Volume 382, Issue 9890, Pages (August 2013)

Slides:



Advertisements
Similar presentations
Operative intervention in ICH: Results of the International Surgical Trial in Intracerebral Haemorrhage (STICH) A David Mendelow, Department of Neurosurgery,
Advertisements

Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical.
Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical.
Adjuvant bisphosphonate treatment in early breast cancer: meta-analyses of individual patient data from randomised trials The Lancet Volume 386, Issue.
Aromatase inhibitors versus tamoxifen in early breast cancer: patient-level meta- analysis of the randomised trials The Lancet Volume 386, Issue 10001,
Volume 370, Issue 9586, Pages (August 2007)
Volume 386, Issue 9988, Pages (July 2015)
Volume 376, Issue 9747, Pages (October 2010)
Volume 383, Issue 9928, Pages (May 2014)
Volume 385, Issue 9985, Pages (June 2015)
Volume 1, Issue 7, Pages (December 2014)
Volume 386, Issue 9992, Pages (August 2015)
Volume 388, Issue 10042, Pages (July 2016)
Volume 376, Issue 9734, Pages (July 2010)
Volume 17, Issue 2, Pages (February 2016)
Volume 384, Issue 9958, Pages (November 2014)
Volume 384, Issue 9958, Pages (November 2014)
Self-assessment of the outcome of early medical abortion versus clinic follow-up in India: a randomised, controlled, non-inferiority trial  Dr Kirti Iyengar,
Volume 384, Issue 9952, Pages (October 2014)
Volume 376, Issue 9734, Pages (July 2010)
Volume 15, Issue 10, Pages (September 2014)
Volume 14, Issue 5, Pages (May 2015)
Volume 385, Issue 9967, Pages (February 2015)
Volume 382, Issue 9891, Pages (August 2013)
Volume 14, Issue 4, Pages (April 2015)
Effects of community health interventions on under-5 mortality in rural Guinea-Bissau (EPICS): a cluster-randomised controlled trial  Dr Peter Boone,
Effects of a parenting intervention to address maternal psychological wellbeing and child development and growth in rural Uganda: a community-based, cluster-randomised.
Volume 3, Issue 2, Pages (February 2016)
Volume 15, Issue 4, Pages (April 2014)
Self-assessment of the outcome of early medical abortion versus clinic follow-up in India: a randomised, controlled, non-inferiority trial  Dr Kirti Iyengar,
Atorvastatin as a stable treatment in bronchiectasis: a randomised controlled trial  Dr Pallavi Mandal, MRCP, James D Chalmers, MRCP, Catriona Graham,
Volume 386, Issue 10001, Pages (October 2015)
Global extent of chloroquine-resistant Plasmodium vivax: a systematic review and meta- analysis  Prof Ric N Price, MD, Lorenz von Seidlein, PhD, Neena.
Volume 12, Issue 6, Pages (June 2013)
Lung cancer diagnosis and staging with endobronchial ultrasound-guided transbronchial needle aspiration compared with conventional approaches: an open-label,
Effect of a knowledge-based and skills-based programme for physicians on risk of sexually transmitted reinfections among high-risk patients in China:
Does tobacco use cause psychosis? Systematic review and meta-analysis
Volume 14, Issue 5, Pages (May 2015)
Volume 386, Issue 10001, Pages (October 2015)
Volume 14, Issue 9, Pages (September 2015)
Volume 386, Issue 9992, Pages (August 2015)
Volume 18, Issue 3, Pages (March 2017)
Volume 385, Issue 9985, Pages (June 2015)
Pre-entry screening programmes for tuberculosis in migrants to low-incidence countries: a systematic review and meta-analysis  Dr Robert W Aldridge, MSc,
Volume 379, Issue 9834, Pages (June 2012)
Volume 388, Issue 10042, Pages (July 2016)
Volume 371, Issue 9627, Pages (May 2008)
Volume 385, Issue 9968, Pages (February 2015)
Neuromuscular electrical stimulation to improve exercise capacity in patients with severe COPD: a randomised double-blind, placebo-controlled trial  Dr.
Volume 383, Issue 9928, Pages (May 2014)
Effect of daily iron supplementation on health in children aged 4–23 months: a systematic review and meta-analysis of randomised controlled trials  Dr.
Internet-based intervention for smoking cessation (StopAdvisor) in people with low and high socioeconomic status: a randomised controlled trial  Dr Jamie.
Department of Error The Lancet Volume 369, Issue 9564, (March 2007)
Volume 384, Issue 9957, Pages (November 2014)
Volume 375, Issue 9719, Pages (March 2010)
Volume 386, Issue 10005, Pages (October 2015)
Volume 15, Issue 1, Pages (January 2014)
Volume 13, Issue 12, Pages (December 2014)
Volume 12, Issue 8, Pages (August 2013)
Metformin for non-diabetic patients with coronary heart disease (the CAMERA study): a randomised controlled trial  Dr David Preiss, PhD, Suzanne M Lloyd,
Volume 11, Issue 3, Pages (March 2010)
Volume 14, Issue 9, Pages (September 2015)
Volume 376, Issue 9747, Pages (October 2010)
Volume 13, Issue 7, Pages (July 2014)
Volume 387, Issue 10029, Pages (April 2016)
Oxytocin via Uniject (a prefilled single-use injection) versus oral misoprostol for prevention of postpartum haemorrhage at the community level: a cluster-randomised.
Volume 388, Issue 10042, Pages (July 2016)
A probiotic trial: tipping the balance of evidence?
Volume 17, Issue 2, Pages (February 2016)
Volume 1, Issue 7, Pages (December 2014)
Presentation transcript:

Volume 382, Issue 9890, Pages 397-408 (August 2013) Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas (STICH II): a randomised trial  Prof A David Mendelow, FRCS[SN], Dr Barbara A Gregson, PhD, Elise N Rowan, PhD, Prof Gordon D Murray, PhD, Anil Gholkar, FRCR, Patrick M Mitchell, FRCS  The Lancet  Volume 382, Issue 9890, Pages 397-408 (August 2013) DOI: 10.1016/S0140-6736(13)60986-1 Copyright © 2013 Mendelow et al. Open Access article distributed under the terms of CC BY-NC-ND Terms and Conditions

Figure 1 Trial profile *One site recruited one patient but had undertaken surgery before randomisation (the patient was allocated to initial conservative treatment); another site recruited three patients, and two of these had surgery before randomisation (one allocated to early surgery and one to initial conservative treatment); because of the severe breach of protocol all four patients were excluded. The Lancet 2013 382, 397-408DOI: (10.1016/S0140-6736(13)60986-1) Copyright © 2013 Mendelow et al. Open Access article distributed under the terms of CC BY-NC-ND Terms and Conditions

Figure 2 Kaplan–Meier survival curve The Lancet 2013 382, 397-408DOI: (10.1016/S0140-6736(13)60986-1) Copyright © 2013 Mendelow et al. Open Access article distributed under the terms of CC BY-NC-ND Terms and Conditions

Figure 3 Extended Glasgow Outcome Scale at 6 months Proportional odds model p=0·075. The Lancet 2013 382, 397-408DOI: (10.1016/S0140-6736(13)60986-1) Copyright © 2013 Mendelow et al. Open Access article distributed under the terms of CC BY-NC-ND Terms and Conditions

Figure 4 Subgroup analysis Forest plot GCS=Glasgow Coma Score. The Lancet 2013 382, 397-408DOI: (10.1016/S0140-6736(13)60986-1) Copyright © 2013 Mendelow et al. Open Access article distributed under the terms of CC BY-NC-ND Terms and Conditions

Figure 5 Updated meta-analysis of 15 trials of surgery in patients with intracerebral haemorrhage (A) and individual patient data in cases of lobar haematomas without intraventricular haemorrhage (B) Data are n/N, unless otherwise indicated. Reported outcomes were unfavourable outcome in (A) and death or disability in (B). df=degrees of freedom. The Lancet 2013 382, 397-408DOI: (10.1016/S0140-6736(13)60986-1) Copyright © 2013 Mendelow et al. Open Access article distributed under the terms of CC BY-NC-ND Terms and Conditions