Evidence map›Paper›PMID 40889123›Full record

SynthesisBrain and behavior2025

Efficacy and Safety of Neuroendoscopy versus Craniotomy for Spontaneous Supratentorial Intracerebral Hemorrhage: An Updated Meta-Analysis of Randomized and Non-Randomized Studies.

Muhammad Hassan Waseem, Zain Ul Abideen, Nohela Rehman, Muhammad Haris Khan, Muhammad Fawad Tahir, Hafsa Arshad Azam Raja, Ameer Haider Cheema, Sania Aimen, Javed Iqbal

Abstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Brain and behavior, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

9 authors.

Muhammad Hassan WaseemAllama Iqbal Medical College, Lahore, Pakistan.ORCID https://orcid.org/0009-0002-4521-3256
Zain Ul AbideenKing Edward Medical University, Lahore, Pakistan.ORCID https://orcid.org/0009-0001-8990-7738
Nohela RehmanDow University of Health Sciences, Karachi, Pakistan.ORCID https://orcid.org/0009-0006-8375-1871
Muhammad Haris KhanSaidu Medical College, Swat, Pakistan.ORCID https://orcid.org/0009-0000-3250-2601
Muhammad Fawad TahirH.B.S Medical and Dental College, Islamabad, Pakistan.ORCID https://orcid.org/0000-0001-6936-9517
Hafsa Arshad Azam RajaRawalpindi Medical University, Rawalpindi, Pakistan.ORCID https://orcid.org/0000-0003-0794-7013
Ameer Haider CheemaUT Southwestern Medical Center, Dallas, Texas, USA.ORCID https://orcid.org/0009-0002-2508-4370
Sania AimenQuetta Institute of Medical Sciences, Quetta, Pakistan.ORCID https://orcid.org/0009-0009-1931-4337
Javed IqbalHamad Medical Corporation, Doha, Qatar.ORCID https://orcid.org/0000-0003-2627-685X

Funding

University of Texas Southwestern Medical Center
6 · The paper itself

Abstract

backgroundSpontaneous supratentorial intracerebral hemorrhage (ICH) is a critical condition with high morbidity and mortality rates warranting urgent surgical evacuation. This systematic review and meta-analysis compare the safety and efficacy of neuro-endoscopy (NE) versus traditional craniotomy (CR) for managing ICH.

methodsFrom inception until July 2024, a comprehensive literature search was undertaken on PubMed, Cochrane Central, ScienceDirect, and Clinicaltrials.gov. Risk ratios (RR) and weighted mean differences (WMD) were pooled for categorical and continuous outcomes under the random effects model in Review Manager software. 5.4.1. Leave-one-out sensitivity analysis, Egger's regression, GRADE assessment, and meta-regression were performed to evaluate the heterogeneity, publication bias, certainty of evidence, and effect size variability, respectively.

resultsOur meta-analysis included eight clinical trials and 20 cohort studies with 9,437 patients. NE outperformed CR in terms of favorable neurological outcomes (RR = 1.59, 95% CI: [1.30,1.94]; p < 0.00001; I

conclusionNE treatment for spontaneous intracerebral hemorrhage (ICH) is associated with favorable neurological outcomes, decreased mortality, shorter operating time, reduced blood loss and residual volume, shorter length of hospital and intensive care unit (ICU) stay, and fewer infections, meningitis, and overall complications; however, the re-bleeding rate was found to be comparable.

Indexed as

Cerebral HemorrhageCraniotomyNeuroendoscopyHumansNon-Randomized Controlled Trials as TopicRandomized Controlled Trials as TopicTreatment Outcomecraniotomyintracerebral hemorrhagemeta‐analysisneuroendoscopysupratentorial

Identifiers

PMID40889123
PMCPMC12400937

What OpenQuestion holds

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LicenceCC BY
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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.