Evidence map›Paper›PMID 40059295›Full record

ArticleJournal of cerebrovascular and endovascular neurosurgery2025

Reducing complications in duraplasty with autologous dural graft material: A meta-analysis.

Ahmad Fadhil Maulana, Pandji Winata Nurikhwan, Ardik Lahdimawan, Ilma Fi Ahsani, Muhammad Rasyid Ridho Lahdimawan, Aldiya Jamila

Abstract read
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Article in Journal of cerebrovascular and endovascular neurosurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

6 authors.

Ahmad Fadhil MaulanaResearch Assistant, Department of Neurosurgery, Faculty of Medicine, Universitas Lambung Mangkurat, Banjarmasin, Indonesia.
Pandji Winata NurikhwanMedical Education Department, Faculty of Medicine, Universitas Lambung Mangkurat, Banjarmasin, Indonesia.
Ardik LahdimawanDepartment of Neurosurgery, Faculty of Medicine, Universitas Lambung Mangkurat, Banjarmasin, Indonesia; Department of Surgery, Ulin Hospital, Banjarmasin, Indonesia.
Ilma Fi AhsaniResearch Assistant, Department of Neurosurgery, Faculty of Medicine, Universitas Lambung Mangkurat, Banjarmasin, Indonesia.
Muhammad Rasyid Ridho LahdimawanResearch Assistant, Department of Neurosurgery, Faculty of Medicine, Universitas Lambung Mangkurat, Banjarmasin, Indonesia.
Aldiya JamilaResearch Assistant, Department of Neurosurgery, Faculty of Medicine, Universitas Lambung Mangkurat, Banjarmasin, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis review aims to perform qualitative and quantitative analysis to determine which dural graft materials are preferable for neurosurgical patients.

methodsA literature search using the PubMed database was conducted to collect relevant articles that compared complications associated with autologous and non-autologous dural grafts. The extracted data included graft type and related complications. Screening of all studies was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Statistical tests were conducted using Microsoft Excel to compare categorical variables, and data analysis was performed using Review Manager 5.4.1.

resultsA total of twelve studies were deemed eligible from 1,646 articles. These studies included 1,877 patients; 965 (51.4%) received autologous grafts and 912 (48.6%) received non-autologous grafts. Pooled data from autologous grafts showed significant reductions in meningitis (OR=0.31; 95% CI 0.17-0.54), pseudomeningocele (OR=0.50; 95% CI 0.32-0.79), and wound infection rates (OR=0.34; 95% CI 0.14-0.80) compared to the non-autologous group. There were no significant differences in cerebrospinal fluid (CSF) leakage, hydrocephalus, or revision surgery rates.

conclusionsAutologous dural grafts are more effective compared to non-autologous grafts in reducing the incidence of meningitis, pseudomeningocele, and wound infections following duraplasty. However, the risks of CSF leakage, hydrocephalus, and revision surgery are similar for both graft types.

Indexed as

Dura materMeta-analysisPostoperative complicationsSurgical ProcedureTreatment outcome

Identifiers

PMID40059295
PMCPMC12235258

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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.