Evidence map›Paper›PMID 27517068›Full record

ArticleThe archives of bone and joint surgery2016

Economic Effects of Anti-Depressant Usage on Elective Lumbar Fusion Surgery.

Amirali Sayadipour, Chrisopher K Kepler, Rajnish Mago, Kenneth M Certa, Mohammad R Rasouli, Alexander R Vaccaro, Todd J Albert, David G Anderson

Open access · greenAbstract read
PubMed Full text at PMC
In one paragraph

Article in The archives of bone and joint surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 25% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 2 institutions in 1 country.

Amirali SayadipourDepartment of Psychiatry, University of Maryland Medical Center, Baltimore, MD, USA.
Chrisopher K KeplerDepartment of Psychiatry, University of Maryland Medical Center, Baltimore, MD, USA.
Rajnish MagoDepartment of Psychiatry, University of Maryland Medical Center, Baltimore, MD, USA.
Kenneth M CertaDepartment of Psychiatry, University of Maryland Medical Center, Baltimore, MD, USA.
Mohammad R RasouliDepartment of Psychiatry, University of Maryland Medical Center, Baltimore, MD, USA.
Alexander R VaccaroDepartment of Psychiatry, University of Maryland Medical Center, Baltimore, MD, USA.
Todd J AlbertDepartment of Psychiatry, University of Maryland Medical Center, Baltimore, MD, USA.
David G AndersonDepartment of Psychiatry, University of Maryland Medical Center, Baltimore, MD, USA.
University of Maryland Medical Center · USUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been suggested, although not proven, that presence of concomitant psychiatric disorders may increase the inpatient costs for patients undergoing elective surgery. This study was designed to test the hypothesis that elective lumbar fusion surgery is more costly in patients with under treatment for depression.

methodsThis is a retrospective case-control study of 142 patients who underwent elective lumbar fusion. Of those 142 patients, 41 patients were chronically using an antidepressant medication that considered as a "study group", and 101 patients were not taking an antidepressant medication that considered as a "control group". Data was collected for this cohort regarding antidepressant usage patient demographics, length of stay (LOS), age-adjusted Charlson comorbidity index scores and cost. Costs were compared between those with a concomitant antidepressant usage and those without antidepressant usage using multivariate analysis.

resultsPatients using antidepressants and those with no history of antidepressant usage were similar in terms of gender, age and number of operative levels. The LOS demonstrated a non-significant trend towards longer stays in those using anti-depressants. Total charges, payments, variable costs and fixed costs were all higher in the antidepressant group but none of the differences reached statistical significance. Using Total Charges as the dependent variable, gender and having psychiatric comorbidities were retained independent variables. Use of an antidepressant was independently predictive of a 36% increase in Total Charges. Antidepressant usage as an independent variable also conferred a 22% increase in cost and predictive of a 19% increase in Fixed Cost. Male gender was predictive of a 30% increase in Total Charges.

conclusionThis study suggests use of antidepressant in patients who undergo elective spine fusion compared with control group is associated with increasing total cost and length of hospitalization, although none of the differences reached statistical significance.

Indexed as

AntidepressantsComorbiditiesCostsElective lumbar fusion surgeryLength of hospitalization

Identifiers

PMID27517068
PMCPMC4969369
OpenAlexW2341730680

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.