Evidence map›Paper›PMID 30533591›Full record

ArticleJB & JS open access2018

The Rate of Venous Thromboembolism Before and After Spine Surgery as Determined with Indirect Multidetector CT.

Hirokazu Inoue, Hideaki Watanabe, Hitoshi Okami, Atsushi Kimura, Katsushi Takeshita

Open access · goldAbstract read
In one paragraph

Article in JB & JS open access, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  5. Nomogram for predicting venous thromboembolism after spinal surgery.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

5 authors at 1 institution in 1 country.

Hirokazu InoueDepartment of Orthopaedic Surgery, Jichi Medical University, Shimotsuke, Japan.
Hideaki WatanabeDepartment of Pediatric Orthopaedic Surgery, Jichi Children's Medical Center, Shimotsuke, Tochigi, Japan.
Hitoshi OkamiDepartment of Orthopaedic Surgery, Shinkaminokawa Hospital, Kaminokawa, Japan.
Atsushi KimuraDepartment of Orthopaedic Surgery, Jichi Medical University, Shimotsuke, Japan.
Katsushi TakeshitaDepartment of Orthopaedic Surgery, Jichi Medical University, Shimotsuke, Japan.
Jichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis prospective cohort study investigated the rate of venous thromboembolism (VTE) before and after spine surgery as determined with use of indirect multidetector computed tomography (MDCT).

methodsWe performed a prospective study of 105 patients (36 women and 69 men ranging in age from 38 to 88 years) undergoing spine surgery at 2 institutions. Indirect MDCT was performed before and 3 days after surgery. Patients with a history of dialysis or drug allergy to contrast medium were excluded.

resultsNo patient had symptomatic VTE preoperatively or postoperatively. The preoperative and postoperative rates of asymptomatic VTE were 4.8% and 13.0%, respectively; the rates of asymptomatic pulmonary embolism were 2.9% and 8.0%, respectively; and the rates of asymptomatic deep venous thrombosis were 3.8% and 6.0%, respectively. Age, sex, height, weight, body mass index, operative time, volume of intraoperative blood loss, and specific comorbidities (diabetes, hypertension, cardiac disease, previous VTE, and previous anticoagulation treatment) were not found to be risk factors.

conclusionsOur findings demonstrated a low rate of preoperative VTE but a high rate of postoperative VTE in association with spine surgery. Surgeons need to be aware of the risk of VTE in patients undergoing spine surgery. MDCT is an effective and convenient technology for the early detection of VTE in such patients. LEVEL OF EVIDENCE: Prognostic Level I. See Instructions for Authors for a complete description of levels of evidence.

Identifiers

PMID30533591
PMCPMC6242320
OpenAlexW2886869578

What OpenQuestion holds

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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.