Evidence map›Paper›PMID 35392003›Full record

ArticleNagoya journal of medical science2022

Trends in the numbers of spine surgeries and spine surgeons over the past 15 years.

Kazuyoshi Kobayashi, Koji Sato, Fumihiko Kato, Tokumi Kanemura, Hisatake Yoshihara, Yoshihito Sakai, Ryuichi Shinjo, Tetsuya Ohara, Hideki Yagi, Yuji Matsubara and 3 more

Open access · greenAbstract read
In one paragraph

Article in Nagoya journal of medical science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 5 pooled it
13.9field-weighted citation impact, top 1% 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

43 citing papers in PubMed, 5 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. The influence of psychological factors on postoperative clinical outcomes in patients undergoing lumbar spine surgery: a systematic review and meta-analysis.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
    Pooled it
  5. Pooled it
  6. Quality improvement in the management of degenerative spinal disorders: a systematic review of clinical practice guidelines.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 · 2026
    Review
  7. Longitudinal changes in women's representation in spine surgery: a 10-year medicare database analysis.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 · 2026
    Article
  8. Article
  9. Preoperative impairment of the joint position sense in the big toe is a risk factor for delayed recovery of mobility after lumbar spinal stenosis surgery.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 · 2026
    Article
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  18. [Molecular imaging and biology · 2025
    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

13 authors at 10 institutions in 1 country.

Kazuyoshi KobayashiDepartment of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Koji SatoDepartment of Orthopaedic Surgery, Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital, Nagoya, Japan.
Fumihiko KatoDepartment of Orthopaedic Surgery, Chubu Rosai Hospital, Nagoya, Japan.
Tokumi KanemuraDepartment of Orthopaedic Surgery, Konan Kosei Hospital, Konan, Japan.
Hisatake YoshiharaDepartment of Orthopaedic Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
Yoshihito SakaiDepartment of Orthopaedic Surgery, National Center for Geriatrics and Gerontology, Obu, Japan.
Ryuichi ShinjoDepartment of Orthopaedic Surgery, Anjo Kosei Hospital, Anjo, Japan.
Tetsuya OharaDepartment of Orthopaedic Surgery, Meijo Hospital, Nagoya, Japan.
Hideki YagiDepartment of Orthopaedic Surgery, Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospital, Nagoya, Japan.
Yuji MatsubaraDepartment of Orthopaedic Surgery, Kariya Toyota General Hospital, Kariya, Japan.
Kei AndoDepartment of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Hiroaki NakashimaDepartment of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Shiro ImagamaDepartment of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Nagoya University · JPAnjo Kosei Hospital · JPChubu Rosai Hospital · JPJapanese Red Cross Nagoya Daiichi Hospital · JPJapanese Red Cross Nagoya Daini Hospital · JPKariya Toyota General Hospital · JPKonan Kosei Hospital · JPMeijo Hospital · JPNational Center for Geriatrics and Gerontology · JPToyohashi Municipal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this study is to examine trends in spine surgeries at ten facilities over 15 years, and to analyze relationships with the number of spine surgeons at these facilities. The subjects were patients who underwent spine surgery at the ten facilities from 2003 to 2017. Data were collected every year via a questionnaire designed to obtain clinicopathological and surgical information. There were 37,601 spine surgeries (60.2% male) recorded in the registry at 9 facilities in the Nagoya Spine Group (NSG) between 2003 and 2017, with an increase in the annual number of surgeries by 2.4 times over 15 years. On the other hand, the number of spine surgeons has increased by just under 1.5 times. Instrumentation surgeries increased from 959 in 2003 to 2,276 in 2017 (2.3 times). There was a particularly marked increase in surgeries for spinal degenerative disease from 1,075 in 2003 to 2,821 in 2017 (2.6 times). The number of surgeries performed per surgeon increased from 61.4 in 2003 to 102.8 in 2017, while the average number of spine surgeons per hospital increased from 2.6 in 2003 to 3.7 in 2017. In conclusion, with heavier burden on spine surgeons and the major changes in the spine surgery environment, training and increasing surgeons with advanced expertise and skills will become increasingly important.

Indexed as

SpineSurgeonsFemaleHumansMaleSurveys and QuestionnaireselderlyepidemiologyJapanese Spine Surgery and Related Research (JSSR)specialistspine surgery

Identifiers

PMID35392003
PMCPMC8971033
OpenAlexW4223606855

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.