Evidence map›Paper›PMID 41198913›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2025

An analysis of short-term outcomes and healthcare resource utilization for ventriculoperitoneal shunt versus endoscopic third ventriculostomy in pediatric patients with hydrocephalus following posterior fossa brain tumor resection.

Irim Salik, Bryan Larin, Ian Choe, Eris Spirollari, Jose Dominguez, Iwan Sofjan, Avinash Mohan, Carrie Muh, Jared Pisapia

Abstract readComparative Study
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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Irim SalikDepartment of Anesthesiology, NewYork-Presbyterian/Weill Cornell Medical Center, New York, USA.
Bryan LarinSchool of Medicine, New York Medical College, Valhalla, NY, USA.
Ian ChoeDepartment of Anesthesiology, University of Maryland Medical Center, Baltimore, MD, USA.
Eris SpirollariDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY, USA. espiroll@student.nymc.edu.
Jose DominguezDepartment of Neurosurgery, BronxCare Health System, Bronx, NY, USA.
Iwan SofjanDepartment of Anesthesiology, Westchester Medical Center, Valhalla, NY, USA.
Avinash MohanDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY, USA.
Carrie MuhDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY, USA.
Jared PisapiaDepartment of Neurosurgery, Westchester Medical Center, Valhalla, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare short-term outcomes and healthcare resource utilization between ventriculoperitoneal shunt (VPS) and endoscopic third ventriculostomy (ETV) in pediatric patients with hydrocephalus following posterior fossa brain tumor (PFBT) resection.

methodsUsing the 2016-2020 National Inpatient Sample (NIS), we identified patients under 21 years of age who underwent PFBT resection followed by cerebrospinal fluid (CSF) diversion via VPS or ETV. Demographics, complications, discharge disposition, length of stay (LOS), and total hospital charges were analyzed. Prolonged LOS and high charges were defined as values above the 75th percentile.

resultsAmong 5,305 pediatric patients who underwent tumor resection, 470 received VPS and 140 received ETV. ETV patients were older (7.36 vs. 5.97 years; p = 0.004) and more often female (OR = 2.538; p < 0.001). VPS was associated with higher rates of meningitis, intracranial hemorrhage, tracheostomy, and severe loss of function, while ETV was associated with a higher rate of CSF leak. ETV patients had reduced odds of prolonged LOS (OR = 0.436; p = 0.002), lower total charges (OR = 0.083; p < 0.001), and a greater likelihood of routine discharge (OR = 2.078; p = 0.001). Mortality did not differ significantly between the groups.

conclusionsIn this national cohort, ETV was associated with fewer acute complications and lower hospital resource utilization compared to VPS. These findings suggest ETV may be a preferable CSF diversion strategy in select pediatric patients with hydrocephalus following PFBT resection.

Indexed as

Health ResourcesHydrocephalusInfratentorial NeoplasmsNeuroendoscopyThird VentricleVentriculoperitoneal ShuntVentriculostomyAdolescentChildChild, PreschoolFemaleHumansInfantLength of StayMalePostoperative ComplicationsEndoscopic third ventriculostomy (ETV)Pediatric hydrocephalusPosterior fossa brain tumorsVentriculoperitoneal shunt (VP shunt)

Identifiers

PMID41198913

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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.