ArticlePediatrics2017
Comorbidities and Complications of Spinal Fusion for Scoliosis.
Article in Pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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.
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.
Who cites it
14 citing papers in PubMed, 52 citations in OpenAlex.
- Trends in Hospital Resource Use for Children With Complex Chronic Conditions.JAMA network open · 2025Article
- Peri-Operative Care of Technology-Dependent Adolescents and Young Adults.Children (Basel, Switzerland) · 2025Review
- Caregiver Values and Preferences Related to Surgical Decision-Making for Children with Medical Complexity.The Journal of pediatrics · 2025Article
- Comparison of two modeling approaches for the identification of predictors of complications in children with cerebral palsy following spine surgery.BMC medical research methodology · 2024Article
- Letter to the editor: Evaluation of the use of tranexamic acid in the postoperative period in patients with scoliosis undergoing posterior fusion.Neurosurgical review · 2024Article
- Predicting delayed extubation and transfer to the intensive care unit in children undergoing posterior fusion surgery for scoliosis : A retrospective observational study.Die Anaesthesiologie · 2024Observational
- Pediatric Digit Replantation: A Nationwide Analysis of Failure Rate, Complications, and Potential Factors Affecting Failure.Journal of hand surgery global online · 2024Article
- Identifying Predictors of Extended Intensive Care Unit Stay Following Posterior Spinal Fusion for Adolescent Idiopathic Scoliosis: An Analysis of 101 ACS NSQIP Pediatric Participating Centers.The Iowa orthopaedic journal · 2024Article
- Mortality and Causes of Death in Children With Cerebral Palsy With Scoliosis Treated With and Without Surgery.Neurology · 2023Article
- Hospital Burdens of Patients With Cerebral Palsy Undergoing Posterior Spinal Fusion for Scoliosis.Global spine journal · 2022Article
- Neuromuscular Scoliosis: Comorbidities and Complications.Asian spine journal · 2021Article
- Article
- Health and Economic Outcomes of Posterior Spinal Fusion for Children With Neuromuscular Scoliosis.Hospital pediatrics · 2020Article
- Outpatient Prescription Opioid Use in Pediatric Medicaid Enrollees With Special Health Care Needs.Pediatrics · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 4 institutions in 2 countries.
Funding
Abstract
BACKGROUND AND
objectivesGeneral pediatricians and hospitalists are increasingly summoned to optimize the comorbid conditions of children with medical complexity (CMC) undergoing major surgery. We assessed the relationship between specific chronic conditions of CMC and hospital resource use with spinal fusion for scoliosis, an operation with high cost and morbidity.
methodsRetrospective analysis of 7252 children age ≥5 years with an underlying complex chronic condition undergoing spinal fusion between January 1, 2010 through December 31, 2014 in 41 children's hospitals. Hospital length of stay (LOS), cost, and 30-day readmission rate were compared across comorbid conditions by using linear and logistic regression accounting for demographic characteristics and clustering of patients by hospital.
resultsFifty-nine percent of children had ≥4 comorbid conditions. As the number of chronic conditions increased from 1-3 to ≥10, median LOS increased 60% (5 [interquartile range (IQR), 4-7] to 8 [IQR, 5-13] days); median hospital cost increased 53% ($52 319 [IQR, $37 937-71 513] to $80 429 [IQR, $58 602-$111 965]); and readmission rates increased 293% (5.4% to 15.8%) (
conclusionsChronic respiratory insufficiency, bladder dysfunction, and epilepsy had significant associations with hospital resource use for CMC undergoing spinal fusion. Pediatricians, patients, and families may find it useful to consider these conditions when striving to benefit the children's perioperative health and outcomes.
Indexed as
Identifiers
What OpenQuestion holds
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.