Evidence map›Paper›PMID 32844671›Full record

ArticleGlobal spine journal2022

Recombinant Human Bone Morphogenetic Protein-2 Use in Adult Spinal Deformity Surgery: Comparative Analysis and Healthcare Utilization at 24 Months' Follow-up.

Nicholas Dietz, Mayur Sharma, Michael Kelly, Beatrice Ugiliweneza, Dengzhi Wang, Joseph Osorio, Isaac Karikari, Doniel Drazin, Maxwell Boakye

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-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

9 citing papers in PubMed, 14 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

9 authors at 5 institutions in 1 country.

Nicholas Dietz5170University of Louisville, Louisville, KY, USA.ORCID https://orcid.org/0000-0001-5822-1680
Mayur Sharma5170University of Louisville, Louisville, KY, USA.ORCID https://orcid.org/0000-0001-6481-7819
Michael Kelly12230Georgetown University Hospital, Washington, DC, USA.
Beatrice Ugiliweneza5170University of Louisville, Louisville, KY, USA.
Dengzhi Wang5170University of Louisville, Louisville, KY, USA.
Joseph Osorio8784University of California, San Diego, San Diego, CA, USA.
Isaac KarikariDuke University, Durham, NC, USA.
Doniel Drazin22494Pacific Northwest University of Health Sciences College of Medicine, Yakima, WA, USA.
Maxwell Boakye5170University of Louisville, Louisville, KY, USA.
University of Louisville · USDuke University · USGeorgetown University · USPacific Northwest University of Health Sciences · USUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study.

objectiveRecombinant human bone morphogenetic protein-2 (rhBMP-2) is used to achieve fusion in adult spinal deformity (ASD) surgery. Our aim was to investigate the long-term impact of rhBMP-2 use for clinical outcomes and health care utilization in this patient population.

methodsWe conducted an analysis using MarketScan to identify health resource utilization of rhBMP-2 use for ASD after surgical intervention compared to fusion without rhBMP-2 at 24 months' follow-up. Outcomes assessed included length of stay, complications, pseudoarthrosis, reoperation, outpatient services, and health care payments.

resultsOf 7115 patients who underwent surgery for ASD, 854 received rhBMP-2 and 6261 were operated upon without use of rhBMP-2. One month after discharge, the rhBMP-2 cohort had a nonsignificant trend in fewer complications (15.38%) than those who did not receive rhBMP-2 (18.07%),

conclusionsIn ASD surgery, use of rhBMP-2 was not associated with increased complications or reoperations at index hospitalization and 1-month follow-up. Overall payments, including index hospitalization, readmissions, reoperations, and outpatient services were not different compared to those without the use of rhBMP-2 at 12 months and 24 months after discharge.

Indexed as

adult spinal deformityASDBMPheath care utilizationrecombinant bone morphogenetic protein–2scoliosisspine surgery

Identifiers

PMID32844671
PMCPMC8965293
OpenAlexW3080711701

What OpenQuestion holds

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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.