作者
Yahia Z Al-Tamimi, Priyank Sinha, Paul D Chumas, Darach Crimmins, James Drake, John Kestle, Richard Hayward, Guirish A Solanki, Simon Thomson, John Thorne, British Pediatric Neurosurgery Group Audit Committee
发表日期
2014/1/1
期刊
Neurosurgery
卷号
74
期号
1
页码范围
29-34
出版商
LWW
简介
BACKGROUND:
With the need for transparency of surgical results, 30-day outcome measures have become increasingly important. Ventriculoperitoneal (VP) shunt failure is a substantial burden to patients and health care systems.
OBJECTIVE:
This study introduces the 30-day VP shunt failure rate as a possible barometer of surgical outcome and demonstrates its use in a national (United Kingdom [UK]) study and makes comparison with 2 published randomized, controlled trials (RCT).
METHODS:
A cohort study of all (except 1) pediatric neurosurgical centers in the UK and Ireland. All new and revision VP shunt operations were recorded for 2008 and 2009. Both newly placed and revised VP shunts were subject to Kaplan-Meier analysis, and 30-day failure rate was obtained. Data from 2 RCTs investigating new VP shunt technology were analyzed, and the 30-day failure rate was extracted for comparative purposes …
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YZ Al-Tamimi, P Sinha, PD Chumas, D Crimmins… - Neurosurgery, 2014