Evidence map›Paper›PMID 32904035›Full record

Observational studyClinics in orthopedic surgery2020

Prevalence of Gastrointestinal and Cardiovascular Risk in Patients with Degenerative Lumbar Spinal Disease.

Jae-Ho Yang, Byoung-Ho Lee, Kwang-Sik Eum, Kyoung-Soo Suk, Jin-Oh Park, Hak-Sun Kim, Hwan-Mo Lee, Seong-Hwan Moon

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in Clinics in orthopedic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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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 1 institution in 1 country.

Jae-Ho YangDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Byoung-Ho LeeDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Kwang-Sik EumDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Kyoung-Soo SukDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Jin-Oh ParkDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Hak-Sun KimDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Hwan-Mo LeeDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Seong-Hwan MoonDepartment of Orthopedic Surgery, Yonsei University College of Medicine, Seoul, Korea.
Yonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLimited information is available about the proportion of patients with degenerative lumbar spinal disease (DLSD) who have gastrointestinal (GI) and cardiovascular (CV) risk factors. Many DLSD patients are prescribed nonsteroidal anti-inflammatory drugs (NSAIDs) that are known to carry risks to the GI and CV systems by increasing GI bleeding and thromboembolic events. This study aimed to measure the prevalence of GI and CV risk in patients with DLSD and to ascertain whether the prescription of NSAIDs is in line with current guidelines.

methodsThis study included 153 patients with symptomatic DLSD who were planning to undergo lumbar spinal surgery. The GI profile was checked using the GI Standardized Calculator of Risk for Event system and CV risk was evaluated using the presence of metabolic syndrome. The conformity of the prescription of NSAIDs was investigated according to the recommendations in current guidelines.

resultsMore than half of the patients (59.5%) had high or very high GI risk, and 66% of the patients were diagnosed with metabolic syndrome, which corresponds with CV risk. The rate of simultaneous GI and CV risk was 40.5% (n = 62 / 153; gastrointestinal Standardized Calculator of Risk for Event, > high and metabolic syndrome, yes). The actual prescription of NSAIDs was not in accordance with current guidelines.

conclusionsTwo out of 3 patients had GI or CV risk factors, and approximately 40% of patients had both. Detailed assessment of GI and CV risk in patients with DLSD by using effective evaluation tools is mandatory for optimal medical treatment.

Indexed as

AgedAnti-Inflammatory Agents, Non-SteroidalCardiovascular DiseasesCross-Sectional StudiesFemaleGastrointestinal DiseasesGuideline AdherenceHumansLumbar VertebraeMaleMiddle AgedPractice Patterns, Physicians'PrevalenceRetrospective StudiesRisk AssessmentRisk FactorsAnti-Inflammatory Agents, Non-SteroidalCardiovascular diseaseGastrointestinal disorderNon-steroidal anti-inflammatory agentsRisk assessmentSpine disease

Identifiers

PMID32904035
PMCPMC7449855
OpenAlexW3028402506

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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.