Evidence map›Paper›PMID 39385299›Full record

ReviewChinese neurosurgical journal2024

Efficacy of neuroendoscopy-assisted surgery in the treatment of chronic subdural hematoma: a meta-analysis.

Hou-Qiang Liu, Xue Bai, Fang-Ling Xiong, Ming-Ming Gao, Huai-Bing Zhang, Bao-Hua Liu

Abstract readReview
In one paragraph

Review in Chinese neurosurgical journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

6 authors.

Hou-Qiang LiuDepartment of Neurosurgery, the Affiliated Suqian Hospital of Xuzhou Medical University Or Suqian Hospital of Nanjing Drum Tower Hospital Group, SuqianJiangsu Province, 223800, China.
Xue BaiAffiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu Province, 221000, China.
Fang-Ling XiongDepartment of Neurosurgery, the Affiliated Suqian Hospital of Xuzhou Medical University Or Suqian Hospital of Nanjing Drum Tower Hospital Group, SuqianJiangsu Province, 223800, China.
Ming-Ming GaoDepartment of Neurosurgery, the Affiliated Suqian Hospital of Xuzhou Medical University Or Suqian Hospital of Nanjing Drum Tower Hospital Group, SuqianJiangsu Province, 223800, China.
Huai-Bing ZhangDepartment of Neurosurgery, the Affiliated Suqian Hospital of Xuzhou Medical University Or Suqian Hospital of Nanjing Drum Tower Hospital Group, SuqianJiangsu Province, 223800, China.
Bao-Hua LiuDepartment of Neurosurgery, the Affiliated Suqian Hospital of Xuzhou Medical University Or Suqian Hospital of Nanjing Drum Tower Hospital Group, SuqianJiangsu Province, 223800, China. sqlbh@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic subdural hematoma (CSDH) is one of the most common diseases in neurosurgery. It is the result of chronic intracranial hemorrhage that converges between the dura mater and arachnoid three weeks after externally injuring the head. Chronic subdural hematomas are a common complication in neurosurgery. With the gradual increase in the amount of hematoma, the surrounding brain tissue is pushed and compressed, resulting in corresponding clinical symptoms and signs. It is reported that the overall incidence rate of CSDH is 1.72 to 20.6 per 100,000 people every year, and the incidence rate of the elderly is particularly high.

methodsThe computer retrieves eight databases to obtain controlled trials at home and abroad on the effects of neuroendoscopy-assisted surgery in patients with chronic subdural hematoma. After a rigorous literature quality evaluation, data analysis was performed using RevMan 5.3 software.

resultsTwenty studies were ultimately included in this meta-analysis. Seventeen studies reported the Recurrence rate of the test group and the control group, which was significantly lower (OR 0.27; 95% Cl 0.18, 0.38; P < 0.01) than the control group, Recovery rate (OR 1.18; 95% Cl 1.01, 1.38; P = 0.03), Total effective rate (OR 1.11; 95% Cl 1.04, 1.17; P < 0.01), Operative time (SMD 15.78; 95% Cl 9.69, 21.86; P < 0.01), Hospital stay (SMD - 1.66; 95% Cl - 2.17, - 1.14; P < 0.01) and Complications (OR 0.48; 95% Cl 0.30, 0.78; P < 0.01).

conclusionThe results of this study suggest that neuroendoscopy-assisted surgery may be effective in patients with chronic subdural hematoma, as evidenced by recurrence rate, recovery rate, total effective rate, operative time, hospital stay, complications, and the above conclusions need to be verified by more high-quality studies.

Indexed as

Chronic subdural hematomaMetaNeuroendoscopy

Identifiers

PMID39385299
PMCPMC11462813

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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.