Recurrence of surgically treated parasagittal meningiomas: a meta-analysis of risk factors

Background As the predictive role of many risk factors for parasagittal meningioma (PM) recurrence remains unclear, the objective of the meta-analysis was to make a comprehensive assessment of the predictive value of selected risk factors in these lesions. Methods Studies including data on selected...

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Bibliographic Details
Published in:Acta neurochirurgica 2020-09, Vol.162 (9), p.2165-2176
Main Authors: Balik, Vladimir, Kourilova, Pavla, Sulla, Igor, Vrbkova, Jana, Srovnal, Josef, Hajduch, Marian, Takizawa, Katsumi
Format: Article
Language:English
Subjects:
Adult
Aged
Brain cancer
Female
Humans
Interventional Radiology
Lesions
Localization
Male
Medicine
Medicine & Public Health
Meningeal Neoplasms - pathology
Meningeal Neoplasms - surgery
Meningioma
Meningioma - pathology
Meningioma - surgery
Meta-analysis
Middle Aged
Minimally Invasive Surgery
Neoplasm Recurrence, Local - epidemiology
Neoplasm Recurrence, Local - etiology
Neurology
Neuroradiology
Neurosurgery
Neurosurgical Procedures - adverse effects
Neurosurgical Procedures - methods
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Radiation therapy
Review Article - Tumor - Meningioma
Risk Factors
Sinuses
Surgical Orthopedics
Tumor – Meningioma
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Summary:Background As the predictive role of many risk factors for parasagittal meningioma (PM) recurrence remains unclear, the objective of the meta-analysis was to make a comprehensive assessment of the predictive value of selected risk factors in these lesions. Methods Studies including data on selected risk factors, such as histology, tumor and sinus resection, sinus invasion, tumor localization, and immediate postoperative radiotherapy for PMs recurrence, were searched in the NCBI/NLM PubMed/MEDLINE, EBM Reviews/Cochrane Central, ProQuest, and Scopus databases, and analyzed using random effects modeling. Results Thirteen observational studies involving 1243 patients met the criteria for inclusion in the meta-analysis. WHO grading of meningiomas was identified as the most powerful risk factor for recurrence. WHO grade II meningiomas (OR 11.61; 95% CI 4.43–30.43; P  
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-020-04336-3