Evidence map›Paper›PMID 40138052›Full record

SynthesisNeurosurgical review2025

Regional and systemic complications following glioma resection: a systematic review and meta-analysis.

Katarzyna Słychan, Marcin Piersiak, Jakub Rubin, Aleksandra Kozioł, Michał Tyliszczak, Mateusz Pawłowski, Rafał Chojak

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Neurosurgical review, 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

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

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

7 authors.

Katarzyna SłychanDepartment of Neurosurgery, 4th Military Hospital in Wroclaw, Wrocław, Poland.ORCID http://orcid.org/0000-0003-3772-737X
Marcin PiersiakDepartment of Neurosurgery, 4th Military Hospital in Wroclaw, Wrocław, Poland.ORCID https://orcid.org/0009-0004-2199-4670
Jakub RubinFaculty of Medicine, Wroclaw Medical University, Wroclaw, Poland.ORCID https://orcid.org/0009-0004-7902-5514
Aleksandra KoziołFaculty of Dentistry, Wroclaw Medical University, Wroclaw, Poland.ORCID https://orcid.org/0009-0008-8692-0647
Michał TyliszczakDepartment of Pharmacology, Wroclaw Medical University, Wrocław, Poland.ORCID https://orcid.org/0000-0003-3964-245X
Mateusz PawłowskiDepartment of Neurosurgery, St. Hedwig's Regional Specialist Hospital, Wodociągowa 4, Opole, 45-221, Poland.ORCID https://orcid.org/0000-0001-6091-9842
Rafał ChojakDepartment of Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. rafalchojak@gmail.com.ORCID https://orcid.org/0000-0002-7644-3444

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gliomas represent a heterogeneous group of primary brain tumors with variable biological behavior. High-grade variants, notably glioblastomas, exhibit aggressive growth and a poor prognosis. Although surgical resection is central to management, it may lead to systemic and regional postoperative complications that adversely affect outcomes. While neurological complications have been extensively studied, comprehensive analyses of non-neurological sequelae remain limited. This study aimed to estimate the pooled proportion of postoperative systemic and regional complications following glioma resection and to identify factors influencing these proportions. A systematic review and meta-analysis was conducted per PRISMA guidelines. PubMed, Web of Science, and Embase were searched for English-language articles published between January 2000 and November 2024 reporting postoperative complications in glioma resection patients. Pooled proportion were calculated using a random-effects model, and meta-regression assessed the impact of covariates including patient age, gender, publication date, geographical location, and sample size. Seventy-seven studies were included. The pooled proportions for postoperative complications were as follows: venous thromboembolism, 4.92% (95% CI: 1.51-10.05%); deep vein thrombosis, 4.75% (95% CI: 2.86-7.05%); urinary tract infection, 3.77% (95% CI: 0.81-8.47%); hydrocephalus, 2.53% (95% CI: 1.37-3.97%); pulmonary infection, 2.39% (95% CI: 1.15-3.99%); cerebrospinal fluid leak, 2.22% (95% CI: 0.99-3.87%); surgical site infection, 2.21% (95% CI: 1.48-3.07%); meningitis, 1.49% (95% CI: 0.47-2.96%); pulmonary embolism, 1.33% (95% CI: 0.74-2.06%); and sepsis, 1.12% (95% CI: 0.08-3.02%). Significant heterogeneity was observed across studies, with meta-regression revealing that geographical location, publication date, and patient age were significant moderators influencing certain complication rates. This meta-analysis demonstrates that, while systemic and regional complication rates following glioma resection are relatively low, they remain clinically significant. In particular, venous thromboembolism and deep vein thrombosis are notably prevalent. Moreover, significant heterogeneity-shaped by geography, publication date, and patient age-underscores the need for tailored perioperative strategies and further research.

Indexed as

Brain NeoplasmsGliomaNeurosurgical ProceduresPostoperative ComplicationsHumansVenous ThromboembolismVenous ThrombosisClinical outcomesEpidemiologyNeurosurgeryPatient managementResection

Identifiers

What OpenQuestion holds

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Read underepoch 390

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.