Craniotomy for Resection of Meningioma: An Age-Stratified Analysis of the MarketScan Longitudinal Database WORLD NEUROSURGERY Connolly, I. D., Cole, T., Veeravagu, A., Popat, R., Ratliff, J., Li, G. 2015; 84 (6): 1864-1870

Abstract

We sought to describe complications following resection for meningioma utilizing longitudinal administrative data, which our group has recently shown to be superior to nonlongitudinal administrative data.We identified patients who underwent resection for meningioma between 2010-2012 in the Thomson Reuters MarketScan database. Current procedural terminology (CPT) coding at inpatient visit was used to select for meningioma resection procedure. Comorbidities and complications were obtained using International Classification of Disease version 9 (ICD-9) or CPT coding. Associations between complications and demographic and clinical factors were evaluated with logistic regression.We identified a total of 2216 patients. Approximately 41% developed one or more perioperative complications. Approximately 15% were readmitted within thirty days of their procedure. The most frequent complications that occurred in our cohort were new post-operative seizures (11.8%), post-operative dysrhythmia (7.9%), intracranial hemorrhage (5.9%), and cerebral artery occlusion (5.4%). General neurosurgical complications and general neurological complications occurred in 4.4 % and 16.1 % of patients respectively. Nearly 55% of elderly patients (≥ 70 years) developed one or more perioperative complication (vs. 39% of nonelderly patients). After adjusting for comorbidities, elderly status and male gender were found to be significantly associated with increased odds for a variety of complications.In this study, we report complication rates in patients undergoing resection for meningioma. Due to the longitudinal nature of the MarketScan database, we were able to capture a wide array of specific post-operative complications associated with meningioma resection procedures. Care should be taken in the selection of candidates for meningioma resection.

View details for DOI 10.1016/j.wneu.2015.08.018

View details for Web of Science ID 000366286300065

View details for PubMedID 26318633