Evidence map›Paper›PMID 28655308›Full record

SynthesisBMC health services research2017

A systematic literature review of time to return to work and narcotic use after lumbar spinal fusion using minimal invasive and open surgery techniques.

Xuan Wang, Benny Borgman, Simona Vertuani, Jonas Nilsson

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
  2. Article
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  6. Article
  7. Article
  8. Article
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  11. Practical answers to frequently asked questions in minimally invasive lumbar spine surgery.The spine journal : official journal of the North American Spine Society · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Minimally invasive multiple-rod constructs with robotics planning in adult spinal deformity surgery: a case series.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2022
    Article
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  17. Review
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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 2 institutions in 2 countries.

Xuan WangMapi Group, Klarabergsviadukten 90B, SE-111 64, Stockholm, Sweden. xwang@mapigroup.com.ORCID 0000-0003-3499-5870
Benny BorgmanSpine & Biologics Medtronic International Trading SARL, Tolochenaz, Switzerland.
Simona VertuaniMapi Group, Klarabergsviadukten 90B, SE-111 64, Stockholm, Sweden.
Jonas NilssonMapi Group, Klarabergsviadukten 90B, SE-111 64, Stockholm, Sweden.
Business Sweden · SEMedtronic (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic low back pain is a common health problem for adult workers and causes an enormous economic burden. With the improvement of minimally invasive surgical techniques (MIS) in spinal fusion and the development of fusion devices, more lumbar operations are today being performed through a less invasive technique. When compared with open surgeries (OS), MIS has demonstrated better clinical outcomes including operation time, blood loss, complication rates and length of hospital stay. The aim of this review was to identify and summarize evidence on the time to return to work and the duration of post-operation narcotic use for patients who had lumbar spinal fusion operations using MIS and OS techniques.

methodsA systematic literature review was performed including studies identified from PubMed, EMBASE, the Cochrane Collaboration, and the Centre for Review and Dissemination (CRD) (January 2004–April 2014) for publications reporting on time to return to work and post-operation narcotic use after MIS or OS lumbar spinal fusion surgeries.

resultsOut of a total of 36 included studies, 28 reported on the time to return to work and 17 on the narcotic use after MIS or OS. Four studies described the time to return to work directly comparing MIS and OS. Three studies, from the US, directly compared the duration of narcotic use between MIS- transforaminal lumbar interbody fusion (TLIF) and OS-TLIF. In addition to the time to return to work, 23 studies reported on the rate of return to work and the employment rate before and after surgery, and two Swedish studies presented sick leave data.

conclusionThere is a gap of good quality data describing the time to return to work and narcotic use after lumbar spinal fusion operations using MIS or OS techniques. However, the current systematic literature review indicates that patients who have lumbar spinal fusion operations, with the MIS procedure, generally return to work after surgery more quickly and require less post-operation narcotics for pain control compared to patients who have OS.

Indexed as

HumansLow Back PainLumbar VertebraeMinimally Invasive Surgical ProceduresNarcoticsRandomized Controlled Trials as TopicReturn to WorkSpinal FusionTreatment OutcomeNarcoticsAnterior lumbar interbody fusionLumbar spinal fusionMinimal invasive surgeryNarcotic useOpen surgeryPosterior lumbar interbody fusionPosterolateral fusionReturn to workSystematic literature reviewTransforaminal lumbar interbody fusion

Identifiers

PMID28655308
PMCPMC5488344
OpenAlexW2687323835

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.