Comparison of Burr-Hole Craniostomy versus Twist-Drill Craniostomy Operations for Patients with Chronic Subdural Hematoma: A Systematic Review and Network Meta-Analysis
<h3>Background</h3><p dir="ltr">Chronic subdural hematoma (CSDH) represents one of the most common neurologic disorders in the elderly. However, the optimum surgical option remains questionable. This study aims to compare the safety and efficacy of single burr-hole cranio...
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| مؤلفون آخرون: | , , , , , |
| منشور في: |
2023
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| الموضوعات: | |
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| _version_ | 1864513528400969728 |
|---|---|
| author | Mohammed Maan Al-Salihi (13105835) |
| author2 | Maryam Sabah Al-Jebur (15920047) Yezan Al-Salihi (17808287) Ram Saha (15920053) Firas Hammadi (13105829) Amro Al Hajali (17884301) Ali Ayyad (149042) |
| author2_role | author author author author author author |
| author_facet | Mohammed Maan Al-Salihi (13105835) Maryam Sabah Al-Jebur (15920047) Yezan Al-Salihi (17808287) Ram Saha (15920053) Firas Hammadi (13105829) Amro Al Hajali (17884301) Ali Ayyad (149042) |
| author_role | author |
| dc.creator.none.fl_str_mv | Mohammed Maan Al-Salihi (13105835) Maryam Sabah Al-Jebur (15920047) Yezan Al-Salihi (17808287) Ram Saha (15920053) Firas Hammadi (13105829) Amro Al Hajali (17884301) Ali Ayyad (149042) |
| dc.date.none.fl_str_mv | 2023-08-01T00:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1016/j.wneu.2023.05.022 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Comparison_of_Burr-Hole_Craniostomy_versus_Twist-Drill_Craniostomy_Operations_for_Patients_with_Chronic_Subdural_Hematoma_A_Systematic_Review_and_Network_Meta-Analysis/25124399 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Neurosciences Burr-hole craniostomy Chronic subdural hematoma CSDH Meta-Analysis Twist-drill craniostomy |
| dc.title.none.fl_str_mv | Comparison of Burr-Hole Craniostomy versus Twist-Drill Craniostomy Operations for Patients with Chronic Subdural Hematoma: A Systematic Review and Network Meta-Analysis |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Background</h3><p dir="ltr">Chronic subdural hematoma (CSDH) represents one of the most common neurologic disorders in the elderly. However, the optimum surgical option remains questionable. This study aims to compare the safety and efficacy of single burr-hole craniostomy (sBHC), double burr-hole craniostomy (dBHC), and twist-drill craniostomy (TDC) in patients with CSDH.</p><p><br></p><h3>Methods</h3><p dir="ltr">We searched PubMed, Embase, Scopus, Cochrane, and Web of Science until October 2022 for prospective trials. Primary outcomes comprised recurrence and mortality. The analysis was performed using R software, and the results were reported as risk ratio (RR) and 95% confidence interval (CI).</p><p><br></p><h3>Results</h3><p dir="ltr">Data from 11 prospective clinical trials were included in this network meta-analysis. We found that dBHC significantly decreased recurrence and reoperation rates compared with TDC (RR = 0.55, CI, 0.33–0.90 and RR = 0.48, CI, 0.24–0.94, respectively). However, sBHC showed no difference compared with dBHC and TDC. There was no significant difference among dBHC, sBHC, and TDC regarding the hospitalization duration, complication rates, mortality, and cured rates.</p><p><br></p><h3>Conclusions</h3><p dir="ltr">dBHC seems to be the best modality for CSDH compared with sBHC and TDC. It showed significantly less recurrence and reoperation rates compared with TDC. On the other hand, dBHC showed no significant difference with the other comparators regarding complication, mortality, and cure rates in addition to the hospitalization duration.</p><h2>Other Information</h2><p dir="ltr">Published in: World Neurosurgery<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.wneu.2023.05.022" target="_blank">https://dx.doi.org/10.1016/j.wneu.2023.05.022</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_103534a6cc539f48ffb5725a69185d11 |
| identifier_str_mv | 10.1016/j.wneu.2023.05.022 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/25124399 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Comparison of Burr-Hole Craniostomy versus Twist-Drill Craniostomy Operations for Patients with Chronic Subdural Hematoma: A Systematic Review and Network Meta-AnalysisMohammed Maan Al-Salihi (13105835)Maryam Sabah Al-Jebur (15920047)Yezan Al-Salihi (17808287)Ram Saha (15920053)Firas Hammadi (13105829)Amro Al Hajali (17884301)Ali Ayyad (149042)Biomedical and clinical sciencesClinical sciencesNeurosciencesBurr-hole craniostomyChronic subdural hematomaCSDHMeta-AnalysisTwist-drill craniostomy<h3>Background</h3><p dir="ltr">Chronic subdural hematoma (CSDH) represents one of the most common neurologic disorders in the elderly. However, the optimum surgical option remains questionable. This study aims to compare the safety and efficacy of single burr-hole craniostomy (sBHC), double burr-hole craniostomy (dBHC), and twist-drill craniostomy (TDC) in patients with CSDH.</p><p><br></p><h3>Methods</h3><p dir="ltr">We searched PubMed, Embase, Scopus, Cochrane, and Web of Science until October 2022 for prospective trials. Primary outcomes comprised recurrence and mortality. The analysis was performed using R software, and the results were reported as risk ratio (RR) and 95% confidence interval (CI).</p><p><br></p><h3>Results</h3><p dir="ltr">Data from 11 prospective clinical trials were included in this network meta-analysis. We found that dBHC significantly decreased recurrence and reoperation rates compared with TDC (RR = 0.55, CI, 0.33–0.90 and RR = 0.48, CI, 0.24–0.94, respectively). However, sBHC showed no difference compared with dBHC and TDC. There was no significant difference among dBHC, sBHC, and TDC regarding the hospitalization duration, complication rates, mortality, and cured rates.</p><p><br></p><h3>Conclusions</h3><p dir="ltr">dBHC seems to be the best modality for CSDH compared with sBHC and TDC. It showed significantly less recurrence and reoperation rates compared with TDC. On the other hand, dBHC showed no significant difference with the other comparators regarding complication, mortality, and cure rates in addition to the hospitalization duration.</p><h2>Other Information</h2><p dir="ltr">Published in: World Neurosurgery<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.wneu.2023.05.022" target="_blank">https://dx.doi.org/10.1016/j.wneu.2023.05.022</a></p>2023-08-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.wneu.2023.05.022https://figshare.com/articles/journal_contribution/Comparison_of_Burr-Hole_Craniostomy_versus_Twist-Drill_Craniostomy_Operations_for_Patients_with_Chronic_Subdural_Hematoma_A_Systematic_Review_and_Network_Meta-Analysis/25124399CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/251243992023-08-01T00:00:00Z |
| spellingShingle | Comparison of Burr-Hole Craniostomy versus Twist-Drill Craniostomy Operations for Patients with Chronic Subdural Hematoma: A Systematic Review and Network Meta-Analysis Mohammed Maan Al-Salihi (13105835) Biomedical and clinical sciences Clinical sciences Neurosciences Burr-hole craniostomy Chronic subdural hematoma CSDH Meta-Analysis Twist-drill craniostomy |
| status_str | publishedVersion |
| title | Comparison of Burr-Hole Craniostomy versus Twist-Drill Craniostomy Operations for Patients with Chronic Subdural Hematoma: A Systematic Review and Network Meta-Analysis |
| title_full | Comparison of Burr-Hole Craniostomy versus Twist-Drill Craniostomy Operations for Patients with Chronic Subdural Hematoma: A Systematic Review and Network Meta-Analysis |
| title_fullStr | Comparison of Burr-Hole Craniostomy versus Twist-Drill Craniostomy Operations for Patients with Chronic Subdural Hematoma: A Systematic Review and Network Meta-Analysis |
| title_full_unstemmed | Comparison of Burr-Hole Craniostomy versus Twist-Drill Craniostomy Operations for Patients with Chronic Subdural Hematoma: A Systematic Review and Network Meta-Analysis |
| title_short | Comparison of Burr-Hole Craniostomy versus Twist-Drill Craniostomy Operations for Patients with Chronic Subdural Hematoma: A Systematic Review and Network Meta-Analysis |
| title_sort | Comparison of Burr-Hole Craniostomy versus Twist-Drill Craniostomy Operations for Patients with Chronic Subdural Hematoma: A Systematic Review and Network Meta-Analysis |
| topic | Biomedical and clinical sciences Clinical sciences Neurosciences Burr-hole craniostomy Chronic subdural hematoma CSDH Meta-Analysis Twist-drill craniostomy |