Evidence map›Paper›PMID 32905718›Full record

ArticleGlobal spine journal2020

Impact of Cirrhosis on Morbidity and Mortality After Spinal Fusion.

Young Lu, Charles C Lin, Hayk Stepanyan, Andrew P Alvarez, Nitin N Bhatia, P Douglas Kiester, Charles D Rosen, Yu-Po Lee

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global spine journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Article
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.

Young Lu8788University of California at Irvine, Orange, CA, USA.
Charles C Lin8788University of California at Irvine, Orange, CA, USA.ORCID https://orcid.org/0000-0002-1491-6410
Hayk Stepanyan8788University of California at Irvine, Orange, CA, USA.ORCID https://orcid.org/0000-0002-5060-393X
Andrew P Alvarez8788University of California at Irvine, Orange, CA, USA.
Nitin N Bhatia8788University of California at Irvine, Orange, CA, USA.
P Douglas Kiester8788University of California at Irvine, Orange, CA, USA.
Charles D Rosen8788University of California at Irvine, Orange, CA, USA.
Yu-Po Lee8788University of California at Irvine, Orange, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective large database study.

objectiveTo determine the impact of cirrhosis on perioperative outcomes and resource utilization in elective spinal fusion surgery.

methodsElective spinal fusion hospitalizations in patients with and without cirrhosis were identified using ICD-9-CM codes between the years of 2009 and 2011 using the Nationwide Inpatient Sample database. Main outcome measures were in-hospital neurologic, respiratory, cardiac, gastrointestinal, renal and urinary, pulmonary embolism, wound-related complications, and mortality. Length of stay and inpatient costs were also collected. Multivariable logistic regressions were conducted to compare the in-hospital outcomes of patients with and without cirrhosis undergoing spinal fusion.

resultsA total of 1 214 694 patients underwent elective spinal fusions from 2009 to 2011. Oh these, 6739 were cirrhotic. Cirrhosis was a significant independent predictor for respiratory (odds ratio [OR] = 1.43, confidence interval [CI] 1.29-1.58;

conclusionsCirrhosis is associated with increased risk of perioperative complications, mortality and greater resource utilization. Cirrhotic patients undergoing spinal fusion surgeries should be counseled on these increased risks. Current strategies for perioperative management of cirrhotic patients undergoing spinal fusion surgery need improvement.

Indexed as

cirrhosiscomplicationselectivemortalityNational Inpatient Sampleoutcomesspine fusion

Identifiers

PMID32905718
PMCPMC7485078
OpenAlexW2980187567

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.