Evidence map›Paper›PMID 34858532›Full record

ArticleJournal of children's orthopaedics2021

Predictors of persistent postoperative pain after surgery for idiopathic scoliosis.

Anastasios Charalampidis, Lina Rundberg, Hans Möller, Paul Gerdhem

Open access · goldAbstract read
In one paragraph

Article in Journal of children's orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 8 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

4 authors at 4 institutions in 1 country.

Anastasios CharalampidisDepartment of Clinical Sciences, Intervention and Technology (CLINTEC), Karolinska Institutet, Sweden.ORCID https://orcid.org/0000-0001-5228-738X
Lina RundbergDepartment of Surgery, Danderyd Hospital, Stockholm, Sweden.
Hans MöllerDepartment of Clinical Sciences, Intervention and Technology (CLINTEC), Karolinska Institutet, Sweden.
Paul GerdhemDepartment of Clinical Sciences, Intervention and Technology (CLINTEC), Karolinska Institutet, Sweden.
Danderyds sjukhus · SEKarolinska Institutet · SEKarolinska University Hospital · SESpine Center Göteborg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo identify factors contributing to persistent postoperative pain in patients treated surgically for idiopathic scoliosis.

methodsIn total, 280 patients aged ten through 25 years at surgery, were identified in the Swedish Spine registry; all having preoperative and postoperative visual analogue scale (VAS) for back pain scores. The patients were divided into a high and low postoperative pain group based on the reported postoperative VAS for back pain scores (by using 45 mm on the 0 mm to 100 mm VAS scale as a cut-off). The patient-reported questionnaire included VAS for back pain, the 3-level version of EuroQol 5-dimensional (EQ-5D-3L) instrument, the EuroQol VAS (EQ-VAS) and the Scoliosis Research Society 22r instrument (SRS-22r). Predictors of postoperative back pain were searched in the preoperative data.

resultsThe 67 (24%) patients that reported high postoperative VAS back pain (> 45 mm) also reported lower postoperative EQ-5D-3L, EQ-VAS and SRS-22r than patients with low postoperative VAS back pain (all p < 0.001). Two preoperative variables were independently associated with postoperative pain; each millimetre increase in preoperative VAS back pain (on the 0 mm to 100 mm scale) was associated with a higher risk of being in the high postoperative back pain group (odds ratio (OR) 1.03; 95% confidence interval (CI) 1.02 to 1.05) and each 1 point decrease on the preoperative SRS-22r mental health (scale from 1 to 5) was associated with a higher risk of being in the high postoperative back pain group (OR 1.68; 95% CI 1.03 to 2.73).

conclusionHigh preoperative back pain and low preoperative mental health are independent predictors of back pain after surgery for idiopathic scoliosis. LEVEL OF EVIDENCE: III.

Indexed as

idiopathic scoliosispatient reported outcome measurespredictors of postoperative painquality of life

Identifiers

PMID34858532
PMCPMC8582608
OpenAlexW3189070592

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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.