Evidence map›Paper›PMID 33203243›Full record

ArticleGlobal spine journal2022

Disability, Health-Related Quality of Life and Mortality in Lumbar Spine Fusion Patients-A 5-Year Follow-Up and Comparison With a Population Sample.

Leevi Toivonen, Liisa Pekkanen, Marko H Neva, Hannu Kautiainen, Kati Kyrölä, Ilkka Marttinen, Arja Häkkinen

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 49% 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

2 citing papers in PubMed, 4 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

7 authors at 3 institutions in 1 country.

Leevi ToivonenDepartment of Orthopedics and Traumatology, Tampere University Hospital, Tampere, Finland.ORCID https://orcid.org/0000-0003-1195-913X
Liisa PekkanenDepartment of Orthopedics and Traumatology, Central Finland Health Care District, Jyväskylä, Finland.
Marko H NevaDepartment of Orthopedics and Traumatology, Tampere University Hospital, Tampere, Finland.
Hannu KautiainenUnit of Family Practice, Central Finland Health Care District, Jyväskylä, Finland.
Kati KyröläDepartment of Orthopedics and Traumatology, Central Finland Health Care District, Jyväskylä, Finland.
Ilkka MarttinenDepartment of Orthopedics and Traumatology, Tampere University Hospital, Tampere, Finland.
Arja HäkkinenDepartment of Physical Medicine and Rehabilitation, Central Finland Health Care District, Jyväskylä, Finland.
Central Finland Health Care District · FITampere University Hospital · FIKuopio University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designProspective follow-up study.

objectivesWe aimed to assess the effect of lumbar spine fusion (LSF) on disability, health-related quality of life and mortality in a 5-year follow-up, and to compare these results with the general population.

methods523 consecutive LSF operations were included in a prospective follow-up. Disability was assessed by the Oswestry Disability Index (ODI), and HRQoL by the 36-item Short Form (SF-36) questionnaire using the physical and mental summary scores (PCS and MCS). The patients were compared with an age-, sex-, and residential area matched general population cohort.

resultsThe preoperative ODI in the patients was 46 (SD 16), and the change at 5 years was -26 (95% CI: -24 to -28), p < 0.001. In the population, ODI (baseline 13, SD 16) remained unchanged. The preoperative PCS in the patients was 27 (SD 7), in the population 45 (SD 11), and the increase in the patients at 5 years was 8 (95% CI: 7 to 9), p < 0.001. The patients did not reach the population in ODI or PCS. The baseline MCS in the patients was 47 (SD 13), and the change at 5 years 4 (95% CI: 3 to 7), p < 0.001. MCS of the females reached the population at 5-year follow-up. When analyzing short and long fusions separately, comparable changes were seen in both subgroups. There was no difference in mortality between the patients (3.4%) and the population (4.8%), hazard ratio (HR) 0.86.

conclusionsAlthough the patients who had undergone LSF benefited from surgery still at 5 years, they never reached the physical level of the population.

Indexed as

longer follow-uplumbar spinal fusion (LSF)mortalityoutcomepopulation sample

Identifiers

PMID33203243
PMCPMC9210235
OpenAlexW3099134396

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LicenceCC BY-NC-ND
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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.