Efficacy of Surgical Treatment on the Recurrent Stroke Prevention for Adult Patients With Hemorrhagic Moyamoya Disease
It remains controversial about the optimal treatment of adult hemorrhagic moyamoya disease (MMD). In this study, the authors performed a meta-analysis to determine whether surgical treatment of adult hemorrhagic MMD is superior to conservative treatment. A systematic search of the PubMed, EMBASE, an...
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| Veröffentlicht in: | The Journal of craniofacial surgery 2017-11, Vol.28 (8), p.2113-2116 |
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| container_title | The Journal of craniofacial surgery |
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| creator | Wang, Guoqing Zhang, Xiaoyang Feng, Mengzhao Liu, Xianzhi Guo, Fuyou |
| description | It remains controversial about the optimal treatment of adult hemorrhagic moyamoya disease (MMD). In this study, the authors performed a meta-analysis to determine whether surgical treatment of adult hemorrhagic MMD is superior to conservative treatment.
A systematic search of the PubMed, EMBASE, and Cochrane Central databases was performed for articles published until May 2017. Randomized-controlled trials and cohort studies about the efficacy of surgical treatment and conservative treatment in patients with hemorrhagic MMD at 16 years of age or older were selected. Recurrent stroke incidence including hemorrhagic and ischemic events at the end of the follow-up period was calculated between the 2 groups with a 95% confidence interval (CI).
A total of 3 articles (including 146 patients) were included in the meta-analysis. There were significant differences between the 2 groups when the authors compared the overall recurrent stroke rate at the end of the follow-up period. Surgical treatment significantly reduced the risk of stroke (risk ratio, 0.43; 95% CI, 0.24-0.76; P = 0.004).
The current meta-analysis suggests that surgical treatment is better for conservative treatment in adult hemorrhagic MMD with recurrent stroke rate. Future studies are required to confirm this conclusion. |
| doi_str_mv | 10.1097/SCS.0000000000004004 |
| format | Article |
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A systematic search of the PubMed, EMBASE, and Cochrane Central databases was performed for articles published until May 2017. Randomized-controlled trials and cohort studies about the efficacy of surgical treatment and conservative treatment in patients with hemorrhagic MMD at 16 years of age or older were selected. Recurrent stroke incidence including hemorrhagic and ischemic events at the end of the follow-up period was calculated between the 2 groups with a 95% confidence interval (CI).
A total of 3 articles (including 146 patients) were included in the meta-analysis. There were significant differences between the 2 groups when the authors compared the overall recurrent stroke rate at the end of the follow-up period. Surgical treatment significantly reduced the risk of stroke (risk ratio, 0.43; 95% CI, 0.24-0.76; P = 0.004).
The current meta-analysis suggests that surgical treatment is better for conservative treatment in adult hemorrhagic MMD with recurrent stroke rate. Future studies are required to confirm this conclusion.</description><identifier>ISSN: 1049-2275</identifier><identifier>EISSN: 1536-3732</identifier><identifier>DOI: 10.1097/SCS.0000000000004004</identifier><identifier>PMID: 29088693</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Cerebral Revascularization - methods ; Conservative Treatment - methods ; Dentistry ; Humans ; Moyamoya Disease - complications ; Moyamoya Disease - therapy ; Patient Selection ; Stroke - etiology ; Stroke - prevention & control</subject><ispartof>The Journal of craniofacial surgery, 2017-11, Vol.28 (8), p.2113-2116</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c307t-1ffeabbccdccbc67e53fed9a9ec683b54c3c640eb28cf109669a389ad7b6ae723</citedby><cites>FETCH-LOGICAL-c307t-1ffeabbccdccbc67e53fed9a9ec683b54c3c640eb28cf109669a389ad7b6ae723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29088693$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Guoqing</creatorcontrib><creatorcontrib>Zhang, Xiaoyang</creatorcontrib><creatorcontrib>Feng, Mengzhao</creatorcontrib><creatorcontrib>Liu, Xianzhi</creatorcontrib><creatorcontrib>Guo, Fuyou</creatorcontrib><title>Efficacy of Surgical Treatment on the Recurrent Stroke Prevention for Adult Patients With Hemorrhagic Moyamoya Disease</title><title>The Journal of craniofacial surgery</title><addtitle>J Craniofac Surg</addtitle><description>It remains controversial about the optimal treatment of adult hemorrhagic moyamoya disease (MMD). In this study, the authors performed a meta-analysis to determine whether surgical treatment of adult hemorrhagic MMD is superior to conservative treatment.
A systematic search of the PubMed, EMBASE, and Cochrane Central databases was performed for articles published until May 2017. Randomized-controlled trials and cohort studies about the efficacy of surgical treatment and conservative treatment in patients with hemorrhagic MMD at 16 years of age or older were selected. Recurrent stroke incidence including hemorrhagic and ischemic events at the end of the follow-up period was calculated between the 2 groups with a 95% confidence interval (CI).
A total of 3 articles (including 146 patients) were included in the meta-analysis. There were significant differences between the 2 groups when the authors compared the overall recurrent stroke rate at the end of the follow-up period. Surgical treatment significantly reduced the risk of stroke (risk ratio, 0.43; 95% CI, 0.24-0.76; P = 0.004).
The current meta-analysis suggests that surgical treatment is better for conservative treatment in adult hemorrhagic MMD with recurrent stroke rate. Future studies are required to confirm this conclusion.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Cerebral Revascularization - methods</subject><subject>Conservative Treatment - methods</subject><subject>Dentistry</subject><subject>Humans</subject><subject>Moyamoya Disease - complications</subject><subject>Moyamoya Disease - therapy</subject><subject>Patient Selection</subject><subject>Stroke - etiology</subject><subject>Stroke - prevention & control</subject><issn>1049-2275</issn><issn>1536-3732</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkF9LwzAQwIMoTqffQCSPvnQmTZs2j2NOJ0wcbuJjSdOLq7bLTNLBvr0ZmyIed9z_O_ghdEXJgBKR3c5H8wH5I0nQI3RGU8YjlrH4OMQkEVEcZ2kPnTv3QUhMacxPUS8WJM-5YGdoM9a6VlJtsdF43tn3kDR4YUH6FlYemxX2S8AvoDprd4W5t-YT8MzCJqR16Gtj8bDqGo9n0teh6PBb7Zd4Aq2xdinDSfxktrINhu9qB9LBBTrRsnFwefB99Ho_Xowm0fT54XE0nEaKkcxHVGuQZalUpVSpeAYp01AJKUDxnJVpopjiCYEyzpUOVDgXkuVCVlnJJWQx66Ob_d21NV8dOF-0tVPQNHIFpnMFFWmeJizPkjCa7EeVNc5Z0MXa1q2024KSYke8CMSL_8TD2vXhQ1e2UP0u_SBm3_ovfsM</recordid><startdate>201711</startdate><enddate>201711</enddate><creator>Wang, Guoqing</creator><creator>Zhang, Xiaoyang</creator><creator>Feng, Mengzhao</creator><creator>Liu, Xianzhi</creator><creator>Guo, Fuyou</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201711</creationdate><title>Efficacy of Surgical Treatment on the Recurrent Stroke Prevention for Adult Patients With Hemorrhagic Moyamoya Disease</title><author>Wang, Guoqing ; Zhang, Xiaoyang ; Feng, Mengzhao ; Liu, Xianzhi ; Guo, Fuyou</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-1ffeabbccdccbc67e53fed9a9ec683b54c3c640eb28cf109669a389ad7b6ae723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Cerebral Revascularization - methods</topic><topic>Conservative Treatment - methods</topic><topic>Dentistry</topic><topic>Humans</topic><topic>Moyamoya Disease - complications</topic><topic>Moyamoya Disease - therapy</topic><topic>Patient Selection</topic><topic>Stroke - etiology</topic><topic>Stroke - prevention & control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Guoqing</creatorcontrib><creatorcontrib>Zhang, Xiaoyang</creatorcontrib><creatorcontrib>Feng, Mengzhao</creatorcontrib><creatorcontrib>Liu, Xianzhi</creatorcontrib><creatorcontrib>Guo, Fuyou</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of craniofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Guoqing</au><au>Zhang, Xiaoyang</au><au>Feng, Mengzhao</au><au>Liu, Xianzhi</au><au>Guo, Fuyou</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of Surgical Treatment on the Recurrent Stroke Prevention for Adult Patients With Hemorrhagic Moyamoya Disease</atitle><jtitle>The Journal of craniofacial surgery</jtitle><addtitle>J Craniofac Surg</addtitle><date>2017-11</date><risdate>2017</risdate><volume>28</volume><issue>8</issue><spage>2113</spage><epage>2116</epage><pages>2113-2116</pages><issn>1049-2275</issn><eissn>1536-3732</eissn><abstract>It remains controversial about the optimal treatment of adult hemorrhagic moyamoya disease (MMD). In this study, the authors performed a meta-analysis to determine whether surgical treatment of adult hemorrhagic MMD is superior to conservative treatment.
A systematic search of the PubMed, EMBASE, and Cochrane Central databases was performed for articles published until May 2017. Randomized-controlled trials and cohort studies about the efficacy of surgical treatment and conservative treatment in patients with hemorrhagic MMD at 16 years of age or older were selected. Recurrent stroke incidence including hemorrhagic and ischemic events at the end of the follow-up period was calculated between the 2 groups with a 95% confidence interval (CI).
A total of 3 articles (including 146 patients) were included in the meta-analysis. There were significant differences between the 2 groups when the authors compared the overall recurrent stroke rate at the end of the follow-up period. Surgical treatment significantly reduced the risk of stroke (risk ratio, 0.43; 95% CI, 0.24-0.76; P = 0.004).
The current meta-analysis suggests that surgical treatment is better for conservative treatment in adult hemorrhagic MMD with recurrent stroke rate. Future studies are required to confirm this conclusion.</abstract><cop>United States</cop><pmid>29088693</pmid><doi>10.1097/SCS.0000000000004004</doi><tpages>4</tpages></addata></record> |
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| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adolescent Adult Cerebral Revascularization - methods Conservative Treatment - methods Dentistry Humans Moyamoya Disease - complications Moyamoya Disease - therapy Patient Selection Stroke - etiology Stroke - prevention & control |
| title | Efficacy of Surgical Treatment on the Recurrent Stroke Prevention for Adult Patients With Hemorrhagic Moyamoya Disease |
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