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Incidence and outcome of surgery for adult hydrocephalus patients in Sweden

Overview of attention for article published in British Journal of Neurosurgery, September 2016
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Title
Incidence and outcome of surgery for adult hydrocephalus patients in Sweden
Published in
British Journal of Neurosurgery, September 2016
DOI 10.1080/02688697.2016.1229749
Pubmed ID
Authors

Nina Sundström, Jan Malm, Katarina Laurell, Fredrik Lundin, Babar Kahlon, Kristina G Cesarini, Göran Leijon, Carsten Wikkelsö

Abstract

To present population-based and age related incidence of surgery and clinical outcome for adult patients operated for hydrocephalus, registered in the Swedish Hydrocephalus Quality Registry (SHQR). All patients registered in SHQR during 2004-2011 were included. Data on age, gender, type of hydrocephalus and type of surgery were extracted as well as three months outcome for patients with idiopathic normal pressure hydrocephalus (iNPH). The material consisted of 2360 patients, 1229 men and 1131 women, age 63.8 ± 14.4 years (mean ± standard deviation (SD)). The mean total incidence of surgery was 5.1 ± 0.9 surgeries/100,000/year; 4.7 ± 0.9 shunt surgeries and 0.4 ± 0.1 endoscopic third ventriculostomies. For iNPH, secondary communicating hydrocephalus and obstructive hydrocephalus, the incidence of surgery was 2.2 ± 0.8, 1.9 ± 0.3 and 0.8 ± 0.1/100,000/year, respectively. During 2004-2011, the incidence of surgery increased in total (p = .044), especially in age groups 70-79 years and ≥80 years (p = .012 and p = .031). After surgery, 253 of 652 iNPH patients (38.8%) improved at least one step on the modified Rankin scale (mRS). Number needed to treat was 3.0 for improving one patient from unfavourable (mRS 3-5) to favourable (mRS 0-2). The mean score of a modified iNPH scale increased from 54 ± 23 preoperatively to 63 ± 25 postoperatively (p < .0001, n = 704), and 58% improved. No significant regional differences in incidence, surgical techniques or outcome were found. Incidence of hydrocephalus surgery increased significantly during 2004-2011, specifically in elderly patients. Surgical treatment of iNPH markedly improved functional independence, but the improvement rate was low compared to recent single- and multicentre studies. Thus, the potential for surgical improvement is likely lower than generally reported when treating patients as part of everyday clinical care.

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Mendeley readers

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Geographical breakdown

Country Count As %
Unknown 39 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 10 26%
Student > Bachelor 6 15%
Student > Ph. D. Student 5 13%
Student > Postgraduate 3 8%
Other 2 5%
Other 4 10%
Unknown 9 23%
Readers by discipline Count As %
Medicine and Dentistry 18 46%
Neuroscience 7 18%
Engineering 5 13%
Nursing and Health Professions 1 3%
Business, Management and Accounting 1 3%
Other 1 3%
Unknown 6 15%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 March 2017.
All research outputs
#20,341,859
of 22,888,307 outputs
Outputs from British Journal of Neurosurgery
#865
of 985 outputs
Outputs of similar age
#279,630
of 322,146 outputs
Outputs of similar age from British Journal of Neurosurgery
#9
of 12 outputs
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So far Altmetric has tracked 985 research outputs from this source. They receive a mean Attention Score of 2.8. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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