Evidence map›Paper›PMID 39627752›Full record

SynthesisBMC cancer2024

Treatment options for unilateral vestibular schwannoma: a network meta-analysis.

Xianhao Huo, Xu Zhao, Xiaozhuo Liu, Yifan Zhang, Jihui Tian, Mei Li

Abstract readSystematic ReviewNetwork Meta-Analysis
In one paragraph

Synthesis in BMC cancer, 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. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
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.

Xianhao HuoDepartment of Neurosurgery, General Hospital of Ningxia Medical University, Yinchuan, China.
Xu ZhaoDepartment of Neurosurgery, North China University of Science and Technology Affiliated Hospital, Tangshan, Hebei, China.
Xiaozhuo LiuDepartment of Neurosurgery, North China University of Science and Technology Affiliated Hospital, Tangshan, Hebei, China.
Yifan ZhangDepartment of Neurosurgery, General Hospital of Ningxia Medical University, Yinchuan, China.
Jihui TianDepartment of Neurosurgery, General Hospital of Ningxia Medical University, Yinchuan, China. nxtjh1968@163.com.
Mei LiDepartment of Neurosurgery, The First Medical Center of Chinese PLA General Hospital, Beijing, China. 18332758771@163.com.

Funding

Ningxia Key Research and Development Program Project 2022BEG03081, 2023BEG2009Ningxia Natural Science Foundation 2024AAC03699Research Program of Ningxia Medical University XJ2023036
6 · The paper itself

Abstract

This study aimed to explore the effect of observation, microsurgery, and radiotherapy for patients with vestibular schwannoma (VS). We searched PubMed, Medline, Embase, Web of Science, and Cochrane library from their establishment to July 31, 2024. 34 non-RCTs and 1 RCT that included 6 interventions were analyzed. We found the MS, and different SRS all had better tumor local control rates. Regarding preserved hearing, the order from the highest to the lowest was FSRT 5 fractions, FSRT 3 fractions, SRS, ConFSRT, Observation, and MS. Regarding improvement in the rate of tinnitus, the order from the highest to the lowest was ConFSRT, FSRT 3 fractions, SRS, Observation, MS, and FSRT 5 fractions. In terms of improving the rate of disequilibrium/vertigo, the order from the highest to the lowest was SRS, Observation, FSRT 3 fractions, FSRT 5 fractions, MS, and ConFSRT. In terms of protection of the trigeminal nerve, the order from the highest to lowest was observation, SRS, ConFSRT, FSRT 3 fractions, FSRT 5 fractions, and MS. Lastly, in terms of protection of the facial nerve, the order from the highest to lowest was SRS, ConFSRT, Observation, FSRT 3 fractions, FSRT 5 fractions, and MS. In patients with VS, MS and radiosurgery showed better local tumor control rates; however, compared with MS, different SRS all provided better protection of nerve function and improved the symptoms of vestibular function and tinnitus, among which the best was SRS. Therefore, in these patients, SRS may be a promising alternative treatment.

Indexed as

MicrosurgeryNeuroma, AcousticRadiosurgeryWatchful WaitingHumansTinnitusTreatment OutcomeVertigoConventionally fractionated stereotactic radiotherapyFractionated stereotactic radiotherapyMicrosurgeryStereotactic radiosurgeryVestibular schwannoma

Identifiers

PMID39627752
PMCPMC11613487

What OpenQuestion holds

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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.