Evidence map›Paper›PMID 31679323›Full record

ArticleAsian spine journal2020

Gender Differences in Pre- and Postoperative Health-Related Quality of Life Measures in Patients Who Have Had Decompression Surgery for Lumbar Spinal Stenosis.

Yoshiomi Kobayashi, Yoji Ogura, Takahiro Kitagawa, Yoshiro Yonezawa, Yohei Takahashi, Akimasa Yasuda, Yoshio Shinozaki, Jun Ogawa

Open access · diamondAbstract read
In one paragraph

Article in Asian spine journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

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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 2 institutions in 1 country.

Yoshiomi KobayashiSpine Center, Japanese Red Cross Shizuoka Hospital, Shizuoka, Japan.
Yoji OguraSpine Center, Japanese Red Cross Shizuoka Hospital, Shizuoka, Japan.
Takahiro KitagawaSpine Center, Japanese Red Cross Shizuoka Hospital, Shizuoka, Japan.
Yoshiro YonezawaSpine Center, Japanese Red Cross Shizuoka Hospital, Shizuoka, Japan.
Yohei TakahashiDepartment of Spine and Spinal Cord Surgery, Fujita Health University, Nagoya, Japan.
Akimasa YasudaSpine Center, Japanese Red Cross Shizuoka Hospital, Shizuoka, Japan.
Yoshio ShinozakiSpine Center, Japanese Red Cross Shizuoka Hospital, Shizuoka, Japan.
Jun OgawaSpine Center, Japanese Red Cross Shizuoka Hospital, Shizuoka, Japan.
Shizuoka Red Cross Hospital · JPFujita Health University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective chart audit. PURPOSE: This study aimed to investigate the gender difference in pre- and postoperative health-related quality of life (HRQOL) in patients who have had decompression surgery for lumbar spinal stenosis (LSS). OVERVIEW OF LITERATURE: Gender differences may contribute to variations in disease presentations and health outcomes. The influence of gender on pre- and postoperative HRQOL in spinal disorders remains unclear.

methodsWe reviewed 125 patients (79 men and 46 women) who had lumbar spinous process splitting laminectomy (LSPSL) for LSS. We assessed the following clinical information: Japanese Orthopedic Association (JOA) score; numerical rating scale (NRS) for low back pain (LBP), leg pain, and leg numbness; Zurich Claudication Questionnaire; JOA Back Pain Evaluation Questionnaire; Roland- Morris Disability Questionnaire (RMDQ); and Short Form 8 (SF-8) as HRQOL. We compared the HRQOLs of men and women pre- and postoperatively.

resultsAlthough the preoperative NRS results for LBP were significantly higher in women (p <0.05), there were no significant differences in clinical outcomes between men and women postoperatively. For HRQOL, the RMDQ scores were significantly worse in women preoperatively (p <0.05), but no significant differences were found postoperatively between men and women. Similarly, the SF-8 mental health score was also significantly lower in women preoperatively (p <0.05), but no significant differences were noted between the two groups postoperatively.

conclusionsLSPSL greatly reduced LBP, leg pain, and leg numbness in both genders. There were limited differences in pain and several HRQOL questionnaire responses between men and women after surgery. We found that women had greater sensitivity to and/or lower tolerance for pain than men, which led to lower HRQOL mental health scores preoperatively.

Indexed as

Health-related quality of lifeLaminotomyPatient reported outcomesSex differenceSpinal dIsease

Identifiers

PMID31679323
PMCPMC7113473
OpenAlexW2988997011

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LicenceCC BY-NC
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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.