Posterior fossa decompression with or without duraplasty for patients with chiari type I malformation and basilar impression: a meta-analysis
Background To compare clinical effect and safety between posterior fossa decompression with duraplasty (PFDD) and posterior fossa decompression without duraplasty (PFD) in treatment of Chiari type I malformation and basilar impression. Methods A comprehensive computer search was conducted from 2000...
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| Veröffentlicht in: | European spine journal 2021-02, Vol.30 (2), p.454-460 |
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| creator | Cai, Siyi Tian, Ye Zhang, Jianguo Shen, Jianxiong Hu, Jianhua Chen, Feng |
| description | Background
To compare clinical effect and safety between posterior fossa decompression with duraplasty (PFDD) and posterior fossa decompression without duraplasty (PFD) in treatment of Chiari type I malformation and basilar impression.
Methods
A comprehensive computer search was conducted from 2000 to 2019. The quality assessment was performed by the QUADAS-2 tool. The clinical value of comparison between PFDD and PFD was evaluated by using the pooled estimate of sensitivity and specificity. In addition, sensitivity analysis and bias analysis were applied to ensure the accuracy of the results.
Results
Finally, 468 patients were enrolled in 6 studies and ultimately met the eligibility criteria. The PFDD and PFD groups were 282 and 186, respectively. The meta-analysis showed no significant difference in the Chicago Chiari Outcome Scale (COSS score) (MD = 0.14, 95% CI [−0.23, 0.50],
P
= 0.47;
P
= heterogeneity = 0.86,
I
2
= 0%). Meanwhile, Significant difference existed in length of stay (MD = −1.08, 95% CI [−1.32, −0.84],
P
= 0.001; heterogeneity
P
|
| doi_str_mv | 10.1007/s00586-020-06643-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2454131458</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2454131458</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-e3c7d333aed4543e877bf114f0c6f12f8cca6e030f813baae3f68c5dc8ba15123</originalsourceid><addsrcrecordid>eNp9kc1u1TAQRi1ERW8LL8ACWWLDxnQc55cdqqBUqtQuYG1NHJu6SuLgcXR1H4J3xpeUIrFgNYs5c2bsj7HXEt5LgOaCAKq2FlCAgLouldg_YztZqkJAp4rnbAddCaJuZHfKzogeAGTVQf2CnSoFnczkjv28C5Rs9CFyF4iQD9aEaYmWyIeZ732657l3rGFNfFgjLiNSOmQ88gWTt3OijTP3HqPn6bBYfs0nHDMyZSJ7cB54j-RHjNw_6T9w5JNNKHDG8UCeXrIThyPZV4_1nH37_Onr5Rdxc3t1ffnxRhjVVElYZZpBKYV2KKtS2bZpepff48DUThauNQZrCwpcK1WPaJWrW1MNpu1RVrJQ5-zd5l1i-LFaSnryZOw44mzDSrrIWqlkWbUZffsP-hDWmO89Um1Xqq6STaaKjTIx_2K0Ti_RTxgPWoI-hqW3sHQOS_8OS-_z0JtH9dpPdnga-ZNOBtQGUG7N3238u_s_2l9kiaOG</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2489439517</pqid></control><display><type>article</type><title>Posterior fossa decompression with or without duraplasty for patients with chiari type I malformation and basilar impression: a meta-analysis</title><source>SpringerLink Journals</source><creator>Cai, Siyi ; Tian, Ye ; Zhang, Jianguo ; Shen, Jianxiong ; Hu, Jianhua ; Chen, Feng</creator><creatorcontrib>Cai, Siyi ; Tian, Ye ; Zhang, Jianguo ; Shen, Jianxiong ; Hu, Jianhua ; Chen, Feng</creatorcontrib><description>Background
To compare clinical effect and safety between posterior fossa decompression with duraplasty (PFDD) and posterior fossa decompression without duraplasty (PFD) in treatment of Chiari type I malformation and basilar impression.
Methods
A comprehensive computer search was conducted from 2000 to 2019. The quality assessment was performed by the QUADAS-2 tool. The clinical value of comparison between PFDD and PFD was evaluated by using the pooled estimate of sensitivity and specificity. In addition, sensitivity analysis and bias analysis were applied to ensure the accuracy of the results.
Results
Finally, 468 patients were enrolled in 6 studies and ultimately met the eligibility criteria. The PFDD and PFD groups were 282 and 186, respectively. The meta-analysis showed no significant difference in the Chicago Chiari Outcome Scale (COSS score) (MD = 0.14, 95% CI [−0.23, 0.50],
P
= 0.47;
P
= heterogeneity = 0.86,
I
2
= 0%). Meanwhile, Significant difference existed in length of stay (MD = −1.08, 95% CI [−1.32, −0.84],
P
= 0.001; heterogeneity
P
< 0.000001,
I
2
= 85%) and complications (OR = 0.35, 95%CI [0.20, 0.62],
P
= 0.0003;
P
for Heterogeneity = 0.04,
I
2
= 56%).
Conclusion
PFD is a more efficient and safer therapy than PFDD in the treatment of Chiari type I malformation with basilar impression.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-020-06643-w</identifier><identifier>PMID: 33091143</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Brain ; Decompression ; Dura mater ; Medicine ; Medicine & Public Health ; Meta-analysis ; Neurosurgery ; Original Article ; Patients ; Quality control ; Sensitivity analysis ; Surgical Orthopedics</subject><ispartof>European spine journal, 2021-02, Vol.30 (2), p.454-460</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020</rights><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-e3c7d333aed4543e877bf114f0c6f12f8cca6e030f813baae3f68c5dc8ba15123</citedby><cites>FETCH-LOGICAL-c375t-e3c7d333aed4543e877bf114f0c6f12f8cca6e030f813baae3f68c5dc8ba15123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00586-020-06643-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00586-020-06643-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33091143$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cai, Siyi</creatorcontrib><creatorcontrib>Tian, Ye</creatorcontrib><creatorcontrib>Zhang, Jianguo</creatorcontrib><creatorcontrib>Shen, Jianxiong</creatorcontrib><creatorcontrib>Hu, Jianhua</creatorcontrib><creatorcontrib>Chen, Feng</creatorcontrib><title>Posterior fossa decompression with or without duraplasty for patients with chiari type I malformation and basilar impression: a meta-analysis</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Background
To compare clinical effect and safety between posterior fossa decompression with duraplasty (PFDD) and posterior fossa decompression without duraplasty (PFD) in treatment of Chiari type I malformation and basilar impression.
Methods
A comprehensive computer search was conducted from 2000 to 2019. The quality assessment was performed by the QUADAS-2 tool. The clinical value of comparison between PFDD and PFD was evaluated by using the pooled estimate of sensitivity and specificity. In addition, sensitivity analysis and bias analysis were applied to ensure the accuracy of the results.
Results
Finally, 468 patients were enrolled in 6 studies and ultimately met the eligibility criteria. The PFDD and PFD groups were 282 and 186, respectively. The meta-analysis showed no significant difference in the Chicago Chiari Outcome Scale (COSS score) (MD = 0.14, 95% CI [−0.23, 0.50],
P
= 0.47;
P
= heterogeneity = 0.86,
I
2
= 0%). Meanwhile, Significant difference existed in length of stay (MD = −1.08, 95% CI [−1.32, −0.84],
P
= 0.001; heterogeneity
P
< 0.000001,
I
2
= 85%) and complications (OR = 0.35, 95%CI [0.20, 0.62],
P
= 0.0003;
P
for Heterogeneity = 0.04,
I
2
= 56%).
Conclusion
PFD is a more efficient and safer therapy than PFDD in the treatment of Chiari type I malformation with basilar impression.</description><subject>Brain</subject><subject>Decompression</subject><subject>Dura mater</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Neurosurgery</subject><subject>Original Article</subject><subject>Patients</subject><subject>Quality control</subject><subject>Sensitivity analysis</subject><subject>Surgical Orthopedics</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNp9kc1u1TAQRi1ERW8LL8ACWWLDxnQc55cdqqBUqtQuYG1NHJu6SuLgcXR1H4J3xpeUIrFgNYs5c2bsj7HXEt5LgOaCAKq2FlCAgLouldg_YztZqkJAp4rnbAddCaJuZHfKzogeAGTVQf2CnSoFnczkjv28C5Rs9CFyF4iQD9aEaYmWyIeZ732657l3rGFNfFgjLiNSOmQ88gWTt3OijTP3HqPn6bBYfs0nHDMyZSJ7cB54j-RHjNw_6T9w5JNNKHDG8UCeXrIThyPZV4_1nH37_Onr5Rdxc3t1ffnxRhjVVElYZZpBKYV2KKtS2bZpepff48DUThauNQZrCwpcK1WPaJWrW1MNpu1RVrJQ5-zd5l1i-LFaSnryZOw44mzDSrrIWqlkWbUZffsP-hDWmO89Um1Xqq6STaaKjTIx_2K0Ti_RTxgPWoI-hqW3sHQOS_8OS-_z0JtH9dpPdnga-ZNOBtQGUG7N3238u_s_2l9kiaOG</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Cai, Siyi</creator><creator>Tian, Ye</creator><creator>Zhang, Jianguo</creator><creator>Shen, Jianxiong</creator><creator>Hu, Jianhua</creator><creator>Chen, Feng</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20210201</creationdate><title>Posterior fossa decompression with or without duraplasty for patients with chiari type I malformation and basilar impression: a meta-analysis</title><author>Cai, Siyi ; Tian, Ye ; Zhang, Jianguo ; Shen, Jianxiong ; Hu, Jianhua ; Chen, Feng</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-e3c7d333aed4543e877bf114f0c6f12f8cca6e030f813baae3f68c5dc8ba15123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Brain</topic><topic>Decompression</topic><topic>Dura mater</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Neurosurgery</topic><topic>Original Article</topic><topic>Patients</topic><topic>Quality control</topic><topic>Sensitivity analysis</topic><topic>Surgical Orthopedics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cai, Siyi</creatorcontrib><creatorcontrib>Tian, Ye</creatorcontrib><creatorcontrib>Zhang, Jianguo</creatorcontrib><creatorcontrib>Shen, Jianxiong</creatorcontrib><creatorcontrib>Hu, Jianhua</creatorcontrib><creatorcontrib>Chen, Feng</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cai, Siyi</au><au>Tian, Ye</au><au>Zhang, Jianguo</au><au>Shen, Jianxiong</au><au>Hu, Jianhua</au><au>Chen, Feng</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Posterior fossa decompression with or without duraplasty for patients with chiari type I malformation and basilar impression: a meta-analysis</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2021-02-01</date><risdate>2021</risdate><volume>30</volume><issue>2</issue><spage>454</spage><epage>460</epage><pages>454-460</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Background
To compare clinical effect and safety between posterior fossa decompression with duraplasty (PFDD) and posterior fossa decompression without duraplasty (PFD) in treatment of Chiari type I malformation and basilar impression.
Methods
A comprehensive computer search was conducted from 2000 to 2019. The quality assessment was performed by the QUADAS-2 tool. The clinical value of comparison between PFDD and PFD was evaluated by using the pooled estimate of sensitivity and specificity. In addition, sensitivity analysis and bias analysis were applied to ensure the accuracy of the results.
Results
Finally, 468 patients were enrolled in 6 studies and ultimately met the eligibility criteria. The PFDD and PFD groups were 282 and 186, respectively. The meta-analysis showed no significant difference in the Chicago Chiari Outcome Scale (COSS score) (MD = 0.14, 95% CI [−0.23, 0.50],
P
= 0.47;
P
= heterogeneity = 0.86,
I
2
= 0%). Meanwhile, Significant difference existed in length of stay (MD = −1.08, 95% CI [−1.32, −0.84],
P
= 0.001; heterogeneity
P
< 0.000001,
I
2
= 85%) and complications (OR = 0.35, 95%CI [0.20, 0.62],
P
= 0.0003;
P
for Heterogeneity = 0.04,
I
2
= 56%).
Conclusion
PFD is a more efficient and safer therapy than PFDD in the treatment of Chiari type I malformation with basilar impression.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>33091143</pmid><doi>10.1007/s00586-020-06643-w</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0940-6719 |
| ispartof | European spine journal, 2021-02, Vol.30 (2), p.454-460 |
| issn | 0940-6719 1432-0932 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2454131458 |
| source | SpringerLink Journals |
| subjects | Brain Decompression Dura mater Medicine Medicine & Public Health Meta-analysis Neurosurgery Original Article Patients Quality control Sensitivity analysis Surgical Orthopedics |
| title | Posterior fossa decompression with or without duraplasty for patients with chiari type I malformation and basilar impression: a meta-analysis |
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