Journal
JOURNAL OF NEUROSURGERY
Volume 105, Issue 6, Pages 815-822Publisher
AMER ASSOC NEUROLOGICAL SURGEONS
DOI: 10.3171/jns.2006.105.6.815
Keywords
normal-pressure hydrocephalus; cerebrospinal fluid shunt; decision analysis
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Object. The average 65-year-old patient with moderate dementia can took forward to only 1.4 quality-adjusted life years (QALYs), that is, longevity times quality of life. Some of these patients suffer from normal-pressure hydrocephalus (NPH) and respond dramatically to shunt insertion. Currently, however, NPH cannot be diagnosed with certainty. The authors constructed a Markov decision analysis model to predict the outcome in patients with NPH treated with and without shunts. Methods. Transition probabilities and health utilities were obtained from a review of the literature. A sensitivity analysis and Monte Carlo simulation were applied to test outcomes over a wide range of parameters. Using shunt response and complication rates from the literature, the average patient receiving a shunt would gain an additional 1.7 QALYs as a result of automatic shunt insertion. Even if 50% of patients receiving a shunt have complications, the shunt response rate would need to be less than 5% for empirical shunt insertion to do more harm than good. Authors of most studies have reported far better statistics. Conclusions. In summary, many more patients with suspected NPH should be considered for shunt insertion.
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