Evidence map›Paper›PMID 30364864›Full record

ArticleInternational journal of spine surgery2018

Adverse Events Following Posterior Lumbar Fusion: A Comparison of Spine Surgeons Perceptions and Reported Data for Rates and Risk Factors.

Nathaniel T Ondeck, Daniel D Bohl, Patawut Bovonratwet, Ryan P McLynn, Jonathan J Cui, Andre M Samuel, Matthew L Webb, Jonathan N Grauer

Open access · diamondAbstract read
In one paragraph

Article in International journal of spine surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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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 at 4 institutions in 1 country.

Nathaniel T OndeckDepartment of Orthopedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut.
Daniel D BohlDepartment of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois.
Patawut BovonratwetDepartment of Orthopedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut.
Ryan P McLynnDepartment of Orthopedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut.
Jonathan J CuiDepartment of Orthopedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut.
Andre M SamuelHospital for Special Surgery, New York, New York.
Matthew L WebbDepartment of Orthopedic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.
Jonathan N GrauerDepartment of Orthopedics and Rehabilitation, Yale School of Medicine, New Haven, Connecticut.
Yale University · USHospital for Special Surgery · USHospital of the University of Pennsylvania · USRush University Medical Center · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
6 · The paper itself

Abstract

backgroundPostoperative complications and risks factors for adverse events play an important role in both decision making and patient expectation setting. The present study serves to contrast surgeons' perceived and reported rates of postoperative adverse events following posterior lumbar fusion (PLF) and to assess the accuracy of predicting the impact of patient factors on such outcomes.

methodsA survey investigating perceived rates of adverse events and the impact of patient risk factors on them following PLF for degenerative conditions was distributed to spine surgeons at the Lumbar Spine Research Society (LSRS) 2016 annual meeting. For comparison, the corresponding rates and patient risk factors were assessed in patients undergoing elective PLF from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) data years 2011-2014.

resultsFrom the survey, there were 53 responses (response rate of 79%) from attending physicians at LSRS. From NSQIP, there were 16,589 patients who met the inclusion criteria. Adverse event rates estimated by the surgeons at LSRS were close to those determined by NSQIP data (no greater than 2.81% different). The largest differences were for deep vein thrombosis (overestimation of 2.81%,

conclusionsThe current study noted that surgeon estimates were relatively close to national numbers for estimating the adverse events and impact of patient factors on such outcomes after PLF for degenerative conditions. The estimates are roughly appropriate with a bias toward overestimation for planning and expectation setting.

Indexed as

adverse eventsperceivedposterior lumbar fusionratesrisk factors

Identifiers

PMID30364864
PMCPMC6198632
OpenAlexW2896960537

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.