body mass index 31.8 vs. 33.0; median cerebrospinal fluid opening pressure 32 vs. 34 cmH

conclusionsInterdisciplinary integrated care of IIH is favourably associated with headache outcomes and potentially also visual outcomes.

Indexed as

Ambulatory Care FacilitiesPseudotumor CerebriAdultCohort StudiesDelivery of Health Care, IntegratedFemaleHumansMaleMiddle AgedNeurologyPatient Care TeamRetrospective StudiesTreatment OutcomeVision DisordersYoung Adultendocrinologyfrequencyheadacheidiopathic intracranial hypertensionimpairmentneurologyneuroophthalmologyneuroradiologyneurosurgeryoutpatient clinicseverityvisionworsening

Identifiers

PMID39152571
PMCPMC11414812

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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.