{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T19:15:02Z","timestamp":1790882102916,"version":"4.1.0"},"reference-count":39,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T00:00:00Z","timestamp":1690848000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"\nBackground<\/jats:title>\nChronic subdural hematoma (CSDH) is commonly treated via surgical removal of the hematoma, placement of a routine indwelling drainage tube, and continuous drainage to ensure that the blood does not re-aggregate following removal. However, the optimal location for placement of the drainage tube remains to be determined.<\/jats:p>\n<\/jats:sec>\n\nObjectives<\/jats:title>\nTo aid in establishing a reference for selecting the optimal method, we compared the effects of different drainage tube placements on CSDH prognosis via a systematic review and meta-analysis of previous clinical studies.<\/jats:p>\n<\/jats:sec>\n\nData sources<\/jats:title>\nPubMed, Embase, and Cochrane databases.<\/jats:p>\n<\/jats:sec>\n\nStudy eligibility criteria<\/jats:title>\nWe searched for clinical studies comparing the outcomes of subperiosteal\/subgaleal drainage (SPGD) and subdural drainage (SDD) for CSDH published in English prior to April 1, 2022.<\/jats:p>\n<\/jats:sec>\n\nParticipants<\/jats:title>\nThe final analysis included 15 studies involving 4,318 patients.<\/jats:p>\n<\/jats:sec>\n\nResults<\/jats:title>\nOur analysis of the pooled results revealed no significant differences in recurrence rate between the SDD and SPGD groups. We also observed no significant differences in mortality or rates of postoperative complications (infection, pneumocephalus, or epilepsy) between the SDD and SPGD groups.<\/jats:p>\n<\/jats:sec>\n\nConclusions<\/jats:title>\nThese results suggest that the choice of SDD vs. SPGD has no significant effect on CSDH prognosis, highlighting SPGD as an alternative treatment option for CSDH.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0288872","type":"journal-article","created":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T17:27:33Z","timestamp":1690910853000},"page":"e0288872","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":10,"title":["Subperiosteal\/subgaleal drainage vs. subdural drainage for chronic subdural hematoma: A meta-analysis of postoperative outcomes"],"prefix":"10.1371","volume":"18","author":[{"given":"Chunhui","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu","family":"Xiong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinyue","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiumei","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaodong","family":"Kang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianfeng","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhigang","family":"Pan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hanlin","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuni","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linxing","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weipeng","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liming","family":"Zhuang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4428-4450","authenticated-orcid":true,"given":"Feng","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,8,1]]},"reference":[{"key":"pone.0288872.ref001","doi-asserted-by":"crossref","first-page":"811873","DOI":"10.3389\/fneur.2021.811873","article-title":"Effect of Twist-Drill Craniostomy With Hollow Screws for Evacuation of Chronic Subdural Hematoma: A Meta-Analysis.","volume":"12","author":"Z Wei","year":"2021","journal-title":"Frontiers in neurology"},{"issue":"6","key":"pone.0288872.ref002","first-page":"375","article-title":"Increasing incidence of chronic subdural haematoma in the elderly","volume":"110","author":"V Adhiyaman","year":"2017","journal-title":"QJM"},{"key":"pone.0288872.ref003","doi-asserted-by":"crossref","first-page":"744266","DOI":"10.3389\/fneur.2021.744266","article-title":"The Efficacy of Adjuvant Corticosteroids in Surgical Management of Chronic Subdural Hematoma: A Systematic Review and Meta-Analysis.","volume":"12","author":"G Tang","year":"2021","journal-title":"Frontiers in neurology"},{"issue":"1","key":"pone.0288872.ref004","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1186\/s12974-017-0881-y","article-title":"Pathophysiology of chronic subdural haematoma: inflammation, angiogenesis and implications for pharmacotherapy.","volume":"14","author":"E Edlmann","year":"2017","journal-title":"J Neuroinflammation."},{"issue":"8","key":"pone.0288872.ref005","doi-asserted-by":"crossref","first-page":"402","DOI":"10.2176\/nmc.ra.2016-0337","article-title":"Chronic Subdural Hematoma in Elderly Patients: Is This Disease Benign?","volume":"57","author":"M Uno","year":"2017","journal-title":"Neurologia medico-chirurgica."},{"issue":"4","key":"pone.0288872.ref006","doi-asserted-by":"crossref","first-page":"198","DOI":"10.2176\/nmc.oa.2015-0256","article-title":"Bilateral Chronic Subdural Hematoma is Associated with Rapid Progression and Poor Clinical Outcome.","volume":"56","author":"Y Agawa","year":"2016","journal-title":"Neurologia medico-chirurgica."},{"issue":"8","key":"pone.0288872.ref007","doi-asserted-by":"crossref","first-page":"Cd011402","DOI":"10.1002\/14651858.CD011402.pub2","article-title":"External drains versus no drains after burr-hole evacuation for the treatment of chronic subdural haematoma in adults.","volume":"2016","author":"D Peng","year":"2016","journal-title":"The Cochrane database of systematic reviews."},{"key":"pone.0288872.ref008","doi-asserted-by":"crossref","first-page":"845386","DOI":"10.3389\/fphar.2022.845386","article-title":"Effectiveness Comparisons of Drug Therapy on Chronic Subdural Hematoma Recurrence: A Bayesian Network Meta-Analysis and Systematic Review.","volume":"13","author":"W Yu","year":"2022","journal-title":"Frontiers in pharmacology"},{"issue":"5","key":"pone.0288872.ref009","doi-asserted-by":"crossref","first-page":"E825","DOI":"10.1093\/neuros\/nyz095","article-title":"Subperiosteal vs Subdural Drain After Burr-Hole Drainage of Chronic Subdural Hematoma: A Randomized Clinical Trial (cSDH-Drain-Trial).","volume":"85","author":"J Soleman","year":"2019","journal-title":"Neurosurgery."},{"issue":"2","key":"pone.0288872.ref010","first-page":"115","article-title":"Comparison of subgaleal and subdural closed drainage system in the surgical treatment of chronic subdural hematoma.","volume":"2","author":"S Oral","year":"2015","journal-title":"Northern clinics of Istanbul."},{"issue":"9695","key":"pone.0288872.ref011","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.1016\/S0140-6736(09)61115-6","article-title":"Use of drains versus no drains after burr-hole evacuation of chronic subdural haematoma: a randomised controlled trial","volume":"374","author":"T Santarius","year":"2009","journal-title":"Lancet (London, England)."},{"issue":"3","key":"pone.0288872.ref012","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1080\/02688690701272232","article-title":"Outcomes and recurrence rates in chronic subdural haematoma","volume":"21","author":"A Amirjamshidi","year":"2007","journal-title":"British journal of neurosurgery"},{"key":"pone.0288872.ref013","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1016\/j.wneu.2017.04.134","article-title":"Drain Insertion in Chronic Subdural Hematoma: An International Survey of Practice.","volume":"104","author":"J Soleman","year":"2017","journal-title":"World neurosurgery."},{"key":"pone.0288872.ref014","doi-asserted-by":"crossref","first-page":"e392","DOI":"10.1016\/j.wneu.2019.07.168","article-title":"Outcomes of Subdural Versus Subperiosteal Drain After Burr-Hole Evacuation of Chronic Subdural Hematoma: A Multicenter Cohort Study.","volume":"131","author":"JJY Zhang","year":"2019","journal-title":"World neurosurgery."},{"issue":"1","key":"pone.0288872.ref015","doi-asserted-by":"crossref","first-page":"21","DOI":"10.21315\/mjms2017.24.1.3","article-title":"Subperiosteal Drainage versus Subdural Drainage in the management of Chronic Subdural Hematoma (A Comparative Study). The Malaysian journal of medical sciences","volume":"24","author":"AN Chih","year":"2017","journal-title":"MJMS"},{"key":"pone.0288872.ref016","first-page":"ED000142","article-title":"Updated guidance for trusted systematic reviews: a new edition of the Cochrane Handbook for Systematic Reviews of Interventions.","volume":"10","author":"M Cumpston","year":"2019","journal-title":"The Cochrane database of systematic reviews."},{"issue":"11","key":"pone.0288872.ref017","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1007\/s10654-018-0443-3","article-title":"Case study in major quotation errors: a critical commentary on the Newcastle-Ottawa scale","volume":"33","author":"A Stang","year":"2018","journal-title":"Eur J Epidemiol"},{"issue":"2","key":"pone.0288872.ref018","doi-asserted-by":"crossref","first-page":"256","DOI":"10.3171\/jns.2001.95.2.0256","article-title":"Factors in the natural history of chronic subdural hematomas that influence their postoperative recurrence","volume":"95","author":"H Nakaguchi","year":"2001","journal-title":"Journal of neurosurgery"},{"issue":"1","key":"pone.0288872.ref019","doi-asserted-by":"crossref","first-page":"96","DOI":"10.4103\/ajns.AJNS_101_20","article-title":"Comparative Study of Subgaleal and Subdural Closed Drain in Surgically Treated Cases of Chronic Subdural Hematoma.","volume":"16","author":"J Singh","year":"2021","journal-title":"Asian journal of neurosurgery"},{"key":"pone.0288872.ref020","doi-asserted-by":"crossref","first-page":"421","DOI":"10.25259\/SNI_592_2021","article-title":"Comparative study of subdural drain (SDD) versus sub periosteal drain (SPD) in treating patient with chronic subdural hematoma (CSDH).","volume":"12","author":"K Pathoumthong","year":"2021","journal-title":"Surgical neurology international"},{"key":"pone.0288872.ref021","doi-asserted-by":"crossref","first-page":"e426","DOI":"10.1016\/j.wneu.2020.02.166","article-title":"When the Drain Hits the Brain.","volume":"138","author":"M Kamenova","year":"2020","journal-title":"World neurosurgery"},{"key":"pone.0288872.ref022","doi-asserted-by":"crossref","first-page":"107068","DOI":"10.1016\/j.clineuro.2021.107068","article-title":"Comparative analysis of safety and efficacy in subperiosteal versus subdural drainage after burr-hole trephination for chronic subdural hematoma","volume":"212","author":"Y Hwang","year":"2022","journal-title":"Clinical neurology and neurosurgery"},{"key":"pone.0288872.ref023","doi-asserted-by":"crossref","first-page":"105705","DOI":"10.1016\/j.clineuro.2020.105705","article-title":"Clinical investigation of chronic subdural hematoma: Relationship between surgical approach, drainage location, use of antithrombotic drugs and postoperative recurrence","volume":"191","author":"R Gazzeri","year":"2020","journal-title":"Clinical neurology and neurosurgery"},{"key":"pone.0288872.ref024","first-page":"1","article-title":"Assessment of drainage techniques for evacuation of chronic subdural hematoma: a consecutive population-based comparative cohort study","author":"K Sj\u00e5vik","year":"2017","journal-title":"Journal of neurosurgery"},{"issue":"11","key":"pone.0288872.ref025","doi-asserted-by":"crossref","first-page":"2083","DOI":"10.1007\/s00701-012-1483-1","article-title":"A prospective randomised study to compare the utility and outcomes of subdural and subperiosteal drains for the treatment of chronic subdural haematoma.","volume":"154","author":"C Kaliaperumal","year":"2012","journal-title":"Acta neurochirurgica."},{"issue":"7","key":"pone.0288872.ref026","first-page":"419","article-title":"Outcome in Chronic Subdural Hematoma After Subdural vs. Subgaleal Drain.","volume":"27","author":"A. Ishfaq","year":"2017","journal-title":"Journal of the College of Physicians and Surgeons\u2014Pakistan: JCPSP"},{"key":"pone.0288872.ref027","first-page":"1","article-title":"Subdural versus subgaleal drainage for chronic subdural hematomas: a post hoc analysis of the TOSCAN trial","author":"L H\u00e4ni","year":"2019","journal-title":"Journal of neurosurgery"},{"issue":"4","key":"pone.0288872.ref028","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1093\/neuros\/nyy366","article-title":"Does Drain Position and Duration Influence Outcomes in Patients Undergoing Burr-Hole Evacuation of Chronic Subdural Hematoma? Lessons from a UK Multicenter Prospective Cohort Study","volume":"85","author":"LJ Glancz","year":"2019","journal-title":"Neurosurgery."},{"issue":"1","key":"pone.0288872.ref029","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1016\/j.wneu.2011.05.036","article-title":"Subdural drainage versus subperiosteal drainage in burr-hole trepanation for symptomatic chronic subdural hematomas.","volume":"77","author":"D Bellut","year":"2012","journal-title":"World neurosurgery."},{"key":"pone.0288872.ref030","doi-asserted-by":"crossref","first-page":"e283","DOI":"10.1016\/j.wneu.2019.08.175","article-title":"Time to and Possible Risk Factors for Recurrence after Burr-hole Drainage of Chronic Subdural Hematoma: A Subanalysis of the cSDH-Drain Randomized Controlled Trial.","volume":"132","author":"K Lutz","year":"2019","journal-title":"World neurosurgery."},{"issue":"1","key":"pone.0288872.ref031","doi-asserted-by":"crossref","first-page":"346","DOI":"10.1186\/s12883-022-02857-1","article-title":"Predictors of recurrence of chronic subdural haematoma in a cohort study of patients presenting in a sub-Saharan African teaching hospital","volume":"22","author":"HM Abdullah","year":"2022","journal-title":"BMC neurology"},{"issue":"1","key":"pone.0288872.ref032","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1186\/s13063-022-06150-x","article-title":"Postoperative drainage for 6, 12, or 24\u2009h after burr-hole evacuation of chronic subdural hematoma in symptomatic patients (DRAIN-TIME 2): study protocol for a nationwide randomized controlled trial.","volume":"23","author":"MH Gr\u00f8nh\u00f8j","year":"2022","journal-title":"Trials."},{"key":"pone.0288872.ref033","doi-asserted-by":"crossref","first-page":"101234","DOI":"10.1016\/j.eclinm.2021.101234","article-title":"Factors correlated with the postoperative recurrence of chronic subdural hematoma: An umbrella study of systematic reviews and meta-analyses.","volume":"43","author":"F Zhu","year":"2022","journal-title":"EClinicalMedicine."},{"issue":"4","key":"pone.0288872.ref034","doi-asserted-by":"crossref","first-page":"E6","DOI":"10.3171\/2020.7.FOCUS20489","article-title":"Drain type after burr-hole drainage of chronic subdural hematoma in geriatric patients: a subanalysis of the cSDH-Drain randomized controlled trial.","volume":"49","author":"L Greuter","year":"2020","journal-title":"Neurosurgical focus."},{"key":"pone.0288872.ref035","doi-asserted-by":"crossref","first-page":"e723","DOI":"10.1016\/j.wneu.2019.12.116","article-title":"A Comparison of Subperiosteal or Subgaleal Drainage with Subdural Drainage on the Outcomes of Chronic Subdural Hematoma: A Meta-Analysis.","volume":"135","author":"Y Xie","year":"2020","journal-title":"World neurosurgery."},{"issue":"3","key":"pone.0288872.ref036","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1007\/s00701-019-04208-5","article-title":"Subperiosteal versus subdural drainage after burr hole evacuation of chronic subdural hematoma: systematic review and meta-analysis.","volume":"162","author":"R Pranata","year":"2020","journal-title":"Acta neurochirurgica."},{"key":"pone.0288872.ref037","doi-asserted-by":"crossref","first-page":"312","DOI":"10.3389\/fneur.2020.00312","article-title":"Type of Drain in Chronic Subdural Hematoma-A Systematic Review and Meta-Analysis.","volume":"11","author":"L Greuter","year":"2020","journal-title":"Frontiers in neurology"},{"key":"pone.0288872.ref038","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.wneu.2019.12.180","article-title":"Subperiosteal versus Subdural Drain After Burr Hole Drainage for Chronic Subdural Hematomas: A Systematic Review and Meta-Analysis.","volume":"136","author":"H Ding","year":"2020","journal-title":"World neurosurgery."},{"issue":"6","key":"pone.0288872.ref039","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1227\/neu.0000000000002144","article-title":"Management of Chronic Subdural Hematoma: A Systematic Review and Component Network Meta-analysis of 455 Studies With 103 645 Cases.","volume":"91","author":"J Henry","year":"2022","journal-title":"Neurosurgery."}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0288872","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T17:28:07Z","timestamp":1690910887000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0288872"}},"subtitle":[],"editor":[{"given":"Alvan","family":"Ukachukwu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2023,8,1]]},"references-count":39,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2023,8,1]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0288872","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,1]]}}}