Evidence map›Paper›PMID 41234889›Full record

ArticleTranslational cancer research2025

Predictive factors for clinical outcome of palliative ventriculoperitoneal shunt in the treatment of leptomeningeal metastasis.

Lingzhao Min, Ningning Zhang, Qing Zhang, Mingzhe Zheng, Yiqian Zhu

Abstract read
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Article in Translational cancer research, 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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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Lingzhao Min *Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.
Ningning Zhang *Department of Anesthesiology, Huashan Hospital, Fudan University, Shanghai, China.
Qing ZhangDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.
Mingzhe ZhengDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.
Yiqian ZhuDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Leptomeningeal metastasis (LM) is associated with poor prognosis and affects the quality of life (QOL) of end-stage cancer patients, particularly when accompanied by hydrocephalus. Ventriculoperitoneal shunt (VPS) is recognized as an effective therapy for patients with this condition, but previous studies have focused on clinical effects. This study aimed to explore the predictors of clinical outcome in patients with LM who underwent VPS. Methods: Thirty-seven patients who underwent VPS after being diagnosed with LM at Huashan Hospital, Fudan University, from June 2018 to June 2024 were enrolled. Clinical outcomes were evaluated using the Karnofsky performance status (KPS) at baseline and one week postoperatively. A good outcome was defined as a ≥30% improvement in KPS, while a poor outcome was <30%. Patients were accordingly grouped into good and poor outcome categories. Potential predictive factors, including the type of primary malignancy, presence of hydrocephalus, location and extent of LM, preoperative lumbar puncture pressure (measured in mmH Results: Two factors showed significant differences between the good- and poor-outcome groups: the hydrocephalus (P=0.008) and lumbar puncture pressure (P=0.003). Multivariate analyses revealed that lumbar puncture pressure (P=0.006) was the only significant predictor of clinical outcome. Conclusions: The lumbar puncture pressure was the only independent predictive factor of the clinical outcomes of VPS for the treatment of patients with LM.

Indexed as

hydrocephalusLeptomeningeal metastasis (LM)lumbar puncture pressurepredictive factorventriculoperitoneal shunt (VPS)

Identifiers

PMID41234889
PMCPMC12605548

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