Evidence map›Paper›PMID 30574436›Full record

ArticleGlobal spine journal2018

Postoperative Spine Infection: Diagnosis and Management.

James Dowdell, Robert Brochin, Jun Kim, Samuel Overley, Jonathan Oren, Brett Freedman, Samuel Cho

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% 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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 121 citations in OpenAlex.

  1. Negative pressure wound therapy in the management of postoperative spinal wound infections: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
    Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article
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 1 country.

James DowdellIcahn School of Medicine at Mount Sinai Hospital, New York, NY, USA.
Robert BrochinIcahn School of Medicine at Mount Sinai Hospital, New York, NY, USA.
Jun KimIcahn School of Medicine at Mount Sinai Hospital, New York, NY, USA.
Samuel OverleyCleveland Clinic, Cleveland, OH, USA.
Jonathan OrenNorthwell Hospital System, Manhasset, NY, USA.
Brett FreedmanMayo Clinic, Rochester, MN, USA.
Samuel ChoIcahn School of Medicine at Mount Sinai Hospital, New York, NY, USA.ORCID 0000-0003-3826-1786
Mount Sinai Hospital · USCleveland Clinic · USMayo Clinic in Arizona · USNorthwell Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designReview article.

objectivesA review of the literature on postoperative spinal infections, their diagnosis, and management.

methodsA systematic computerized Medline literature search was performed using PubMed, Cochrane Database of Systematic Reviews, and EMBASE. The electronic databases were searched for publication dates from the last 10 years. The searches were performed from Medical Subject Headings (MeSH) used by the National Library of Medicine. Specifically, MeSH terms "spine," "infections," "management," and "diagnosis" were used.

resultsCurrently, the gold standard for diagnosis of postoperative spine infection is positive deep wound culture. Many of the current radiologic and laboratory tests can assist with the initial diagnosis and monitoring treatment response. Currently erythrocyte sedimentation rate, C-reactive protein, computed tomography scan, and magnetic resonance imaging with and without contrast are used in combination to establish diagnosis. Management of postoperative spine infection involves thorough surgical debridement and targeted antibiotic therapy.

conclusionsPostoperative spine infection is a not uncommon complication following surgery that may have devastating consequences for a patient's short- and long-term health. A high index of suspicion is needed to make an early diagnosis.

Indexed as

diagnosisinfectionmanagementpostoperativespine

Identifiers

PMID30574436
PMCPMC6295816
OpenAlexW2905122618

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.