Matches in SemOpenAlex for { <https://semopenalex.org/work/W4327609534> ?p ?o ?g. }
Showing items 1 to 78 of
78
with 100 items per page.
- W4327609534 endingPage "29" @default.
- W4327609534 startingPage "28" @default.
- W4327609534 abstract "INTRODUCTION: Idiopathic intracranial hypertension (IIH) is a debilitating disease that can present with severe vision loss. Although medical management is the first-line treatment, these cases commonly require intervention by either ventriculoperitoneal/pleural shunting (VPS) or, more recently, by venous sinus stenting (VSS). Unfortunately, this chronic disease can lead to multiple clinical encounters which increases financial burden. Therefore, identifying ways to effectively treat IIH definitively while limiting healthcare costs are of great interest. METHODS: This is a retrospective study of IIH patients diagnosed via modified Dandy criteria who received VPS (n=27) or VSS (n=27) from May 2008–May 2019. Visual outcomes were reported by a neuro-ophthalmologist at approximately 1-month post-procedure. Costs of emergency department as well as and outpatient/inpatient encounters for neurosurgery and ophthalmology were obtained from the index procedure to 3 years post-procedure. RESULTS: VSS patients had higher pre-intervention ophthalmology evaluation rates (stents: n = 22, 88.9%; shunts: n = 7, 23.1%; p < 0.0001). Papilledema was present in most patients (VSS 82.6% vs VPS 66.7%, p = 0.60) and all patients had stable/improved papilledema at follow-up. Two VSS patients (4.9%) required a second stent. Four VSS patients (9.8%) had a VPS placed. No VPS patients received a VSS. Encounter cost for VSS placement were more expensive than primary VPS placement ($10,749 vs $13,648; p = 0.002). However, at 1.5 years after index procedure, cumulative VPS cost surpassed VSS and persisted at 3 years ($22,674 vs $17,441, p = 0.039). CONCLUSIONS: VPS and VSS have similar visual outcomes with all cases having stable or improved papilledema. The upfront cost of VSS is greater than VPS; however, VPS quickly surpasses VSS in cost by 1.5 years after index procedure and continues to study endpoint at 3 years. These results may help guide multi-disciplinary care for patients with IIH." @default.
- W4327609534 created "2023-03-17" @default.
- W4327609534 creator A5000307130 @default.
- W4327609534 creator A5002536570 @default.
- W4327609534 creator A5011332204 @default.
- W4327609534 creator A5011679379 @default.
- W4327609534 creator A5016499663 @default.
- W4327609534 creator A5018372343 @default.
- W4327609534 creator A5026089437 @default.
- W4327609534 creator A5038073171 @default.
- W4327609534 creator A5046928489 @default.
- W4327609534 creator A5048577577 @default.
- W4327609534 creator A5048927825 @default.
- W4327609534 creator A5085289705 @default.
- W4327609534 creator A5089201429 @default.
- W4327609534 date "2023-04-01" @default.
- W4327609534 modified "2023-10-17" @default.
- W4327609534 title "119 An Institutional Analysis of Venous Sinus Stenting and Cerebrospinal Fluid Shunting for Idiopathic Intracranial Hypertension" @default.
- W4327609534 doi "https://doi.org/10.1227/neu.0000000000002375_119" @default.
- W4327609534 hasPublicationYear "2023" @default.
- W4327609534 type Work @default.
- W4327609534 citedByCount "0" @default.
- W4327609534 crossrefType "journal-article" @default.
- W4327609534 hasAuthorship W4327609534A5000307130 @default.
- W4327609534 hasAuthorship W4327609534A5002536570 @default.
- W4327609534 hasAuthorship W4327609534A5011332204 @default.
- W4327609534 hasAuthorship W4327609534A5011679379 @default.
- W4327609534 hasAuthorship W4327609534A5016499663 @default.
- W4327609534 hasAuthorship W4327609534A5018372343 @default.
- W4327609534 hasAuthorship W4327609534A5026089437 @default.
- W4327609534 hasAuthorship W4327609534A5038073171 @default.
- W4327609534 hasAuthorship W4327609534A5046928489 @default.
- W4327609534 hasAuthorship W4327609534A5048577577 @default.
- W4327609534 hasAuthorship W4327609534A5048927825 @default.
- W4327609534 hasAuthorship W4327609534A5085289705 @default.
- W4327609534 hasAuthorship W4327609534A5089201429 @default.
- W4327609534 hasBestOaLocation W43276095341 @default.
- W4327609534 hasConcept C12770488 @default.
- W4327609534 hasConcept C141071460 @default.
- W4327609534 hasConcept C197328160 @default.
- W4327609534 hasConcept C2776367607 @default.
- W4327609534 hasConcept C2777405951 @default.
- W4327609534 hasConcept C2778107024 @default.
- W4327609534 hasConcept C2778583881 @default.
- W4327609534 hasConcept C2780954326 @default.
- W4327609534 hasConcept C42219234 @default.
- W4327609534 hasConcept C71924100 @default.
- W4327609534 hasConceptScore W4327609534C12770488 @default.
- W4327609534 hasConceptScore W4327609534C141071460 @default.
- W4327609534 hasConceptScore W4327609534C197328160 @default.
- W4327609534 hasConceptScore W4327609534C2776367607 @default.
- W4327609534 hasConceptScore W4327609534C2777405951 @default.
- W4327609534 hasConceptScore W4327609534C2778107024 @default.
- W4327609534 hasConceptScore W4327609534C2778583881 @default.
- W4327609534 hasConceptScore W4327609534C2780954326 @default.
- W4327609534 hasConceptScore W4327609534C42219234 @default.
- W4327609534 hasConceptScore W4327609534C71924100 @default.
- W4327609534 hasIssue "Supplement_1" @default.
- W4327609534 hasLocation W43276095341 @default.
- W4327609534 hasLocation W43276095342 @default.
- W4327609534 hasOpenAccess W4327609534 @default.
- W4327609534 hasPrimaryLocation W43276095341 @default.
- W4327609534 hasRelatedWork W1695123987 @default.
- W4327609534 hasRelatedWork W1995443384 @default.
- W4327609534 hasRelatedWork W2068716392 @default.
- W4327609534 hasRelatedWork W2179068077 @default.
- W4327609534 hasRelatedWork W2383106252 @default.
- W4327609534 hasRelatedWork W2398828352 @default.
- W4327609534 hasRelatedWork W2997235969 @default.
- W4327609534 hasRelatedWork W3021174146 @default.
- W4327609534 hasRelatedWork W3128669967 @default.
- W4327609534 hasRelatedWork W4235710803 @default.
- W4327609534 hasVolume "69" @default.
- W4327609534 isParatext "false" @default.
- W4327609534 isRetracted "false" @default.
- W4327609534 workType "article" @default.