Evidence map›Paper›PMID 39739548›Full record

ArticleActa paediatrica (Oslo, Norway : 1992)2025

Systematic follow-ups were not associated with reduced acute ventriculoperitoneal shunt dysfunction in infancy.

Gunnar Liminga, Benjamin Ahlbäck, Sami Abu Hamdeh, Pelle Nilsson, Christoffer Ehrstedt

Abstract read
In one paragraph

Article in Acta paediatrica (Oslo, Norway : 1992), 2025. 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

The trial behind it

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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

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.

Gunnar LimingaDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-4667-4038
Benjamin AhlbäckUppsala University Children's Hospital, Uppsala, Sweden.
Sami Abu HamdehDepartment of Medical Sciences/Neurosurgery, Uppsala University and Uppsala University Hospital, Uppsala, Sweden.
Pelle NilssonDepartment of Medical Sciences/Neurosurgery, Uppsala University and Uppsala University Hospital, Uppsala, Sweden.
Christoffer EhrstedtDepartment of Women's and Children's Health, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-3063-3741

Funding

Gillbergska stiftelsenHedströms stiftelse 817603-6294Ländells stiftelse 817604-0494
6 · The paper itself

Abstract

aimHydrocephalus surgery with a ventriculoperitoneal shunt is a life-saving treatment, but it has been associated with a high risk of dysfunction and complications. We investigated whether infants who received a ventriculoperitoneal shunt below 12 months of age had a reduced risk of acute shunt dysfunction if they were included in a structured follow-up programme.

methodsA population-based, retrospective chart review was performed at Uppsala University Children's Hospital, Sweden. Patients were identified by International Classification of Diseases, Tenth Revision codes and surgical codes from 1 January 2005 to 31 December 2019. Those who received the structured follow-up programme from April 2012 were compared with historical controls.

resultsWe identified 95 patients (66% male): 47 in the follow-up group and 48 controls. Their mean age was 2.6 (range 0-12) months. There was a high 44% acute shunt dysfunction rate during the first year after primary surgery: 38% in the follow-up group and 50% in the control group (p = 0.25). The difference was not significant.

conclusionThe structured follow-up programme was not associated with a significant reduction in acute shunt dysfunction. Predictive models could help to identify patients at risk for shunt dysfunction and complications and improve surveillance and follow-up programmes.

Indexed as

HydrocephalusPostoperative ComplicationsVentriculoperitoneal ShuntEquipment FailureFemaleFollow-Up StudiesHumansInfantInfant, NewbornMaleRetrospective StudiesSwedenhydrocephaluspreventionshunt dysfunctionsurveillanceventriculoperitoneal shunt

Identifiers

PMID39739548
PMCPMC12066929

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