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








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    abstract:OBJECTIVE:The use of endovascular treatment for ruptured middle cerebral artery (MCA) aneurysms, which have been more likely to be recommended for neurosurgical clipping because of the complex anatomic configuration, remains controversial. In the present study, the angiographic and clinical outcomes of endovascularly t...

    journal_title:World neurosurgery

    pub_type: 杂志文章,meta分析


    authors: Zhang X,Zhou Y,Zuo Q,Duan G,Tang H,Yang P,Xu Y,Hong B,Huang Q,Liu J

    更新日期:2019-07-01 00:00:00

  • Clinical and Molecular Characteristics of Thalamic Gliomas: Retrospective Report of 26 Cases.

    abstract:OBJECTIVE:Thalamic glioma is a type of midline glioma with poor outcomes. In the present study, we investigated the clinical and molecular features of thalamic gliomas in Chinese patients. METHODS:The data from 26 patients with thalamic glioma who had undergone surgery at Shanghai Huashan Hospital from January 2011 to...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Liu Y,Zhang Y,Hua W,Li Z,Wu B,Liu W

    更新日期:2019-06-01 00:00:00

  • Feasibility of Smart Metal Artifact Reduction Algorithm on Computed Tomography Angiography for Clipping of Recurrent Aneurysms After Coil Embolization.

    abstract:BACKGROUND:The number of patients with a history of clipping of recurrent aneurysms after coil embolization has increased. The aim of this article was to report the feasibility of CT angiography using a commercial metal artifact reduction algorithm (Smart Metal Artifact Reduction [MAR]) for patients who underwent clipp...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Kuroda H,Toyota S,Kumagai T,Iwata T,Kobayashi M,Mori K,Taki T

    更新日期:2019-07-01 00:00:00

  • Radiation safety and spine surgery: systematic review of exposure limits and methods to minimize radiation exposure.

    abstract:BACKGROUND:Ionizing radiation is typically used during spine surgery for localization and guidance in instrumentation placement. Minimally invasive (MI) surgical procedures are increasingly popular and often require significantly more fluoroscopy, placing surgeons at risk for increased radiation exposure and radiation-...

    journal_title:World neurosurgery

    pub_type: 杂志文章,meta分析,评审


    authors: Srinivasan D,Than KD,Wang AC,La Marca F,Wang PI,Schermerhorn TC,Park P

    更新日期:2014-12-01 00:00:00

  • Combined simultaneous multiportal approach (CSMA) via minimally invasive transciliary and endoscopic endonasal approaches for tumors invading both the skull base and the sinonasal area.

    abstract:BACKGROUND:For a long time, a combined transcranial and transfacial approach was the gold standard in the aspect of surgical management of large tumors with sinonasal and skull base involvement. The extended endoscopic endonasal approach for such pathologies has its advantages, but flaws as well, such as anatomical lim...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Fischer-Szatmári T,Fülöp B,Szakács L,Gyura E,Bella Z,Barzó P

    更新日期:2021-01-05 00:00:00

  • Neuroendoscopy: general aspects and principles.

    abstract::When used in medicine, endoscopy describes a procedure used to see inside various parts of the body, such as the interior surfaces of an organ, by inserting a tube through a natural or created orifice. The instrument may have a rigid (borescope) or flexible (fiberscope) tube; it provides an image for visual inspection...

    journal_title:World neurosurgery

    pub_type: 历史文章,杂志文章,评审


    authors: Esposito F,Cappabianca P

    更新日期:2013-02-01 00:00:00

  • A Technically Simple and Safe Method for Preparing an Anterior Pericranial Flap Using Saline Injection into the Subgaleal Space: A Technical Note.

    abstract:BACKGROUND:Cranial defects following anterior cranial base surgery have been frequently reconstructed using the pericranial flap. METHODS:We present a simple technique for preparing the flap using injection of saline into the subgaleal space. RESULTS:We inserted a 20-gauge needle perpendicular to 8-10 spots in the fr...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Ryu J,Chung SB,Choi SK,Lee SH,Chung Y

    更新日期:2017-03-01 00:00:00

  • Vestibular Schwannoma Surgery: Outcome and Complications in Lateral Decubitus Position versus Semi-sitting Position-A Personal Learning Curve in a Series of 544 Cases over 3 Decades.

    abstract:OBJECTIVE:To retrospectively evaluate influence of intraoperative positioning (semisitting vs. lateral decubitus) and surgeon's learning curve with regard to functional outcome of patients with vestibular schwannoma. METHODS:This study included 544 patients (median age 57 years) and spanned 3 decades: 1991-1999 (n = 1...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Schackert G,Ralle S,Martin KD,Reiss G,Kowalski M,Sobottka SB,Hennig S,Podlesek D,Sandi-Gahun S,Juratli TA

    更新日期:2020-12-28 00:00:00

  • Solitary Sporadic Cerebral Cavernous Malformations: Risk Factors of First or Recurrent Symptomatic Hemorrhage and Associated Functional Impairment.

    abstract:OBJECTIVE:To quantify the risk of a first or recurrent hemorrhage and the associated functional impairment in patients with sporadic solitary cerebral cavernous malformations (CCMs) and to investigate the potential risk factors. METHODS:We undertook an observational study (n = 199) of consecutive patients with the dia...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Dammann P,Jabbarli R,Wittek P,Oppong MD,Kneist A,Zhu Y,Wrede K,Müller O,Forsting M,Sure U

    更新日期:2016-07-01 00:00:00

  • Neuroprotective Effects of Hesperidin on Cerebral Vasospasm After Experimental Subarachnoid Hemorrhage in Rats: Biochemical, Pathologic, and Histomorphometric Analysis.

    abstract:OBJECTIVE:We examined the protective effects of hesperidin on cerebral vasospasm by establishing an experimental rat model of subarachnoid hemorrhage and performing biochemical, pathologic, and histomorphometric analysis on these data. METHODS:Forty albino Wistar rats were randomly divided into 5 groups of n = 8 in ea...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Aydogmus E,Gul S,Bahadir B

    更新日期:2019-02-01 00:00:00

  • Endovascular Treatment of Ruptured Vertebrobasilar Dissecting Aneurysms Using Flow Diversion Embolization Devices: Single-Institution Experience.

    abstract:OBJECTIVE:Treatment of ruptured posterior circulation dissecting aneurysms is technically challenging with potentially high morbidity and mortality. We sought to assess the safety and feasibility of using a flow-diversion device (FDD) and a specific acute antiplatelet aggregation protocol in the management of ruptured ...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Guerrero WR,Ortega-Gutierrez S,Hayakawa M,Derdeyn CP,Rossen JD,Hasan D,Samaniego EA

    更新日期:2018-01-01 00:00:00

  • Is Vertebral Artery and Posterior Inferior Cerebellar Artery Dominance a Risk Factor for Thromboembolism During Coil Embolization of Unruptured Posterior Circulation Aneurysms?

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    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Son W,Kang DH

    更新日期:2020-06-01 00:00:00

  • Invasive Giant Cell Tumor of the Lateral Skull Base: A Systematic Review, Meta-Analysis, and Case Illustration.

    abstract:BACKGROUND:The current literature regarding cranial giant cell tumor (GCT) management includes scattered case reports and small case series. We present a comprehensive literature review and meta-analysis on this subject, along with a case report describing our management of a patient with temporal GCT. METHODS:A syste...

    journal_title:World neurosurgery

    pub_type: 杂志文章,meta分析,评审


    authors: Freeman JL,Oushy S,Schowinsky J,Sillau S,Youssef AS

    更新日期:2016-12-01 00:00:00

  • Pipeline Embolization Device for Recurrent Cerebral Aneurysms after Microsurgical Clipping.

    abstract:BACKGROUND:Microsurgical clipping is regarded as the most durable treatment for cerebral aneurysms. Aneurysm recurrence after clipping is uncommon and is associated with an increased risk of rupture. Reoperation for recurrent cerebral aneurysms is particularly challenging because of adhesions and scaring, and it carrie...

    journal_title:World neurosurgery

    pub_type: 杂志文章,多中心研究


    authors: Adeeb N,Griessenauer CJ,Moore J,Stapleton CJ,Patel AB,Gupta R,Patel AS,Thomas AJ,Ogilvy CS

    更新日期:2016-09-01 00:00:00

  • Electrodiagnostic and Advanced Neuroimaging Characterization for Successful Treatment of Spinal Extradural Arachnoid Cyst.

    abstract:BACKGROUND:Spinal extradural arachnoid cysts are relatively uncommon. Rarely, large cysts presented with spinal cord compression requiring surgical intervention. CASE DESCRIPTION:We report a patient with a progressively enlarging spinal extradural arachnoid cyst causing worsening right S1 radiculopathy and gastrocnemi...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Tanaka T,Boddepalli RS,Miller DC,Cao Z,Sindhwani V,Coates JR,Govindarajan R,Litofsky NS

    更新日期:2018-01-01 00:00:00

  • Transsphenoidal Surgery for Mixed Pituitary Gangliocytoma-Adenomas.

    abstract:BACKGROUND:Most sellar gangliocytomas are discovered with a concurrent pituitary adenoma, also known as a mixed gangliocytoma-adenoma (MGA). MGAs are rare, with fewer than 100 cases reported in the literature to date and only 1 previously documented surgical series. Because MGAs are radiologically indistinguishable fro...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Shepard MJ,Elzoghby MA,Ghanim D,Lopes MBS,Jane JA Jr

    更新日期:2017-12-01 00:00:00

  • Recurring Multicentric Granulomatous Cryptococcomas in the Contralateral Cerebral Hemisphere in an Adult Immunocompetent Patient with Known Previous Disease.

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    journal_title:World neurosurgery



    authors: Kelly A,Lekgwara P,Otto D

    更新日期:2020-08-01 00:00:00

  • A Distinctive Pathologic Meningioma Completely without Enhancement and Dural Tail Sign on Imaging Findings.

    abstract:BACKGROUND:It is known that meningiomas are common intracranial benign tumors that can be enhanced significantly on computed tomography or magnetic resonance imaging scans after the administration of contrast medium. The authors report here on an extremely rare case of meningioma with distinctive pathological features ...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Zhang Q,Wang X

    更新日期:2017-05-01 00:00:00

  • Initial Experiences with Artificial Neural Networks in the Detection of Computed Tomography Perfusion Deficits.

    abstract:BACKGROUND:Head computed tomography (CT) with perfusion imaging has become crucial in the selection of patients for mechanical thrombectomy. In recent years, machine learning has rapidly evolved and found applications in a wide variety of health care tasks. We report our initial experiences with training a neural netwo...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Vargas J,Spiotta A,Chatterjee AR

    更新日期:2018-10-24 00:00:00

  • Extra-Osseous Ewing Sarcoma of Sciatic Nerve Masquerading as Benign Nerve Sheath Tumor and Presented as Lumbar Radiculopathy: Case Report and Review of Literature.

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    journal_title:World neurosurgery

    pub_type: 杂志文章,评审


    authors: Bang JS,Adsul N,Lim JH,Jang IT

    更新日期:2018-07-01 00:00:00

  • Comparative Utility of Dynamic and Static Imaging in the Management of Lumbar Spondylolisthesis.

    abstract:OBJECTIVE:Segmental instability traditionally is investigated with flexion and extension (F/E) radiographs. We sought to determine whether motion between upright and supine (U/S) views can serve as an alternative sensitive diagnostic tool that predicts similar outcomes. METHODS:Ambispective collection of data was perf...

    journal_title:World neurosurgery

    pub_type: 杂志文章


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  • Results of Percutaneous Balloon Compression in Trigeminal Pain Syndromes.

    abstract:OBJECTIVE:To investigate initial pain relief and subsequent recurrence after percutaneous balloon compression (PBC) and describe its association with the nature of trigeminal pain, previous procedures, or other clinical factors. METHODS:A total of 222 patients with medically refractory trigeminal pain treated with PBC...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Grewal SS,Kerezoudis P,Garcia O,Quinones-Hinojosa A,Reimer R,Wharen RE

    更新日期:2018-06-01 00:00:00

  • Adrenocorticotropic hormone-producing pituitary carcinoma with intracranial metastases.

    abstract:BACKGROUND:Pituitary carcinomas are rare and challenging clinical entities. Because of the paucity of cases, there is limited information in the literature on how best to diagnose and treat pituitary carcinomas. METHODS:We review the literature and describe a woman who presented with an adrenocorticotropic hormone (AC...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Shastri BR,Nanda A,Fowler M,Levine SN

    更新日期:2013-02-01 00:00:00

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    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Liu J,Feng H

    更新日期:2020-02-01 00:00:00

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    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

  • Combined Endoscopic Endonasal and Bilateral Subfrontal Approach for a Nonfunctioning Pituitary Adenoma Associated with an Internal Carotid Artery-Superior Hypophyseal Artery Aneurysm.

    abstract:BACKGROUND:An aneurysm embedded in a pituitary adenoma is rare, and treatment for both the aneurysm and pituitary adenoma is complex and controversial. CASE DESCRIPTION:A 53-year-old woman presented with a visual field defect. Magnetic resonance imaging showed a pituitary adenoma and coexistence of an aneurysm located...

    journal_title:World neurosurgery



    authors: Kino H,Ito Y,Akutsu H,Tanaka S,Hara T,Ishikawa E,Miyamoto H,Matsumaru Y,Matsumura A

    更新日期:2020-02-01 00:00:00

  • The Pathogenesis of Chronic Subdural Hematomas: A Study on the Formation of Chronic Subdural Hematomas and Analysis of Computed Tomography Findings.

    abstract:BACKGROUND:The origin of chronic subdural hematomas (CSDH) and the pathophysiology of its enlargement remain unknown. The chemical fluid composition of CSDH, the contribution of cerebrospinal fluid (CSF) to its enlargement, and the relationship to its appearance on computed tomography (CT) also are not entirely clear. ...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Jafari N,Gesner L,Koziol JM,Rotoli G,Hubschmann OR

    更新日期:2017-11-01 00:00:00

  • Predisposing Factors of Fracture Nonunion After Posterior C1 Lateral Mass Screws Combined with C2 Pedicle/Laminar Screw Fixation for Type II Odontoid Fracture.

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    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Wang H,Wang Q,Ma L,Yang D,Ding W

    更新日期:2018-01-01 00:00:00

  • Measurement of Cervical Sagittal Alignment Parameters on X-Ray Films of Adults without Severe Spinal Deformity Whose Shoulder Hides the Lower Cervical Column.

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    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Yamahata H,Sugata J,Mori M,Niiro T,Yonenaga M,Yamaguchi S,Hiwatari T,Okada T,Arita K,Yoshimoto K

    更新日期:2019-01-01 00:00:00

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    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Xu F,Huang L,Xu B,Gu Y,Leng B

    更新日期:2018-06-01 00:00:00