Evidence map›Paper›PMID 26427699›Full record

ArticleEuropean radiology2016

Safety and Clinical Effectiveness of Percutaneous Vertebroplasty in the Elderly (≥80 years).

Frédéric Clarençon, Robert Fahed, Joseph Gabrieli, Yessine Guermazi, Evelyne Cormier, Luc Molet-Benhamou, Betty Jean, Sabrina Dadoun, Michèle Rose, Lise Le Jean and 1 more

Abstract read
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In one paragraph

Article in European radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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  13. [Comparison of refracture risk between sandwich vertebrae and ordinary adjacent vertebrae].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021
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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

11 authors at 3 institutions in 2 countries.

Frédéric ClarençonDepartment of Interventional Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France. fredclare5@msn.com.
Robert FahedDepartment of Interventional Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France.
Joseph GabrieliDepartment of Interventional Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France.
Yessine GuermaziDepartment of Radiology, Sfax University Hospital, Sfax, Tunisia.
Evelyne CormierDepartment of Interventional Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France.
Luc Molet-BenhamouDepartment of Interventional Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France.
Betty JeanDepartment of Neuroradiology, Clermont-Ferrand University Hospital, Clermont-Ferrand, France.
Sabrina DadounParis VI University Pierre et Maris Curie, Paris, France.
Michèle RoseDepartment of Anaesthesiology, Pitié-Salpêtrière Hospital, Paris, France.
Lise Le JeanDepartment of Anaesthesiology, Pitié-Salpêtrière Hospital, Paris, France.
Jacques ChirasDepartment of Interventional Neuroradiology, Pitié-Salpêtrière Hospital, Paris, France.
Sorbonne Université · FRPitié-Salpêtrière Hospital · FRUniversity of Sfax · TN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the safety and clinical effectiveness of percutaneous vertebroplasty (PVP) in patients aged 80 and over.

methodsOne hundred and seventy-three patients (127 women, 46 men; mean age = 84.2y) underwent 201 PVP procedures (391 vertebrae) in our institution from June 2008 to March 2012. One hundred and twenty-six patients (73 %) had osteoporotic vertebral compression fractures (VCF), 36 (20.5 %) were treated for tumour lesions, and the remaining 11 (6.5 %) for lesions from another cause. Comorbidities and American Society of Anesthesiologists (ASA) scores were assessed before treatment. Periprocedural and delayed complications were systematically recorded. A qualitative scale was used to evaluate pain relief at 1-month follow-up, ranging from significant pain worsening to marked improvement or disappearance. New fracture occurrence was assessed on follow-up imaging.

resultsForty-five percent of patients had pretreatment ASA class scores ≥3. No major complication occurred. Pain was unchanged in 16.9 % of cases, mildly improved in 31.5 %, and disappeared in 47.8 %. We identified 27 (11 %) symptomatic new VCFs in patients with osteoporosis on follow-up imaging. The mean delay in diagnosis of new fractures was 5 ± 8.7 months.

conclusionsEven in the elderly, PVP remains a safe and effective technique for pain relief, independently of the underlying disease. KEY POINTS: • Post-PVP pain improvement was observed in 79.3 % of elderly patients. • PVP remains a safe technique in elderly patients. • No decompensation of comorbidity was observed in our series.

Indexed as

Aged, 80 and overFemaleFractures, CompressionHumansMalePainSpinal FracturesTreatment OutcomeVertebroplastyElderlyImaging modalityPain reliefPercutaneous vertebroplastyVertebral fracture

Identifiers

PMID26427699
OpenAlexW1758957677

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.