Evidence map›Paper›PMID 34155943›Full record

ArticleGlobal spine journal2023

The Effect of Modifiable Risk Factors on Postoperative Complications in Lumbar Spine Fusions.

Andy Ton, Shane Shahrestani, Xiao T Chen, Alexander M Ballatori, Jeffrey C Wang, Zorica Buser

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.9field-weighted citation impact, top 14% 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, 12 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

6 authors at 2 institutions in 1 country.

Andy TonDepartment of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA.
Shane ShahrestaniDepartment of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA.
Xiao T ChenDepartment of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA.
Alexander M BallatoriDepartment of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA.
Jeffrey C WangDepartment of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA.
Zorica BuserDepartment of Orthopaedic Surgery, Keck School of Medicine of USC, Los Angeles, CA, USA.ORCID 0000-0002-5680-0643
Keck Hospital of USC · USCalifornia Institute of Technology · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study.

objectivesThe impact of modifiable risk factors (MRFs) on complications, costs, and readmission rates at 30, 90, and 180-days following lumbar spine fusion.

methodsPatients with lumbar spine fusions within the 2016-2017 Nationwide Readmissions Database (NRD). Patients were stratified by the following MRFs: Alcohol use, tobacco/nicotine use, nutritional malnourishment, dyslipidemia, and primary hypertension. Differences in complications, non-elective readmission rates, costs, and length of stay were compared between MRFs and the non-MRF group. Statistical analysis was conducted using Tukey multiple comparisons of means, 1-way ANOVA, Wald testing, unpaired Welch 2-sample t-tests, multivariate analysis, and predictive modeling.

resultsThe final analysis included 297,579 lumbar fusion patients. At 30 and 90 days, patients with nutritional malnutrition, dyslipidemia, and primary hypertension had significantly greater readmission rates than patients without MRFs (all

conclusionsThese findings highlight the negative impact each MRF has on patients following lumbar spinal fusion. Further longitudinal research is necessary to comprehensively characterize the effects of various MRFs on spine surgery outcomes.

Indexed as

complicationslumbarmodifiable risk factorspostoperativepredictive modelspinal fusion

Identifiers

PMID34155943
PMCPMC10416585
OpenAlexW3174296299

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.