Acute Surgery vs Conservative Treatment for Traumatic Acute Subdural Hematoma

In this comparative effectiveness study, similar patients with traumatic ASDH were treated differently due to center-specific treatment preferences. Outcomes were similar in centers preferring surgical evacuation and those preferring initial conservative treatment. This study suggests that, for a patient with ASDH for whom a neurosurgeon experiences clinical equipoise between acute surgery vs (initial) conservative treatment, conservative treatment may be considered.

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Publication Details

Journal
JAMA Network Open
Published
2025-10-03
DOI
https://doi.org/10.1001/jamanetworkopen.2025.35200
Citations
1
Primary Topic
Traumatic Brain Injury and Neurovascular Disturbances
Type
article
Field-Weighted Citation Impact
1.39

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article

Acute Surgery vs Conservative Treatment for Traumatic Acute Subdural Hematoma

Jason Barber, Thomas A. van Essen, Frederick K. Korley, Leila L. Etemad et al.
1 citations
JAMA Network Open
Traumatic Brain Injury and Neurovascular Disturbances
1.39
article

Acute Surgery vs Conservative Treatment for Traumatic Acute Subdural Hematoma

Jason Barber, Thomas A. van Essen, Frederick K. Korley, Leila L. Etemad, David M. Schnyer, Laura B. Ngwenya, Ross Zafonte, Michael McCrea, Wouter A. Moojen, Gabriela Satris, Amy J. Markowitz, Godard C. W. de Ruiter, Dana Pisică, Hester F. Lingsma, Vincent Y. Wang, Nancy Temkin, Jeroen TJM van Dijck, Ramon Diaz‐Arrastia, Mary J. Vassar, Wilco C. Peul, Sonia Jain, Ramesh Grandhi, Vijay Krishnamoorthy, Brian Fabian, Pratik Mukherjee, Esther L. Yuh, Yelena G. Bodien, Joseph T. Giacino, Claudia S. Robertson, Ava M. Puccio, Mahmoud Elguindy, Peter J. Hutchinson, Alex B. Valadka, Brandon Foreman, Sabrina R. Taylor, Hugo F. den Boogert, Geoffrey A. Manley, John K. Yue, Christine J. Gotthardt, Ewout W. Steyerberg, Andrew I.R. Maas, Christine Mac Donald, Randall E. Merchant, David O. Okonkwo, Xiaoying Sun, Shawn R. Eagly
article en
1 citations

Abstract

In this comparative effectiveness study, similar patients with traumatic ASDH were treated differently due to center-specific treatment preferences. Outcomes were similar in centers preferring surgical evacuation and those preferring initial conservative treatment. This study suggests that, for a patient with ASDH for whom a neurosurgeon experiences clinical equipoise between acute surgery vs (initial) conservative treatment, conservative treatment may be considered.

JAMA Network OpenVol. 8(10)
San Francisco General Hospital (US), Harvard University (US), University of Antwerp (BE), University of Pittsburgh (US), University of California, San Francisco (US), Baylor College of Medicine (US), University of Washington (US), Medical College of Wisconsin (US), University of Cambridge (GB), Spaulding Rehabilitation Hospital (US), Leiden University Medical Center (NL), Erasmus MC (NL), University Medical Center Utrecht (NL), Medisch Centrum Haaglanden (NL), Antwerp University Hospital (BE), Knowledge Foundation (SE), Addenbrooke's Hospital (GB), Neurological Surgery (US), University of Cincinnati (US), University of Pennsylvania (US), The University of Texas at Austin (US), The University of Texas Southwestern Medical Center (US), Vanderbilt University Medical Center (US)
U.S. Department of Defense, Abbott Laboratories, Neurosurgery Research and Education Foundation, Integra LifeSciences, One Mind, European Commission, ZonMw, Nederlandse Organisatie voor Wetenschappelijk Onderzoek, ZNS - Hannelore Kohl Stiftung, Hersenstichting, University of California, San Francisco
Openalex Percentile: Top 15%
Traumatic Brain Injury and Neurovascular Disturbances
1.39
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