Evidence map›Paper›PMID 33392457›Full record

ArticleJOR spine2020

COVID-19: Current and future challenges in spine care and education - a worldwide study.

Michael T Nolte, Garrett K Harada, Philip K Louie, Michael H McCarthy, Arash J Sayari, G Michael Mallow, Zakariah Siyaji, Niccole Germscheid, Jason Py Cheung, Marko H Neva and 6 more

Open access · goldAbstract read
In one paragraph

Article in JOR spine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 10% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Bullying, harassment, and discrimination of musculoskeletal researchers and the impact of the COVID-19 pandemic: an international study.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
    Article
  4. Article
  5. COVID-19 and its Impact on Back Pain.Global spine journal · 2022
    Article
  6. 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

16 authors at 9 institutions in 6 countries.

Michael T NolteDepartment of Orthopaedic Surgery Rush University Medical Center Chicago Illinois USA.
Garrett K HaradaDepartment of Orthopaedic Surgery Rush University Medical Center Chicago Illinois USA.
Philip K LouieDepartment of Orthopaedic Surgery Hospital for Special Surgery New York New York USA.
Michael H McCarthyDepartment of Orthopaedic Surgery Hospital for Special Surgery New York New York USA.
Arash J SayariDepartment of Orthopaedic Surgery Rush University Medical Center Chicago Illinois USA.
G Michael MallowDepartment of Orthopaedic Surgery Rush University Medical Center Chicago Illinois USA.
Zakariah SiyajiDepartment of Orthopaedic Surgery Rush University Medical Center Chicago Illinois USA.
Niccole GermscheidResearch Department AO Spine International Davos Switzerland.
Jason Py CheungDepartment of Orthopaedics and Traumatology The University of Hong Kong Hong Kong.
Marko H NevaDepartment of Orthopaedic and Trauma Surgery Tampere University Hospital Tampere Finland.
Mohammad El-SharkawiDepartment of Orthopaedic and Trauma Surgery Assiut University Medical School Assiut Egypt.
Marcelo ValaccoDepartment of Orthopaedics Churruca Hospital de Buenos Aires Buenos Aires Argentina.
Daniel M SciubbaDepartment of Neurosurgery John Hopkins University Baltimore Maryland USA.
Norman B ChutkanDepartment of Orthopaedic Surgery University of Arizona College of Medicine Phoenix Arizona USA.
Howard S AnDepartment of Orthopaedic Surgery Rush University Medical Center Chicago Illinois USA.
Dino SamartzisDepartment of Orthopaedic Surgery Rush University Medical Center Chicago Illinois USA.
Rush University Medical Center · USHospital for Special Surgery · USAO Foundation · CHAssiut University · EGHospital Británico de Buenos Aires · ARJohns Hopkins University · USTampere University Hospital · FIUniversity of Arizona · USUniversity of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has impacted spine care around the globe. Much uncertainty remains regarding the immediate and long-term future of spine care and education in this COVID-19 era. STUDY

designCross-sectional, international study of spine surgeons.

methodsA multi-dimensional survey was distributed to spine surgeons around the world. A total of 73 questions were asked regarding demographics, COVID-19 observations, personal impact, effect on education, adoption of telemedicine, and anticipated challenges moving forward. Multivariate analysis was performed to assess factors related to likelihood of future conference attendance, future online education, and changes in surgical indications.

resultsA total of 902 spine surgeons from seven global regions completed the survey. Respondents reported a mean level of overall concern of 3.7 on a scale of one to five. 84.0% reported a decrease in clinical duties, and 67.0% reported a loss in personal income. The 82.5% reported being interested in continuing a high level of online education moving forward. Respondents who personally knew someone who tested positive for COVID-19 were more likely to be unwilling to attend a medical conference 1 year from now (OR: 0.61, 95% CI: [0.39, 0.95],

conclusionsThe COVID-19 pandemic has had an adverse effect on surgeon teaching, clinical volume, and personal income. In the future, surgeons with family and those personally affected by COVID-19 may be more willing to alter surgical indications and change education and conference plans. Anticipating these changes may help the spine community appropriately plan for future challenges.

Indexed as

coronavirusCOVID‐19educationfutureguidelineshealthcareimpactspine

Identifiers

PMID33392457
PMCPMC7770197
OpenAlexW3081080094

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.