Evidence map›Paper›PMID 38273380›Full record

ArticleChinese neurosurgical journal2024

Multimodality management for chronic subdural hematoma in China: protocol and characteristics of an ambidirectional, nationwide, multicenter registry study.

Tao Liu, Zhihao Zhao, Jinhao Huang, Xide Zhu, Weiliang Chen, Kun Lin, Yunhu Yu, Zhanying Li, Yibing Fan, Mingqi Liu and 15 more

Open access · diamondAbstract read
In one paragraph

Article in Chinese neurosurgical journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% of its field
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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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

25 authors at 8 institutions in 1 country.

Tao Liu *Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Zhihao Zhao *Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Jinhao Huang *Department of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Xide ZhuDepartment of Neurosurgery, Linyi People's Hospital, Shandong, China.
Weiliang ChenDepartment of Neurosurgery, Haining People's Hospital, Zhejiang, China.
Kun LinDepartment of Neurosurgery, Fujian Provincial Hospital, Fujian, China.
Yunhu YuDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Zhanying LiDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Yibing FanDepartment of Neurosurgery, Tianjin First Central Hospital, Tianjin, China.
Mingqi LiuDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Meng NieDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Xuanhui LiuDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Chuang GaoDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Wei QuanDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Yu QianDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Chenrui WuDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Jiangyuan YuanDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Di WuDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Chuanxiang LvDepartment of Neurosurgery, The First Hospital of Jilin University, Changchun, China.
Shiying DongDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Liang MiDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Yu TianDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China.
Ye TianDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China. tianye030710@163.com.
Jianning ZhangDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China. jianningzhang@hotmail.com.
Rongcai JiangDepartment of Neurosurgery, Tianjin Medical University General Hospital, Tianjin, China. jiang116216@163.com.
Tianjin Medical University General Hospital · CNFirst Hospital of Jilin University · CNFirst People's Hospital of Nanning · CNFirst People’s Hospital of Zunyi · CNFujian Provincial Hospital · CNKailuan General Hospital · CNLinyi People's Hospital · CNTianjin First Center Hospital · CN

Funding

National Natural Science Foundation of China 82071390
6 · The paper itself

Abstract

backgroundDespite its prevalence, there is ongoing debate regarding the optimal management strategy for chronic subdural hematoma (CSDH), reflecting the variability in clinical presentation and treatment outcomes. This ambidirectional, nationwide, multicenter registry study aims to assess the efficacy and safety of multimodality treatment approaches for CSDH in the Chinese population. METHODS/

designA multicenter cohort of CSDH patients from 59 participating hospitals in mainland China was enrolled in this study. The treatment modalities encompassed a range of options and baseline demographics, clinical characteristics, radiographic findings, and surgical techniques were documented. Clinical outcomes, including hematoma resolution, recurrence rates, neurological status, and complications, were assessed at regular intervals during treatment, 3 months, 6 months, 1 year, and 2 years follow-up.

resultBetween March 2022 and August 2023, a comprehensive cohort comprising 2173 individuals who met the criterion was assembled across 59 participating clinical sites. Of those patients, 81.1% were male, exhibiting an average age of 70.12 ± 14.53 years. A historical record of trauma was documented in 48.0% of cases, while headache constituted the predominant clinical presentation in 58.1% of patients. The foremost surgical modality employed was the burr hole (61.3%), with conservative management accounting for 25.6% of cases. Notably, a favorable clinical prognosis was observed in 88.9% of CSDH patients at 3 months, and the recurrence rate was found to be 2.4%.

conclusionThis registry study provides critical insights into the multimodality treatment of CSDH in China, offering a foundation for advancing clinical practices, optimizing patient management, and ultimately, improving the quality of life for individuals suffering from this challenging neurosurgical condition.

trial registrationChiCTR2200057179.

Indexed as

Chronic subdural hematomaMultimodality therapyOutcomeRecurrence

Identifiers

PMID38273380
PMCPMC10809648
OpenAlexW4391229126

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.