Evidence map›Paper›PMID 35195456›Full record

ArticleGlobal spine journal2023

Preoperative Risk Factors Affecting Outcome in Surgically Treated Pyogenic Spondylodiscitis.

Yuichiro Ukon, Shota Takenaka, Takahiro Makino, Masafumi Kashii, Motoki Iwasaki, Yusuke Sakai, Takuya Inoue, Hiroyuki Ishiguro, Takashi Kaito

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
1.3field-weighted citation impact, top 21% 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, 6 citations in OpenAlex.

  1. Article
  2. Challenges and limitations of the existing scoring systems for postoperative outcomes in thoracolumbar pyogenic spondylitis: a multicenter retrospective cohort 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 · 2025
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  3. Article
  4. Article
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  6. Review
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

9 authors at 5 institutions in 1 country.

Yuichiro UkonDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Suita, Japan.
Shota TakenakaDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Suita, Japan.
Takahiro MakinoDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Suita, Japan.
Masafumi KashiiDepartment of Orthopaedic Surgery, Toyonaka Municipal Hospital, Japan.
Motoki IwasakiDepartment of Orthopaedic Surgery, Osaka Rosai Hospital, Sakai, Japan.
Yusuke SakaiDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Suita, Japan.
Takuya InoueDepartment of Orthopaedic Surgery, Japanese Red Cross Society Himeji Hospital, Himeji, Japan.
Hiroyuki IshiguroDepartment of Orthopaedic Surgery, Osaka National Hospital, Osaka, Japan.
Takashi KaitoDepartment of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Suita, Japan.ORCID 0000-0003-4882-2997
The University of Osaka · JPHimeji Red Cross Hospital · JPOsaka National Hospital · JPOsaka Rosai Hospital · JPToyonaka Municipal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective study.

objectiveThe primary aim of this study was to investigate the predictors of severe complications in patients following surgery for pyogenic spondylodiscitis (PS) using a surgeon-maintained database. The secondary aim was to investigate the predictors of early recovery.

methodsWe introduced a surgeon-maintained database of prospectively collected multicenter data that mainly focused on perioperative complications in 2012. Our surgeon-maintained database allows the retrospective collection of detailed data. We analyzed 143 patients who underwent surgery for PS from the 19,056 patients in the prospective surgeon-maintained database at 27 affiliated institutions between 2013 and 2017. Data relating to preoperative patient factors, infection factors, surgical factors, and pre- and postoperative blood tests was retrospectively collected. We performed multivariate regression analysis to evaluate the predictors of postoperative severe complications and early recovery in patients with PS.

resultsHigh updated Charlson comorbidity index (uCCI), chronic pulmonary disease, diabetes, Gram-negative bacteria, pyogenic osteoarthritis, high preoperative white blood cell count, and low preoperative platelet count were significantly associated with severe complications in patients undergoing surgery for PS. A high uCCI was the sole independent negative predictor on early recovery.

conclusionCareful perioperative management is necessary if surgery is performed on patients who are at a high risk of life-threatening events.

Identifiers

PMID35195456
PMCPMC10538350
OpenAlexW4212843191

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.