Evidence map›Paper›PMID 27162713›Full record

ArticleInternational journal of spine surgery2016

Observational Study of Depression in Patients Undergoing Cervical Disc Arthroplasty: Evidence of a Correlation between Pain Relief and Resolution of Depression.

Matthew F Gornet, Anne G Copay, Francine W Schranck, Branko Kopjar

Open access · bronzeAbstract read
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Article in International journal of spine surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.0field-weighted citation impact, top 15% 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

3 citing papers in PubMed, 24 citations in OpenAlex.

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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 3 institutions in 1 country.

Matthew F GornetThe Orthopedic Center of St. Louis, St Louis, MO.
Anne G CopaySPIRITT Research, St. Louis, MO.
Francine W SchranckSPIRITT Research, St. Louis, MO.
Branko KopjarDepartment of Health Services, University of Washington, Seattle, WA.
EaglePicher Technologies (United States) · USOrthopedic Center · USUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepression has been associated with inferior outcomes following lumbar spine surgery. Our purpose was to investigate the prevalence of depression and its impact on the outcomes of a large sample of cervical disc arthroplasty patients and to examine the change in depression occurring in conjunction with changes in disability and pain.

methodsA cohort of 271 patients who underwent single or multi-level cervical disc arthroplasty at a single orthopedic center filled out the Neck Disability Index, Medical Outcomes Study SF-36, numerical rating scales for neck pain and arm pain, preoperatively and 12-month postoperatively. Patients were classified as Depressed or Non-Depressed, based on their preoperative SF-36 Mental Component Summary (MCS) score. Preoperative scores, 12-month postoperative scores, and change in scores (adjusted for preoperative scores, smoking status, and strenuous job) were compared between Depressed and Non-Depressed. Next, patients in the 2 groups were subdivided into 4 groups: Always Depressed, Never Depressed, No Longer Depressed, and Newly Depressed, based on their combined preoperative and postoperative MCS scores. The same score comparisons were conducted among the 4 groups.

resultsForty-four percent (118 of 271) of the patients in our sample were Depressed. Despite a significant improvement after surgery, Depressed patients had poorer pre- and postoperative scores than Non-Depressed patients for NDI, MCS, neck pain and arm pain. Two-thirds (80 of 118) of the Depressed patients were No Longer Depressed at 12 months and had postoperative scores similar to the Never Depressed patients. Eight percent (12 of 153) of the Non-Depressed patients became Newly Depressed by 12 months and had postoperative scores similar to the Always Depressed patients.

conclusionsDepression is a common occurrence in patients with cervical disorders. Relief from pain and disability after cervical disc arthroplasty can be associated with relief from depression, but poor outcomes may also result in patients becoming depressed.

Indexed as

Cervical disc arthroplastycervical spine pathologyDepressionpatient-reported outcomesquality of lifeSpine surgery

Identifiers

PMID27162713
PMCPMC4852592
OpenAlexW2321347717

What OpenQuestion holds

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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.