Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

1,938 questions · 1,994 findings · 246 reviews · Headline outcomes only

No studies found 490 · 24.6%GRADE not reported 71 · 3.6%Very low 669 · 33.6%Low 446 · 22.4%Moderate 264 · 13.2%High 54 · 2.7%

SUMMARY OF FINDINGS FOR DECOMPRESSION vs medical treatment

Death or severe disability (mRS > 4) at 6 to 12 months · malignant cerebral oedema after ischaemic stroke

Summary of findings table ‐ surgical decompression leads to lower death or severe disability (mRS > 4) at 6 to 12 months compared with medical treatment alone (high certainty).

1 finding from 1 review

SUMMARY OF FINDINGS FOR DECOMPRESSION vs medical treatment

Death or moderate disability (mRS > 3) at 6 to 12 months · malignant cerebral oedema after ischaemic stroke

Summary of findings table ‐ surgical decompression probably leads to lower death or moderate disability (mRS > 3) at 6 to 12 months compared with medical treatment alone (moderate certainty).

1 finding from 1 review

SUMMARY OF FINDINGS FOR DECOMPRESSION vs medical treatment

Severe disability (mRS = 5) at 6 to 12 months · malignant cerebral oedema after ischaemic stroke

Summary of findings table ‐ surgical decompression showed no clear difference in severe disability (mRS = 5) at 6 to 12 months compared with medical treatment alone (low certainty).

1 finding from 1 review