ArticleAnnals of translational medicine2018
Relationship between surgeon volume and outcomes in spine surgery: a dose-response meta-analysis.
Article in Annals of translational medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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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.
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Who cites it
10 citing papers in PubMed.
- Adoption of intraoperative mechanomyography as a spinal decompression endpoint: A single-surgeon comparison by era.North American Spine Society journal · 2026Article
- Volume without Value: The Empty Metrics of Pain Medicine Social Media Influence.Journal of pain research · 2026Article
- Article
- Prediction of primary admission total charges following lumbar disc arthroplasty utilizing machine learning.Journal of spine surgery (Hong Kong) · 2025Article
- Experience Matters: An Application of the Operative Value Index for Lumbar Fusions.Neurosurgical review · 2025Article
- Racial Differences in Perioperative Complications, Readmissions, and Mortalities After Elective Spine Surgery in the United States: A Systematic Review Using AI-Assisted Bibliometric Analysis.Global spine journal · 2024Article
- How Much Experience is Required to Acquire the Skills to Independently Perform Spine Surgery? What Milestones are Needed for Successful Surgery?Advances in medical education and practice · 2023Article
- Matching correction of main and compensatory curves is critical for immediate postoperative coronal balance in correction of severe adult idiopathic scoliosis.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 · 2021Article
- Outcomes following outpatient anterior cervical discectomy and fusion for the treatment of myelopathy.Journal of clinical orthopaedics and trauma · 2021Article
- Volume and outcomes in posterior cervical fusion: Insights from a national inpatient analysis.Journal of craniovertebral junction & spineArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe relationship between surgeon volume and outcomes in spine surgery is unclear and published studies report inconsistent results. Therefore, a dose-response meta-analysis was conducted to clarify the influence of surgeon volume on outcomes in spine surgery.
methodsPubMed, Embase, and The Cochrane Library were systematically searched without language limitation for observational studies which investigated the relationship between surgeon volume and outcomes in spine surgery. The primary outcome was postoperative morbidity and the secondary outcomes consisted of mortality, length of hospital stay, readmission, and hospital costs. For binary variable and continuous variable, odds ratios (ORs) with 95% CIs and weighted mean differences (WMDs) with 95% CIs were pooled respectively. Additionally, a dose-response meta-analysis was performed for the primary outcome.
resultsEleven studies with 1,986,545 patients were included in the current meta-analysis. Pooled estimate indicated that a higher surgeon volume was associated with lower postoperative morbidity (OR, 0.62; 95% CI: 0.52-0.75; I
conclusionsThe current evidence indicate that higher surgeon volume is associated with lower morbidity and mortality, shorter length of hospital stay, less readmission, and lower hospital costs in spine surgery.
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Registered trials
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