Evidence map›Paper›PMID 40474027›Full record

SynthesisNeurosurgical review2025

Efficacy of minimally invasive surgery versus conventional procedures for thalamic stroke hemorrhage: systematic review and meta-analysis.

Stephen Hilkia Pramatya, Asra Al Fauzi, Ira Humairah, Citrawati Dyah Kencono Wungu, Dija Melati Sastri, Hasya Nur Ahmad Fuady Dhuha

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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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.

Stephen Hilkia PramatyaMedical Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia. stephenprmatya@gmail.com.ORCID http://orcid.org/0009-0006-7807-7210
Asra Al FauziDepartment of Neurosurgery, Faculty of Medicine Universitas Airlangga, Dr. Soetomo Academic General Hospital, Surabaya, Indonesia.ORCID http://orcid.org/0000-0002-5155-2476
Ira HumairahDepartment of Physiology and Medical Biochemistry, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.ORCID http://orcid.org/0000-0002-0097-103X
Citrawati Dyah Kencono WunguDepartment of Physiology and Medical Biochemistry, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.ORCID http://orcid.org/0000-0001-5180-957X
Dija Melati SastriMedical Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.ORCID http://orcid.org/0009-0006-8599-7250
Hasya Nur Ahmad Fuady DhuhaMedical Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.ORCID http://orcid.org/0009-0005-9515-0072

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stroke is the second leading cause of death globally. Intracranial hemorrhage is the most destructive type, with the thalamus being the location that has the worst prognosis. A meta-analysis of minimally invasive surgery in intracranial hemorrhage patients has been carried out previously and resulted in an improved prognosis. However, the efficacy and safety of minimally invasive surgery procedures remain subjects of debate. A comprehensive search was conducted in major databases such as PubMed, Scopus, Web of Science, Sage, Taylor and Francis, and Preprints in August 2024. From the search results, 2798 articles were obtained and then selected into ten articles. A risk ratio analysis was performed to compare the prognosis of minimally invasive surgery with conventional procedures. Risk ratios and 95% confidence intervals for minimally invasive surgery compared with conventional procedures in clinical trials and observational studies were 0.68 [0.55-0.84] and 0.57 [0.46-0.71], respectively. This meta-analysis also demonstrated that there was a significant reduction in the risk of death and the length of hospital stay in minimally invasive surgery patients. Nevertheless, there was no difference in the risk of rebleeding when compared with conventional procedures in patients with hemorrhagic stroke localized to the thalamus.

Indexed as

Hemorrhagic StrokeIntracranial HemorrhagesMinimally Invasive Surgical ProceduresNeurosurgical ProceduresStrokeThalamusHumansTreatment OutcomeEndoscopic surgeryMinimally invasive surgeryStereotactic surgeryThalamic stroke

Identifiers

PMID40474027

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.