Predicting for Lost to Follow-up in Surgical Management of Patients with Chronic Subdural Hematoma.


BACKGROUND:Lost to follow-up (LTF) represents an understudied barrier to effective management of chronic subdural hematoma (cSDH). Understanding the factors associated with LTF after surgical treatment of cSDH could uncover pathways for quality improvement efforts and modify discharge planning. We sought to identify the demographic and clinical factors associated with patient LTF. METHODS:A single-institution, retrospective cohort study of patients treated surgically for convexity cSDH from 2009 to 2019 was conducted. The primary outcome was LTF, with neurosurgical readmission as the secondary outcome. Univariate analysis was conducted using the student-t test and χ2 test. Multivariate logistic regression was performed to identify the factors associated with LTF and neurosurgical readmission. RESULTS:A total of 139 patients were included, 29% of whom were LTF. The mean first postoperative follow-up duration was 60 days. On univariate analysis, uninsured/Medicaid coverage was associated with increased LTF compared with private insurance/Medicare coverage (62.5% vs. 41.4%; P = 0.039). A higher discharge modified Rankin scale score was also associated with LTF (3.7 vs. 3.5; P < 0.001). On multivariate analysis, uninsured/Medicaid patients had a significantly greater risk of LTF compared with private insurance/Medicare patients (odds ratio, 2.44; 95% confidence interval, 1.13-5.23; P = 0.022). LTF was independently associated with an increased risk of neurosurgical readmission (odds ratio, 1.94; 95% confidence interval, 1.17-3.24; P = 0.011). CONCLUSIONS:Uninsured and Medicaid patients had a greater likelihood of LTF compared with private insurance and Medicare patients. LTF was further associated with an increased risk of neurosurgical readmission. The results from the present study emphasize the need to address barriers to follow-up to reduce readmission after surgery for cSDH. These findings could inform improved discharge planning, such as predischarge repeat imaging studies and postdischarge contact.


World Neurosurg


World neurosurgery


Tang AR,Lan M,Kelly KA,Guidry BS,Yengo-Kahn AM,Kelly PD,Chotai S,Morone PJ




Has Abstract


2021-01-04 00:00:00








  • The Potential of Minimally Invasive Surgery to Treat Metastatic Spinal Disease versus Open Surgery: A Systematic Review and Meta-Analysis.

    abstract:BACKGROUND AND OBJECTIVE:Metastasis to the spinal column is a common feature of primary tumors of the breast, prostate, lung, and other organs. Surgical intervention can be performed via the traditional open surgery (OS) approach or the minimally invasive surgery (MIS) approach. This study aims to assess the available ...

    journal_title:World neurosurgery

    pub_type: 杂志文章,meta分析,评审


    authors: Lu VM,Alvi MA,Goyal A,Kerezoudis P,Bydon M

    更新日期:2018-04-01 00:00:00

  • Brain Bypass Surgery for Complex Middle Cerebral Artery Aneurysms: Evolving Techniques, Results, and Lessons Learned.

    abstract:OBJECTIVE:To analyze a consecutive series of patients with middle cerebral artery (MCA) aneurysms who needed an adjunctive cerebral revascularization procedure to achieve aneurysm occlusion with preservation of flow through all MCA branches. METHODS:A total of 42 patients with 43 MCA aneurysms underwent 52 bypass proc...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Natarajan SK,Zeeshan Q,Ghodke BV,Sekhar LN

    更新日期:2019-10-01 00:00:00

  • Innervation of the Anterior Sacroiliac Joint.

    abstract:OBJECTIVE:Sacroiliac joint pain can be disabling and recalcitrant to medical therapy. The innervation of this joint is poorly understood, especially its anterior aspect. Therefore, the present cadaveric study was performed to better elucidate this anatomy. METHODS:Twenty-four cadaveric sides underwent dissection of th...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Cox M,Ng G,Mashriqi F,Iwanaga J,Alonso F,Tubbs K,Loukas M,Oskouian RJ,Tubbs RS

    更新日期:2017-11-01 00:00:00

  • Predictive Factors of Postoperative Seizure for Pediatric Patients with Unruptured Arteriovenous Malformations.

    abstract:BACKGROUND:Seizure is the second-most common presentation in patients with arteriovenous malformations (AVMs) and superimposes a significant burden on pediatric patients. Postoperative seizure risk in unruptured AVMs is underreported in the pediatric AVM literature. We aimed to characterize and identify predictive fact...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Yang H,Deng Z,Yang W,Liu K,Yao H,Tong X,Wu J,Zhao Y,Cao Y,Wang S

    更新日期:2017-09-01 00:00:00

  • Rhinacanthin-C, A Fat-Soluble Extract from Rhinacanthus nasutus, Modulates High-Mobility Group Box 1-Related Neuro-Inflammation and Subarachnoid Hemorrhage-Induced Brain Apoptosis in a Rat Model.

    abstract:OBJECTIVE:High-mobility group box 1 (HMGB1) was shown to be a major extracellular mediator involved in relayed neuro-inflammation in animals after subarachnoid hemorrhage (SAH). It is of interest to examine the effect of rhinacanthin-C (RCT-C, C25H30O5) on pro-inflammatory cytokines/HMGB1 in an SAH-related early brain ...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Chang CZ,Wu SC,Kwan AL,Lin CL

    更新日期:2016-02-01 00:00:00

  • Expandable versus nonexpandable cages for thoracolumbar burst fracture.

    abstract:BACKGROUND:Burst fractures account for more than half of all thoracolumbar fractures and are frequently associated with spine instability and neurological deficit. The anterior approach is favored when decompression of the spinal canal is necessary. We compare two commonly available struts used for anterior approach af...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Eleraky MA,Duong HT,Esp E,Kim KD

    更新日期:2011-01-01 00:00:00

  • Percutaneous Drainage of Chronic Destructive Lumbar Osteomyelitis Abscess Via the Use of Bilateral Transpedicular Trocar Access.

    abstract:BACKGROUND:Pyogenic spondylodiskitis is an infection of intervertebral disks and spinal vertebral bodies. Various minimally invasive approaches to the infected disk spaces/abscesses have been described for management of early stages of the infection. Patients with chronic occurrence present with extensive infection, ne...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Urakov TM,Casabella AM,Levene HB

    更新日期:2016-08-01 00:00:00

  • Surgical Anatomy of Rats for the Training of Microvascular Anastomosis.

    abstract:BACKGROUND:Microvascular anastomosis is an essential procedure in neurosurgery, but the opportunity to perform the surgery has gradually decreased for neurosurgeons. Therefore, training is necessary for obtaining and maintaining the skills required for the procedure. We describe the detailed anatomy of cervical and fem...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Mikami T,Suzuki H,Ukai R,Komatsu K,Kimura Y,Akiyama Y,Wanibuchi M,Mikuni N

    更新日期:2018-12-01 00:00:00

  • A Novel Hybrid Endoscopic Approach for Anterior Cervical Discectomy and Fusion and a Meta-Analysis of the Literature.

    abstract:BACKGROUND:We describe our experience in the endoscopic treatment of cervical spondylosis. We present a "hybrid" technique that is similar to an open anterior cervical discectomy with fusion but is performed endoscopically. We also analyzed data from studies on endoscopic cervical discectomies published in the past 2 d...

    journal_title:World neurosurgery

    pub_type: 杂志文章,meta分析


    authors: Tacconi L,Giordan E

    更新日期:2019-11-01 00:00:00

  • Informatic surgery: the union of surgeon and machine.

    abstract:OBJECTIVE:Surgical robotics present new and unique opportunities for the training and practice of neurosurgery, beyond the promise of the minimally invasive paradigm. METHODS:Robotic systems have been developed that simulate the sight, sound, and touch of surgery allowing surgical training to evolve past an apprentice...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Lang MJ,Sutherland GR

    更新日期:2010-07-01 00:00:00

  • Magnetic Resonance Imaging Reveals a Pronounced Treatment Response of a Isocitrate Dehydrogenase- and B-Raf Proto-Oncogene-Wildtype Epithelioid Glioblastoma.

    abstract::We here report findings on magnetic resonance imaging from a 60-year-old patient with an epithelioid glioblastoma of the corpus callosum treated with radiotherapy in combination with concomitant and adjuvant temozolomide. Neuropathology revealed a highly aggressive molecular subtype of the epithelioid glioblastoma wit...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Werner JM,Brunn A,Fink GR,Galldiks N

    更新日期:2019-07-01 00:00:00

  • Risk of Pseudoarthrosis After Spinal Fusion: Analysis From the Healthcare Cost and Utilization Project.

    abstract:BACKGROUND:Pseudoarthrosis after spinal fusion is an important cause of pain, neurologic decline, and reoperation. METHODS:The Healthcare Cost and Utilization Project State Inpatient Databases were queried in New York, California, Florida, and Washington for adult patients who had undergone new spinal fusion from 2009...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Hofler RC,Swong K,Martin B,Wemhoff M,Jones GA

    更新日期:2018-12-01 00:00:00

  • A Prospective Detailed Time Analysis Study of 18 Patients Undergoing Elective Single-Level Open Lumbar Microdiscectomy Spinal Surgery Compared with Centers for Medicare and Medicaid Services Reimbursement Guidelines.

    abstract:BACKGROUND:Single-level open lumbar microdiscectomy surgery is one of the most straightforward and effective spinal surgeries performed by spinal surgeons today to treat disk herniation. Although a common operation, little in the literature is reported on the exact overall time, cost, and effort associated with the per...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Pierce JT,Kanuparthi P,Mcshane BJ,Welch RL,Marcotte PJ,Welch WC

    更新日期:2018-11-01 00:00:00

  • Morbidities Associated with the Endoscopic Transnasal Transpterygoid Approach: Focusing on Postoperative Sequelae.

    abstract:OBJECTIVE:Although the endoscopic transpterygoid approach has been popularized, there are no studies about anatomy-specific morbidities of this approach. The objective of this study is to investigate the surgical morbidities associated with the endoscopic transpterygoid approach for resection of anatomic structures. M...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Choi JE,Noh YS,Lee KE,Jung YG,Chung SK,Kim HY,Kong DS,Nam DH,Hong SD

    更新日期:2020-05-01 00:00:00

  • The Impact of Urgent (

    abstract:OBJECTIVE:The relationship between urgent decompression and neurologic recovery for traumatic spinal cord injury (TSCI) remains controversial. This meta-analysis was conducted to determine the beneficial effects of surgery within 8 hours for patients with TSCI. METHODS:A systematic search in EMBASE, MEDLINE, Cochrane ...

    journal_title:World neurosurgery

    pub_type: 杂志文章,meta分析


    authors: Ma Y,Zhu Y,Zhang B,Wu Y,Liu X,Zhu Q

    更新日期:2020-08-01 00:00:00

  • Contralateral Hemispheric Brain Atrophy After Primary Intracerebral Hemorrhage.

    abstract:OBJECTIVE:In patients with intracerebral hematoma (ICH), it is well known that brain atrophy occurs in the hemisphere ipsilateral to the hematoma. The present study aimed to investigate contralateral hemispheric volume changes in patients with ICH as well as related factors. METHODS:Of 112 patients with ICH who were s...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Kim JH,Kim YS,Kim SH,Kim SD,Park JY,Kim TS,Joo SP

    更新日期:2017-06-01 00:00:00

  • Irreversible Hypoglossal Nerve Injury and Concomitant Trigeminal System Dysfunction After Anterior Surgery to the Cervical Spine: Case Report and Literature Review.

    abstract:BACKGROUND:The anterior surgical approach to the cervical spine is known to be safe, and damage to the hypoglossal nerve and trigeminal pathway after the surgery is uncommon. However, once damage to those nerves occurs, the patient's quality of life can be severely impaired by discomfort and disability. CASE DESCRIPTI...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审


    authors: Lee SH,Kim DH,Chun SM,Choi YH

    更新日期:2020-04-01 00:00:00

  • Asymmetric Cortical Vessel Sign Indicates Hemodynamic Deficits in Adult Patients with Moyamoya Disease.

    abstract:BACKGOUND:Asymmetric cortical vessel sign (ACVS) on susceptibility-weighted imaging (SWI) indicates elevated concentration of deoxyhemoglobin and elevated oxygen extraction fraction in patients with cerebral ischemia. This study aimed to clarify whether ACVS is associated with impaired hemodynamics and hyperperfusion s...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Weiqiang Q,Tikun S,Qiongqiong Q,Jinge Z,Chunchao X,Yi L,Chao Y

    更新日期:2019-07-01 00:00:00

  • Combining Ellagic Acid with Temozolomide Mediates the Cadherin Switch and Angiogenesis in a Glioblastoma Model.

    abstract:OBJECTIVE:We aimed to evaluate the combined effect of ellagic acid (EA) and temozolomide (TEM) on the cadherin switch and angiogenesis in the C6 glioma cell line. METHODS:A total of 100 μM EA and 100 μM TEM were applied to rat C6 glioma cells for 24, 48, and 72 hours. Cell proliferation was detected by 5-bromo-2'-deox...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Çetin A,Biltekin B

    更新日期:2019-12-01 00:00:00

  • Biportal Endoscopic Decompression of Exiting and Traversing Nerve Roots Through a Single Interlaminar Window Using a Contralateral Approach: Technical Feasibilities and Morphometric Changes of the Lumbar Canal and Foramen.

    abstract:BACKGROUND:Endoscopic surgery for lumbar stenosis is gaining acceptance because of the minimal muscle damage, short recovery times, reduced blood loss, and good clinical results. We report a novel technique of decompressing contralateral traversing and exiting nerve roots through a single interlaminar window, avoiding ...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Akbary K,Kim JS,Park CW,Jun SG,Hwang JH

    更新日期:2018-09-01 00:00:00

  • Academic Productivity of Neurosurgeons Working in the United Kingdom: Insights from the H-Index and Its Variants.

    abstract:OBJECTIVES:Academic metrics can be used to compare the productivity of researchers. We aimed to use a variety of bibliometric parameters to assess the productivity of neurosurgeons working in the United Kingdom. METHODS:Neurosurgical consultants working in the United Kingdom were identified using the Society of Britis...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Jamjoom AA,Wiggins AN,Loan JJ,Emelifeoneu J,Fouyas IP,Brennan PM

    更新日期:2016-02-01 00:00:00

  • Which Routes for Petroclival Tumors? A Comparison Between the Anterior Expanded Endoscopic Endonasal Approach and Lateral or Posterior Routes.

    abstract:OBJECTIVE:Petroclival tumors remain a surgical challenge. Classically, the retrosigmoid approach (RSA) has long been used to reach such tumors, whereas the anterior petrosectomy (AP) has been proposed to avoid crossing cranial nerves. More recently, the endoscopic endonasal approach has been "expanded" (i.e., EEEA) to ...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Jacquesson T,Berhouma M,Tringali S,Simon E,Jouanneau E

    更新日期:2015-06-01 00:00:00

  • Modular Endoscopic Medial Maxillectomies: Quantitative Analysis of Surgical Exposure in a Preclinical Setting.

    abstract:BACKGROUND:The nomenclature adopted for endoscopic medial maxillectomies (EMMs) is exceedingly heterogeneous. The aim of this study was to objectively measure surgical exposure in a preclinical anatomic setting to validate a classification for modular EMMs. MATERIALS AND METHODS:Computed tomography was used to scan 6 ...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Schreiber A,Ferrari M,Rampinelli V,Doglietto F,Belotti F,Lancini D,Ravanelli M,Rodella LF,Fontanella MM,Nicolai P

    更新日期:2017-04-01 00:00:00

  • Autologous Skull Bone Flap Sterilization After Decompressive Craniectomy: An Update.

    abstract:OBJECTIVE:To report new results with ethylene oxide sterilization and new experiences with autogenous bone flaps autoclaved at a high or low temperature for preservation of a bone flap after decompressive craniectomy. METHODS:In 45 patients who underwent a decompressive craniectomy, we determined bone flap preservatio...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Missori P,Marruzzo D,Paolini S,Seferi A,Fricia M,Chiara M,Palmarini V,Domenicucci M

    更新日期:2016-06-01 00:00:00

  • Decompression for Traumatic Thoracic/Thoracolumbar Incomplete Spinal Cord Injury: Application of AO Spine Injury Classification System to Identify the Timing of Operation.

    abstract:OBJECTIVE:Application of AO spine injury classification system (AOSICS) to identify the timing of operation for different types of traumatic thoracic/thoracolumbar incomplete spinal cord injury (SCI). METHODS:A single-center prospective cohort study was conducted to enroll patients with thoracic/thoracolumbar incomple...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Du JP,Fan Y,Liu JJ,Zhang JN,Meng YB,Mu CC,Hao DJ

    更新日期:2018-08-01 00:00:00

  • Surgical Management of Gorham-Stout Disease in Cervical Compression Fracture with Cervicothoracic Fusion: Case Report and Review of Literature.

    abstract:BACKGROUND:Gorham-Stout disease (GSD) or "vanishing bone" disease is characterized by progressive osteolysis with intraosseous lymphangiomatosis (hemangiomatosis). Given its rarity, with about 300 reported cases, its pathophysiology, etiology, and treatment guidelines are not established yet. CASE DESCRIPTION:A 22-yea...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审


    authors: Kim JH,Yoon DH,Kim KN,Shin DA,Yi S,Kang J,Ha Y

    更新日期:2019-09-01 00:00:00

  • Antibiotic Prophylaxis in Endoscopic Endonasal Pituitary and Skull Base Surgery.

    abstract:OBJECTIVE:Postoperative infection is a potentially dramatic consequence in endoscopic endonasal surgery. The aim of this study was to assess the efficacy of our intraoperative antibiotic prophylaxis by analyzing the risk factors of postoperative meningitis in our series. METHODS:Each endoscopic endonasal procedure per...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Milanese L,Zoli M,Sollini G,Martone C,Zenesini C,Sturiale C,Farneti P,Frank G,Pasquini E,Mazzatenta D

    更新日期:2017-10-01 00:00:00

  • Marked Changes in Blood-Brain Barrier Biomarkers After Direct Bypass Surgery for Moyamoya Angiopathy: Preliminary Study.

    abstract:OBJECTIVE:The blood-brain barrier (BBB) of patients with moyamoya angiopathy (MMA) is unstable, which may contribute to transient neurologic symptoms (TNS) after direct bypass surgery. However, BBB-related proteins have never been investigated. The purpose of this study was to evaluate the perioperative serum levels of...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Ishii D,Matsushige T,Okazaki T,Shinagawa K,Sakamoto S,Oshita J,Kurisu K

    更新日期:2018-12-01 00:00:00

  • Venous thromboembolism after thoracic/thoracolumbar spinal fusion.

    abstract:OBJECTIVE:Venous thromboembolism (VTE), which includes deep venous thrombosis and pulmonary embolism, is a serious and potentially fatal surgical complication. The goal of our study was to examine preoperative characteristics, incidence, and outcomes of patients with VTE after elective thoracic/thoracolumbar level spin...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Gephart MG,Zygourakis CC,Arrigo RT,Kalanithi PS,Lad SP,Boakye M

    更新日期:2012-11-01 00:00:00

  • Continuous and Dynamic Facial Nerve Mapping During Surgery of Cerebellopontine Angle Tumors: Clinical Pilot Series.

    abstract:OBJECTIVE:To evaluate a new surgical tool combining suction and monopolar neurostimulation (stimulation sucker) for cerebellopontine angle (CPA) tumors. The usefulness for continuous (time) and dynamic (space) facial nerve mapping was studied. METHODS:Patients operated on with the stimulation sucker for a CPA tumor be...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Cornelius JF,Schipper J,Tortora A,Krause-Molle Z,Smuga M,Petridis AK,Steiger HJ

    更新日期:2018-11-01 00:00:00