Evidence map›Paper›PMID 23197256›Full record

ArticleJournal of spinal disorders & techniques2014

Assessment of presurgical psychological screening in patients undergoing spine surgery: use and clinical impact.

Arthur K Young, Benjamin K Young, Lee H Riley, Richard L Skolasky

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of spinal disorders & techniques, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. The influence of psychological factors on postoperative clinical outcomes in patients undergoing lumbar spine surgery: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Arthur K YoungDepartment of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, MD.
Benjamin K Young
Lee H Riley
Richard L Skolasky
Johns Hopkins University · US

Funding

Functional recovery in lumbar spine surgery: Influence of a brief Health BehaviorR01HS017990 · AHRQ · JOHNS HOPKINS UNIVERSITY · PI SKOLASKY, RICHARD L. · 2009 to 2012
$971k
AHRQ HHS R01 HS017990
6 · The paper itself

Abstract

STUDY

designProspective survey.

objectiveTo determine the prevalence of use of presurgical psychological screening (PPS) among spine surgeons in the United States, identify factors associated with PPS use, evaluate surgeons' opinions of PPS, and investigate how PPS is applied in clinical practice. SUMMARY OF BACKGROUND DATA: The United States Preventive Services Task Force recommends PPS for patients undergoing back surgery. The prevalence of PPS is unknown. Thus, it may be difficult to improve preoperative care for such patients with psychological conditions.

methodsAn online survey invitation was emailed to 340 spine surgeons. Questions addressed surgeon characteristics (eg, number of years in practice), practice characteristics (eg, practice type), inclusion of integrated rehabilitation and psychological services, and use of PPS. The impact of psychological factors on rehabilitation and recovery was assessed using an 11-point Likert scale (0, no impact; 10, highest impact). We analyzed the 110 (32%) responses with a χ(2) test (significance, P<0.05).

resultsPPS was used by 37% (41) to screen for depression (100%) or anxiety (85%). PPS use was highest among surgeons with more experience, higher annual volume, and no university affiliation. Among those screening for fear avoidance, use was highest among surgeons more recently entering the field. Surgeons reported a strong belief regarding the impact of psychological factors on pain relief, adherence to therapy, and return to work (mean impact rating, >7.0); however, impact on return for follow-up was only moderate (mean rating, 5.8).

conclusionsA minority of surgeons reported using PPS. Surgeons were less likely to use PPS if they had completed residency or begun practice within 14 years, had fewer than 200 cases annually, or were university affiliated. This study highlights the need to advocate for the use of North American Spine Society guidelines regarding the use of PPS.

Indexed as

Health Care SurveysHealth Knowledge, Attitudes, PracticePhysiciansFemaleHumansInternship and ResidencyMaleMiddle AgedOrthopedic ProceduresPreoperative CarePsychological TestsSpineSurveys and QuestionnairesUnited States

Identifiers

PMID23197256
PMCPMC3629008
OpenAlexW2327719137

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.