Comparative durability and costs analysis of ventricular shunts

Journal of Neurosurgery
Nitin AgarwalRobert M Friedlander

Abstract

OBJECTIVEVentricular shunt (VS) durability has been well studied in the pediatric population and in patients with normal pressure hydrocephalus; however, further evaluation in a more heterogeneous adult population is needed. This study aims to evaluate the effect of diagnosis and valve type-fixed versus programmable-on shunt durability and cost for placement of shunts in adult patients.METHODSThe authors retrospectively reviewed the medical records of all patients who underwent implantation of a VS for hydrocephalus at their institution over a 3-year period between August 2013 and October 2016 with a minimum postoperative follow-up of 6 months. The primary outcome was shunt revision, which was defined as reoperation for any indication after the initial procedure. Supply costs, shunt durability, and hydrocephalus etiologies were compared between fixed and programmable valves.RESULTSA total of 417 patients underwent shunt placement during the index time frame, consisting of 62 fixed shunts (15%) and 355 programmable shunts (85%). The mean follow-up was 30 ± 12 (SD) months. The shunt revision rate was 22% for programmable pressure valves and 21% for fixed pressure valves (HR 1.1 [95% CI 0.6-1.8]). Shunt complications, such as valv...Continue Reading

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Citations

Feb 6, 2020·Arquivos de neuro-psiquiatria·Fernando Campos Gomes PintoManoel Jacobsen Teixeira
Jun 17, 2020·The Cochrane Database of Systematic Reviews·Luis GaregnaniSantiago Adalberto Portillo Medina
Jun 15, 2019·Journal of Neurosurgery·Ahmed KashkoushRobert M Friedlander
Oct 10, 2020·Surgical Neurology International·Virendra Rajendrakumar DesaiGavin Britz
Feb 20, 2020·Arquivos de neuro-psiquiatria·Fernando Campos Gomes PintoManoel Jacobsen Teixeira
Nov 3, 2020·Acta neurologica Belgica·Matheus Fernandes de OliveiraF C G Pinto
May 23, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Benjamin J HallBenedetta Pettorini

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