Evidence map›Paper›PMID 30767043›Full record

ReviewInternational orthopaedics2019

Lumbar disc herniation: what has the Spine Patient Outcomes Research Trial taught us?

Brandon B Carlson, Todd J Albert

Open access · bronzeAbstract readReview
PubMed Publisher
In one paragraph

Review in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

22 citing papers in PubMed, 38 citations in OpenAlex.

  1. Trial
  2. Intervertebral disc degeneration.Nature reviews. Disease primers · 2026
    Review
  3. Development and validation of a prognostic prediction model for lumbar-disc herniation based on machine learning and fusion of clinical text data and radiomic features.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 · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
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  11. Biomechanics after spinal decompression and posterior instrumentation.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 · 2023
    Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Return to work in patients with lumbar disc herniation undergoing fusion.Journal of orthopaedic surgery and research · 2021
    Article
  18. The effect of warm needle moxibustion on lumbar disc herniation.American journal of translational research · 2021
    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

2 authors at 2 institutions in 1 country.

Brandon B CarlsonMarc A. Asher MD Comprehensive Spine Center, University of Kansas Medical Center, 3901 Rainbow Blvd, MS 3017, Kansas City, KS, 66103, USA. bcarlson@kumc.edu.ORCID http://orcid.org/0000-0003-4627-4245
Todd J AlbertDepartment of Orthopaedic Surgery, Spine Care Institute, Hospital for Special Surgery, 541 East 71st St 4th Floor, New York, NY, 10021, USA.
Hospital for Special Surgery · USUniversity of Kansas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntervertebral disc herniation (IDH) can cause back pain and/or radiculopathy and accounts for a significant portion of patients having spinal surgery in the USA. One of the most impactful and well-executed randomized trials to study diagnosis, treatments, and outcomes in patients with three commonly treated spinal conditions was the Spine Patient Outcomes Research Trial (SPORT). This study and the subsequent data analyses have resulted in numerous publications related to IDH. The purpose of this review is to summarize SPORT publications with IDH results to better understand what we have learned from this important landmark trial.

methodsPublications utilizing SPORT data that reported findings related to IDH patients were identified from Medline, PubMed, and PubMed Central. The primary findings pertaining to IDH were summarized.

resultsThere were 25 studies identified reporting findings related to IDH from the SPORT data published between 2004 and 2017. Publications in the following areas were summarized: epidemiology and baseline patient characteristics (1), treatment preferences and expectations (2), radiological and MRI (3), primary study objectives at two years (2), four years (1) and eight years (1), subgroup analyses (13), cost-effectiveness (1), and reherniation (1).

conclusionsThis report reviewed the current state of SPORT publications related to IDH to identify and summarize what we have learned about diagnosis, patient characteristics, treatments, outcomes, and cost-effectiveness in patients with lumbar disc herniations. Many important findings are now published from this robust trial's data. Clinicians should incorporate these results into their clinical decision-making and during counseling patients presenting with lumbar disc herniations.

Indexed as

Intervertebral DiscIntervertebral Disc DegenerationIntervertebral Disc DisplacementLumbar VertebraeAdultBack PainCost-Benefit AnalysisFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedRadiculopathyRadiographyTreatment OutcomeLumbar disc herniationPatient outcomesSpine Patient Outcomes Research Trial (SPORT)

Identifiers

PMID30767043
OpenAlexW2914165824

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.