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Efficacy of epidural blood patching or surgery in spontaneous intracranial hypotension: an evidence map protocol

BACKGROUND: Spontaneous intracranial hypotension (SIH) is a debilitating disorder caused by non-iatrogenic spinal cerebrospinal fluid leaks. SIH is increasingly recognized as an important treatable cause of secondary headaches. Treatment involves either epidural blood patching or surgery, which have...

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Autores principales: Amrhein, Timothy J., Kranz, Peter G., Cantrell, Sarah, Deline, Constance R., Carr, Carrie M., Kim, Dong Kun, Goldstein, Karen M., Williams, John W.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9171943/
https://www.ncbi.nlm.nih.gov/pubmed/35668484
http://dx.doi.org/10.1186/s13643-022-01989-2
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author Amrhein, Timothy J.
Kranz, Peter G.
Cantrell, Sarah
Deline, Constance R.
Carr, Carrie M.
Kim, Dong Kun
Goldstein, Karen M.
Williams, John W.
author_facet Amrhein, Timothy J.
Kranz, Peter G.
Cantrell, Sarah
Deline, Constance R.
Carr, Carrie M.
Kim, Dong Kun
Goldstein, Karen M.
Williams, John W.
author_sort Amrhein, Timothy J.
collection PubMed
description BACKGROUND: Spontaneous intracranial hypotension (SIH) is a debilitating disorder caused by non-iatrogenic spinal cerebrospinal fluid leaks. SIH is increasingly recognized as an important treatable cause of secondary headaches. Treatment involves either epidural blood patching or surgery, which have considerable differences in their adverse event rates, recovery times, and cost. The objective of this evidence map is to understand the breadth of studies that investigate SIH treatment efficacy and to identify knowledge gaps to inform future research. METHODS: This review will consider experimental, observational, and systematic review studies that assess the efficacy of epidural blood patching and surgery for the treatment of patients with SIH. Individual case studies, clinical guidelines, editorials, protocols, and studies that do not assess an intervention will not be included. English language studies will be included without limitation based on the date of publication. Databases to be searched include MEDLINE® (via Ovid), EMBASE (via Elsevier), and Web of Science™ (via Clarivate). Study selection will be performed independently by two investigators with extracted data to include study type, the number of patients included, patient descriptors, intervention characteristics, and outcome measure used. Data will be presented through a narrative summary aided by tabular and graphical formats in a manner that aligns with the objective of the evidence mapping review. DISCUSSION: The overarching goal of this evidence map is to provide an improved understanding of the breadth of studies investigating SIH treatment efficacy in the literature and to thereby identify knowledge gaps that can inform future research directions. TRIAL REGISTRATION: OSF Registry https://osf.io/nwju7. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13643-022-01989-2.
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spelling pubmed-91719432022-06-08 Efficacy of epidural blood patching or surgery in spontaneous intracranial hypotension: an evidence map protocol Amrhein, Timothy J. Kranz, Peter G. Cantrell, Sarah Deline, Constance R. Carr, Carrie M. Kim, Dong Kun Goldstein, Karen M. Williams, John W. Syst Rev Protocol BACKGROUND: Spontaneous intracranial hypotension (SIH) is a debilitating disorder caused by non-iatrogenic spinal cerebrospinal fluid leaks. SIH is increasingly recognized as an important treatable cause of secondary headaches. Treatment involves either epidural blood patching or surgery, which have considerable differences in their adverse event rates, recovery times, and cost. The objective of this evidence map is to understand the breadth of studies that investigate SIH treatment efficacy and to identify knowledge gaps to inform future research. METHODS: This review will consider experimental, observational, and systematic review studies that assess the efficacy of epidural blood patching and surgery for the treatment of patients with SIH. Individual case studies, clinical guidelines, editorials, protocols, and studies that do not assess an intervention will not be included. English language studies will be included without limitation based on the date of publication. Databases to be searched include MEDLINE® (via Ovid), EMBASE (via Elsevier), and Web of Science™ (via Clarivate). Study selection will be performed independently by two investigators with extracted data to include study type, the number of patients included, patient descriptors, intervention characteristics, and outcome measure used. Data will be presented through a narrative summary aided by tabular and graphical formats in a manner that aligns with the objective of the evidence mapping review. DISCUSSION: The overarching goal of this evidence map is to provide an improved understanding of the breadth of studies investigating SIH treatment efficacy in the literature and to thereby identify knowledge gaps that can inform future research directions. TRIAL REGISTRATION: OSF Registry https://osf.io/nwju7. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s13643-022-01989-2. BioMed Central 2022-06-07 /pmc/articles/PMC9171943/ /pubmed/35668484 http://dx.doi.org/10.1186/s13643-022-01989-2 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Protocol
Amrhein, Timothy J.
Kranz, Peter G.
Cantrell, Sarah
Deline, Constance R.
Carr, Carrie M.
Kim, Dong Kun
Goldstein, Karen M.
Williams, John W.
Efficacy of epidural blood patching or surgery in spontaneous intracranial hypotension: an evidence map protocol
title Efficacy of epidural blood patching or surgery in spontaneous intracranial hypotension: an evidence map protocol
title_full Efficacy of epidural blood patching or surgery in spontaneous intracranial hypotension: an evidence map protocol
title_fullStr Efficacy of epidural blood patching or surgery in spontaneous intracranial hypotension: an evidence map protocol
title_full_unstemmed Efficacy of epidural blood patching or surgery in spontaneous intracranial hypotension: an evidence map protocol
title_short Efficacy of epidural blood patching or surgery in spontaneous intracranial hypotension: an evidence map protocol
title_sort efficacy of epidural blood patching or surgery in spontaneous intracranial hypotension: an evidence map protocol
topic Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9171943/
https://www.ncbi.nlm.nih.gov/pubmed/35668484
http://dx.doi.org/10.1186/s13643-022-01989-2
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