Evidence map›Paper›PMID 30087405›Full record

ArticleScientific reports2018

Course and characteristics of work disability 3 years before and after lumbar spine decompression surgery- a national population-based study.

Thomas E Dorner, Magnus Helgesson, Kerstin Nilsson, Konstantinos A Pazarlis, Annina Ropponen, Pia Svedberg, Ellenor Mittendorfer-Rutz

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 7 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

7 authors at 4 institutions in 3 countries.

Thomas E DornerMedical University of Vienna, Centre for Public Health, Department for Social and Preventive Medicine, Kinderspitalgasse 15/I, 1090, Wien, Austria. thomas.dorner@meduniwien.ac.at.
Magnus HelgessonKarolinska Institutet, Department of Clinical Neuroscience, Division of Insurance Medicine, Berzeliusv. 3, 171 77, Stockholm, Sweden.
Kerstin NilssonKarolinska Institutet, Department of Clinical Neuroscience, Division of Insurance Medicine, Berzeliusv. 3, 171 77, Stockholm, Sweden.
Konstantinos A PazarlisDepartment of Surgical Sciences, Division of Orthopedics, Uppsala University Hospital, Akademiska sjukhuset ing 70, SE-751 85, Uppsala, Sweden.
Annina RopponenKarolinska Institutet, Department of Clinical Neuroscience, Division of Insurance Medicine, Berzeliusv. 3, 171 77, Stockholm, Sweden.
Pia SvedbergKarolinska Institutet, Department of Clinical Neuroscience, Division of Insurance Medicine, Berzeliusv. 3, 171 77, Stockholm, Sweden.
Ellenor Mittendorfer-RutzKarolinska Institutet, Department of Clinical Neuroscience, Division of Insurance Medicine, Berzeliusv. 3, 171 77, Stockholm, Sweden.
Karolinska Institutet · SEFinnish Institute of Occupational Health · FIMedical University of Vienna · ATUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite decompression surgery being a widespread intervention for patients with dorsopathies (i.e. back pain) affecting the lumbar spine, the scientific knowledge on patterns and characteristics of work disability before and after the surgery is limited. Sickness absence (SA) and disability pension (DP) were examined three years before and after surgery in 8558 patients aged 25-60 years who underwent lumbar spine decompression surgery in Sweden. They were compared to individuals with diagnosed dorsopathies but no surgery and individuals from the general population as matched comparison groups. According to Group Based Trajectory models, in patients with decompression surgery, 39% had low levels of SA/DP during the entire study period and 15% started with low levels of SA/DP, which increased in the year before, and declined to almost zero in the second year after surgery. Three trajectory groups (12%, 17%, and 18%) started at different levels of SA/DP, which increased in the years before, and declined in the third year after surgery. The trajectory groups in the comparison groups showed lower levels of work disability. Sex, education, and the use of antidepressants and analgesics the year before surgery played an important role to explain the variance of trajectory groups in patients with surgery.

Indexed as

Decompression, SurgicalDisability EvaluationPersons with DisabilitiesAdultAgedBack PainFemaleHumansMaleMiddle AgedSweden

Identifiers

PMID30087405
PMCPMC6081436
OpenAlexW2887308867

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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.