Evidence map›Paper›PMID 27102978›Full record

ArticlePain management2016

Clinical and neuropsychiatric correlates of lumbar spinal surgery in older adults: results of a pilot study.

Jordan F Karp, Jonathan McGovern, Megan M Marron, Peter Gerszten, Debra K Weiner, David Okonkwo, Adam S Kanter

Abstract read
In one paragraph

Article in Pain management, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

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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

1 citing paper in PubMed.

  1. Article
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.

Jordan F KarpDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Jonathan McGovernDepartment of Radiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Megan M MarronDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Peter GersztenDepartment of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Debra K WeinerDepartment of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
David OkonkwoDepartment of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Adam S KanterDepartment of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.

Funding

Optimizing Care for Older Adults with Back Pain and DepressionR01AG033575 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KARP, JORDAN F · 2010 to 2014
$2.3M
NIA NIH HHS R01 AG033575
6 · The paper itself

Abstract

aimTo improve selection of older lumbar surgical candidates, we surveyed correlates of functioning and satisfaction with surgery. MATERIALS &

methodsProspective sample at lumbar spine surgery clinic. Patients (n = 48) were evaluated before surgery and after 3 months. Dependent variables were functioning and surgical satisfaction.

resultsBaseline variables associated with disability at 3 months included cognitive status and widespread pain. There was clinically significant improvement with moderate effects sizes for anxiety and depression at follow-up. Patients with at least a 30% improvement in disability had better physical health-related quality of life and were less likely to report widespread pain before surgery.

conclusionAlthough preliminary, two novel potential predictors of lumbar surgery outcome include diminished cognitive functioning and widespread pain. Further study of these variables on post-surgical functioning and satisfaction may improve patient selection.

Indexed as

Patient SelectionAgedAnxietyCognitive DysfunctionDepressionFemaleHumansLow Back PainLumbosacral RegionMaleMental Status ScheduleMiddle AgedPatient SatisfactionPilot ProjectsProspective StudiesTreatment Outcomeagingcomplicationslumbar spinepredictorspsychiatricspinal stenosis

Identifiers

PMID27102978
PMCPMC5066127

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Registered trials

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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.