Evidence map›Paper›PMID 26378444›Full record

SynthesisPloS one2015

Results of Vertebral Augmentation Treatment for Patients of Painful Osteoporotic Vertebral Compression Fractures: A Meta-Analysis of Eight Randomized Controlled Trials.

Lianhua Li, Jixin Ren, Jia Liu, Hao Wang, Xiaowei Wang, Zhi Liu, Tiansheng Sun

Registry-linked trialOpen access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03967704 (Optimization of Follow-up of Patients With Symptomatic Recent Osteoporotic Vertebral Fracture), which is not on this map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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.

NCT03967704 nacompletednot on this mapstarted 2019, after this paper: background citation

Optimization of Follow-up of Patients With Symptomatic Recent Osteoporotic Vertebral Fracture

TypeinterventionalSponsorFondation Hôpital Saint-JosephRan2019 to 2023Enrolled39ConditionsOsteoporotic FracturesArmsLife quality evaluation
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. [Cement augmentation in spinal surgery].Unfallchirurgie (Heidelberg, Germany) · 2022
    Review
  10. Article
  11. Which is the best treatment of osteoporotic vertebral compression fractures: balloon kyphoplasty, percutaneous vertebroplasty, or non-surgical treatment? A Bayesian network meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2019
    Article
  12. Review
  13. Article
  14. Review
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

7 authors at 1 institution in 1 country.

Lianhua LiPLA Institute of Orthopedics, Beijing Army General Hospital, Beijing, 100700, China.
Jixin RenPLA Institute of Orthopedics, Beijing Army General Hospital, Beijing, 100700, China.
Jia LiuPLA Institute of Orthopedics, Beijing Army General Hospital, Beijing, 100700, China.
Hao WangPLA Institute of Orthopedics, Beijing Army General Hospital, Beijing, 100700, China.
Xiaowei WangPLA Institute of Orthopedics, Beijing Army General Hospital, Beijing, 100700, China.
Zhi LiuPLA Institute of Orthopedics, Beijing Army General Hospital, Beijing, 100700, China.
Tiansheng SunPLA Institute of Orthopedics, Beijing Army General Hospital, Beijing, 100700, China.
The Military General Hospital of Beijing PLA · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2009 two RCTs were publicated to question the efficacy of vertebroplasty comparing with sham treatment (ST) in the New England Journal of Medicine (NEJM), which provoked an academic debate on the efficacy of PVA. The purposes of our study were to compare clinical differences in pain relief, spinal functional outcomes, and overall quality of life between PVA and CT for painful osteoporotic VCFs.

methodsWe searched PubMed, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials and Web of Knowledge from January 1980 to June 2013 with Medical Subject Headings terms and keywords. Risk of bias in the included studies was assessed in accordance with the Cochrane risk of bias tool. In this Meta-analysis dichotomous and continuous variables were calculated using the risk ratio (RR) and standardized mean difference (SMD), respectively.

resultsEight studies involving 987 patients met the criteria for inclusion. The VAS SMD was favoring the experimental group significantly (p < 0.001). Subgroup analysis suggested that the patients performed PVA with mean fracture age less than 3 months would got pain relief earlier and more durable than the control group (P <0.05). The SMD of spinal function assessed with RDQ and Oswestry LBP data was in favor of the experimental groups. QOL outcome improvement was demonstrated statistically significant at early, middle and late-term follow-up for PVA than the control group (P <0.05).

conclusionsIn conclusion, this meta-analysis, which evaluated PVA for osteoporotic VCFs, demonstrated significant improvement regarding VAS, spinal function and QOL outcomes. The optimal fracture age was less than 12 weeks.

Indexed as

FemaleFractures, CompressionHumansMaleOsteoporosisOsteoporotic FracturesPainPain ManagementPain MeasurementQuality of LifeSpinal FracturesSpineTreatment OutcomeVertebroplasty

Identifiers

PMID26378444
PMCPMC4574925
OpenAlexW2192894811

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.