Evidence map›Paper›PMID 40092087›Full record

ArticleAmerican journal of translational research2025

Efficacy and safety of idiopathic normal pressure hydrocephalus shunting: a systematic review and meta-analysis.

Xiaowei Liu, Bei Pan, Xiyuan Deng, Keyu Chen, Xin Liu, Yongxiu Yang, Kehu Yang

Abstract read
In one paragraph

Article in American journal of translational research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Frontiers in genetics · 2026
    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

7 authors.

Xiaowei LiuThe First School of Clinical Medicine, Lanzhou University Lanzhou, Gansu, China.
Bei PanEvidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University Lanzhou, Gansu, China.
Xiyuan DengThe First School of Clinical Medicine, Lanzhou University Lanzhou, Gansu, China.
Keyu ChenDepartment of Neurosurgery, Chengdu Second People's Hospital Chengdu, Sichuan, China.
Xin LiuDepartment of Orthopedics, Chengdu Second People's Hospital Chengdu, Sichuan, China.
Yongxiu YangThe First School of Clinical Medicine, Lanzhou University Lanzhou, Gansu, China.
Kehu YangEvidence-Based Medicine Center, School of Basic Medical Sciences, Lanzhou University Lanzhou, Gansu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveShunting is commonly used in patients with idiopathic normal pressure hydrocephalus (iNPH). However, evidence comparing the relative effectiveness and safety of different iNPH shunting methods is lacking. Therefore, this systematic review investigated the efficacy and safety of different iNPH shunts.

methodsThe PubMed, Embase, Cochrane Central Register of Controlled Trials (CENTRAL), and Web of Science databases were systematically searched for articles comparing iNPH shunting from inception to July 29th, 2023 to identify randomized controlled trails or cohort studies comparing iNPH shunting with placebo or other treatment. Evidence was summarized using fixed and randomized effects frequentist meta-analysis when the I

resultsEleven studies including 1417 participants were initially identified. All included randomized controlled trials had a high risk of bias, while cohort studies had a low risk of bias. Ventriculoperitoneal (VP) shunting was effective at decreasing the times of 10m walks (MD=-2.52, 95% CI: -4.78 to -0.26, I

conclusionVP and LP are the best medical treatments for patients with iNPH.

Indexed as

effectivenessIdiopathic normal pressure hydrocephalussafetyshunting surgery

Identifiers

PMID40092087
PMCPMC11909566

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.