Evidence map›Paper›PMID 31719579›Full record

ArticleScientific reports2019

Impact of Sarcopenia on Clinical Outcomes of Minimally Invasive Lumbar Decompression Surgery.

Hiromitsu Toyoda, Masatoshi Hoshino, Shoichiro Ohyama, Hidetomi Terai, Akinobu Suzuki, Kentaro Yamada, Shinji Takahashi, Kazunori Hayashi, Koji Tamai, Yusuke Hori and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Impact of sarcopenia on outcomes following lumbar spine surgery for degenerative disease: an updated systematic review and meta-analysis.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
    Pooled it
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  8. Definitions and adverse outcomes of sarcopenia in older patients in orthopedic and trauma care: A scoping review on current evidence.European journal of trauma and emergency surgery : official publication of the European Trauma 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

11 authors.

Hiromitsu ToyodaDepartment of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan. h-toyoda@msic.med.osaka-cu.ac.jp.ORCID http://orcid.org/0000-0002-3126-0046
Masatoshi HoshinoDepartment of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Shoichiro OhyamaDepartment of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Hidetomi TeraiDepartment of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Akinobu SuzukiDepartment of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.ORCID http://orcid.org/0000-0003-4800-9226
Kentaro YamadaDepartment of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Shinji TakahashiDepartment of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Kazunori HayashiDepartment of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Koji TamaiDepartment of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Yusuke HoriDepartment of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.
Hiroaki NakamuraDepartment of Orthopaedic Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study was to clarify the clinical impact of sarcopenia on the outcome of minimally invasive lumbar decompression surgery. The records of 130 patients who were >65 years and underwent minimally invasive lumbar decompression surgery were retrospectively reviewed. We collected the Japanese Orthopaedic Association (JOA) score before surgery and at the final follow-up and measured appendicular muscle mass using bioimpedance analysis, hand-grip strength and gait speed. We diagnosed the patients with sarcopenia, dynapenia and normal stages using the European Working Group on Sarcopenia in Older People definition and used cutoff thresholds according to the algorithm set by the Asian Working Group for Sarcopenia. The average age of patients undergoing surgery was 76.9 years old. The JOA score improved from 12.6 points preoperatively to 24.3 points at final follow up. The prevalence of the sarcopenia, dynapenia and normal stages was 20.0, 31.6 and 43.8%. Clinical outcomes, such as JOA score, JOA score improvement ratio, visual analog scale for low back pain, leg pain and numbness, were not significantly different among each group. Multiple regression analysis showed that preoperative JOA score and low physical performance (low gait speed) were independently associated with poor clinical outcomes. The JOA score improved after minimally invasive lumbar decompression surgery even when the patients were diagnosed as being at different stages of sarcopenia. Low physical performance had the greater clinical impact on the clinical outcome of lumbar surgery than low skeletal muscle index.

Indexed as

Decompression, SurgicalMinimally Invasive Surgical ProceduresAgedAged, 80 and overFemaleGaitHand StrengthHumansLumbar VertebraeMaleRetrospective StudiesSarcopeniaSpinal StenosisTreatment Outcome

Identifiers

PMID31719579
PMCPMC6851360

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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.