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Review ArticleSystematic Review
Open Access

Impact of operation details on hydrocephalus after decompressive craniectomy

Qiang-Ping Wang, Jun-Peng Ma, Zhang-Ming Zhou and Chao You
Neurosciences Journal January 2016, 21 (1) 10-16; DOI: https://doi.org/10.17712/nsj.2016.1.20150543
Qiang-Ping Wang
From the Department of Neurosurgery (Wang, Ma, You), West China Hospital, Sichuan University, Chengdu, and Department of Neurosurgery (Wang, Zhou), Dujiangyan People’s Hospital, Dujiangyan Medical Center, Dujiangyan, China
MD
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Jun-Peng Ma
From the Department of Neurosurgery (Wang, Ma, You), West China Hospital, Sichuan University, Chengdu, and Department of Neurosurgery (Wang, Zhou), Dujiangyan People’s Hospital, Dujiangyan Medical Center, Dujiangyan, China
MD
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Zhang-Ming Zhou
From the Department of Neurosurgery (Wang, Ma, You), West China Hospital, Sichuan University, Chengdu, and Department of Neurosurgery (Wang, Zhou), Dujiangyan People’s Hospital, Dujiangyan Medical Center, Dujiangyan, China
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Chao You
From the Department of Neurosurgery (Wang, Ma, You), West China Hospital, Sichuan University, Chengdu, and Department of Neurosurgery (Wang, Zhou), Dujiangyan People’s Hospital, Dujiangyan Medical Center, Dujiangyan, China
MD
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  • Figure 1
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    Figure 1

    Flowchart of trial selection for a meta-analysis on the impact of operation detail on hydrocephalus after decompressive craniotomy.

  • Figure 2
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    Figure 2

    Forest plot of correlation between distance of craniectomy to the midline and hydrocephalus after decompressive craniectomy. The pooled estimates were obtained using a fixed-effects model. IV - inverse variance, C<->M - craniectomy to midline, SE - standard error, CI - confidence interval, df - degrees of freedom. Mar - the article published in March

  • Figure 3
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    Figure 3

    Forest plot for comparison of the craniectomy distance to the midline in the hydrocephalus group and the no-hydrocephalus group. The pooled estimates were obtained using a fixed-effects model. IV - inverse variance, SD - standard deviation. CI - confidence interval, df - degrees of freedom. Mar - the article published in March

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    Figure 4

    Funnel plot for publication bias of the meta-analysis shown in Figure 3. MD - mean difference, SE - standard error

Tables

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    Table 1

    Characteristics and outcomes of the studies included in the meta-analysis on the impact of operation details on hydrocephalus after decompressive craniotomy.

    First author, YearNo.CountryStudy designPrimary diseaseMain outcomesAdjustmentLevel of evidence (CEBM)
    Case No. of hydrocephalus/distance to midline <25mmCase No. of hydrocephalus/ distance to midline ≥25mmMean distance to midline in hydrocephalus group (cm), case No.Mean distance to midline in no-hydrocephalus group(cm), case No.
    Honeybul & Ho, 201212159AustraliaRetrospective observational cohortTBI––2.4±1.1, 102.3±1.0, 73Age, GCS, pupil reactivity, extracranial injury2b
    De Bonis et al, 20131364ItalyRetrospective observational cohortTBI15/324/32––Age, gender, hygroma, CSF infection, IVH2b
    Takeuchi et al, 2013221JapanRetrospective observational cohortHICH8/142/72.17±0.47, 102.6±0.33, 11Age, gender, GCS, IVH, midline shift3b
    Takeuchi et al, 20131428JapanRetrospective observational cohortCI11/162/12––Age, gender, GCS, side, midline shift, infarct area, meningitis3b
    Wang et al, 20141562ChinaRetrospective observational cohortTBI––3.4±1.1, 153.7±1.0, 47Age, GCS, Fisher grade, midline shift, meningitis2b
    Wang et al, 201516128ChinaRetrospective observational cohortCI13/826/462.36±0.42, 192.31±0.48, 109Age, duration from infarction to craniectomy, presence of SAH, preoperative GCS score2b
    • No. - number, cm - centimeter, – - not reported, CEBM - Centre for Evidence-Based Medicine, GCS - Glasgow Coma Scale score, IVH - intraventricular hemorrhage, TBI - traumatic brain injury, HICH - hypertensive intracerebral hemorrhage, CI - cerebral infarction, CSF - cerebrospinal fluid, SAH - subarachnoid hemorrhage, 2b-3b - Studies were graded from level 1 (strongest evidence) to level 5 (weakest evidence)

    • View popup
    Table 2

    Methodological quality of included studies (STROBE criteria) in a meta-analysis on the impact of operation details on hydrocephalus after decompressive craniotomy.

    VariableFirst author and year
    Honeybul & Ho, 201212De Bonis et al, 201313Takeuchi et al, 20132Takeuchi et al, 201314Wang et al, 201415Wang et al, 201516
    Title/abstract++++++
    Introduction
     Background/rationale++++++
     Objectives++++++
    Methods
     Study design++++++
    Setting++++++
     Participants++++++
     Variables++++++
     Data sources/measurement++++++
     Bias++--++
    Study size
     Quantitative variables++++++
     Statistical methods++++++
    Results
     Participants-+++++
     Descriptive data++++++
     Outcome data++++++
     Main results++++++
     Other analyses++++++
    Discussion
     Key results++++++
     Limitations+-++-+
     Interpretation++++++
     Generalizability++++++
     Funding information++---+
    • + = provided, - = not provided, STROBE - Strengthening the Reporting of Observational Studies in Epidemiology

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Impact of operation details on hydrocephalus after decompressive craniectomy
Qiang-Ping Wang, Jun-Peng Ma, Zhang-Ming Zhou, Chao You
Neurosciences Journal Jan 2016, 21 (1) 10-16; DOI: 10.17712/nsj.2016.1.20150543

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Impact of operation details on hydrocephalus after decompressive craniectomy
Qiang-Ping Wang, Jun-Peng Ma, Zhang-Ming Zhou, Chao You
Neurosciences Journal Jan 2016, 21 (1) 10-16; DOI: 10.17712/nsj.2016.1.20150543
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