Evidence map›Paper›PMID 32677471›Full record

ArticleGlobal spine journal2021

Early Failures After Lumbar Discectomy Surgery: An Analysis of 62 690 Patients.

Andre M Samuel, Kyle Morse, Francis Lovecchio, Noor Maza, Avani S Vaishnav, Yoshihiro Katsuura, Sravisht Iyer, Steven J McAnany, Todd J Albert, Catherine Himo Gang and 1 more

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 27% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Clinical outcomes and complications after biportal endoscopic spine surgery: a comprehensive systematic review and meta-analysis of 3673 cases.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
    Pooled it
  2. Article
  3. Review
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 at 2 institutions in 1 country.

Andre M Samuel25062Hospital for Special Surgery, New York, NY, USA.
Kyle Morse25062Hospital for Special Surgery, New York, NY, USA.
Francis Lovecchio25062Hospital for Special Surgery, New York, NY, USA.ORCID https://orcid.org/0000-0001-5236-1420
Noor Maza5925Ichan School of Medicine at Mount Sinai, New York, NY, USA.
Avani S Vaishnav25062Hospital for Special Surgery, New York, NY, USA.
Yoshihiro Katsuura25062Hospital for Special Surgery, New York, NY, USA.
Sravisht Iyer25062Hospital for Special Surgery, New York, NY, USA.
Steven J McAnany25062Hospital for Special Surgery, New York, NY, USA.
Todd J Albert25062Hospital for Special Surgery, New York, NY, USA.
Catherine Himo Gang25062Hospital for Special Surgery, New York, NY, USA.
Sheeraz A Qureshi25062Hospital for Special Surgery, New York, NY, USA.ORCID https://orcid.org/0000-0002-7177-1756
Hospital for Special Surgery · USMount Sinai Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study.

objectiveTo determine the rate of early failures (readmission or reoperation for new or recurrent pain/neurological symptoms) within 30 days after lumbar discectomy and identify associated risk factors.

methodsA retrospective cohort study was conducted of patients undergoing lumbar discectomy in the National Surgical Quality Improvement Program database between 2013 and 2017. Rates of readmission for new or recurrent symptoms or reoperation for revision discectomy or fusion within 30 days postoperatively were measured and correlated with risk factors.

resultsIn total 62 690 patients were identified; overall rate of readmission within 30 days was 3.3%, including 1.2% for pain or neurological symptoms. Populations at increased risk of readmission were those with 3 or more levels of treatment (2.0%, odds ratio [OR] 2.8%,

conclusionsEarly failures after lumbar discectomy surgery are rare. However, certain subpopulations are associated with increased rates of early failure: obesity, multilevel surgery, females, and revision discectomies.

Indexed as

far lateral discectomylumbar discectomyreadmissionreherniationreoperationrevisionrevision discectomy

Identifiers

PMID32677471
PMCPMC8351058
OpenAlexW3042793202

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.