Evidence map›Paper›PMID 28744492›Full record

ArticleJournal of spine surgery (Hong Kong)2017

Relationship between depression and clinical outcome following anterior cervical discectomy and fusion.

Kevin Phan, Dane Moran, Thomas Kostowski, Risheng Xu, Rory Goodwin, Benjamin Elder, Seba Ramhmdani, Ali Bydon

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In one paragraph

Article in Journal of spine surgery (Hong Kong), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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

13 citing papers in PubMed.

  1. Impact of mental health disorders and perioperative outcomes following anterior cervical discectomy and fusion (ACDF): a national inpatient analysis.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 · 2026
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  4. The use of the Core Yellow Flags Index for the assessment of psychosocial distress in patients undergoing surgery of the cervical spine.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 · 2024
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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

8 authors.

Kevin PhanDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Dane MoranDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Thomas KostowskiDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Risheng XuDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Rory GoodwinDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Benjamin ElderDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Seba RamhmdaniDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Ali BydonDepartment of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAnterior cervical discectomy and fusion (ACDF) is a commonly performed procedure for patients with symptomatic degenerative conditions of the cervical spine. The objective is to assess the impact of preoperative depression and other baseline characteristics on patient reported clinical outcomes following ACDF surgery based on the experience at our institution.

methodsThis was a retrospective cohort study of some patients undergoing ACDF at a single institution from 2012 to 2014. Ninety-three patients that underwent an ACDF procedure were included. The primary outcome measure was post-operative Nurick score.

resultsSixteen (17.2%) patients had a formal diagnosis of depression compared to 77 (82.8%) patients without depression. On univariate analysis, patients with depression had statistically significantly higher Nurick scores compared to patients without depression after surgery (coefficient =0.55, 95% CI: 0.21-0.90, P=0.002). On multivariate analysis, there was a trend toward higher postoperative Nurick scores in patients that had depression (coefficient =0.31, 95% CI: -0.01-0.63, P=0.057).

conclusionsThis small retrospective study reveals an inverse relationship between preoperative depression and functional outcome. Further research should be performed to investigate this relationship and to investigate if treating depression can improve postoperative outcomes.

Indexed as

Anterior cervical discectomy and fusion (ACDF)clinical outcomedepressionNurick score

Identifiers

PMID28744492
PMCPMC5506315

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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.