Evidence map›Paper›PMID 35511406›Full record

ArticleActa neurochirurgica2022

Hospitalisation for degenerative cervical myelopathy in England: insights from the National Health Service Hospital Episode Statistics 2012 to 2019.

Edward Goacher, Richard Phillips, Oliver D Mowforth, Stefan Yordanov, Erlick A C Pereira, Adrian Gardner, Nasir A Quraishi, Antony H Bateman, Andreas K Demetriades, Marcel Ivanov and 6 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Acta neurochirurgica, 2022. 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
3.9field-weighted citation impact, top 6% 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, 19 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

16 authors at 12 institutions in 1 country.

Edward GoacherDepartment of Neurosurgery, Hull University Teaching Hospitals NHS Trust, Hull, UK.
Richard PhillipsGoffin Consultancy, Canterbury, UK.
Oliver D MowforthAcademic Neurosurgery Unit, Department of Clinical Neurosurgery, University of Cambridge, Cambridge, UK.
Stefan YordanovAcademic Neurosurgery Unit, Department of Clinical Neurosurgery, University of Cambridge, Cambridge, UK.
Erlick A C PereiraDepartment of Neurosurgery, St George's, University of London, London, UK.
Adrian GardnerThe Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK.
Nasir A QuraishiCentre for Spinal Studies & Surgery, Queen's Medical Centre, Nottingham, UK.
Antony H BatemanRoyal Derby Spinal Centre, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.
Andreas K DemetriadesDepartment of Neurosurgery, New Royal Infirmary, Edinburgh, UK.
Marcel IvanovDepartment of Neurosurgery, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Alexandru BuduDepartment of Neurosurgery, University Hospitals Birmingham, Birmingham, UK.
Edward DysonNational Hospital of Neurology and Neurosurgery, London, UK.
Guy Wynne-JonesNewcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Benjamin M DaviesAcademic Neurosurgery Unit, Department of Clinical Neurosurgery, University of Cambridge, Cambridge, UK. bd375@cam.ac.uk.
Mark R N KotterGoffin Consultancy, Canterbury, UK.
NIHR POLYFIX-DCM Consortia
University of Cambridge · GBAddenbrooke's Hospital · GBEdinburgh Royal Infirmary · GBNational Hospital for Neurology and Neurosurgery · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBNIHR Surgical Reconstruction and Microbiology Research Centre · GBQueen's Medical Centre · GBRoyal Orthopaedic Hospital · GBSheffield Teaching Hospitals NHS Foundation Trust · GBSt George's, University of London · GBUniversity Hospitals of Derby and Burton NHS Foundation Trust · GBUniversity of Hull · GB

Funding

Department of Health
6 · The paper itself

Abstract

purposeDegenerative cervical myelopathy (DCM) is the most common cause of adult spinal cord dysfunction worldwide. However, the current incidence of DCM is poorly understood. The Hospital Episode Statistics (HES) database contains details of all secondary care admissions across NHS hospitals in England. This study aimed to use HES data to characterise surgical activity for DCM in England.

methodsThe HES database was interrogated for all cases of DCM between 2012 and 2019. DCM cases were identified from 5 ICD-10 codes. Age-stratified values were collected for 'Finished Consultant Episodes' (FCEs), which correspond to a patient's hospital admission under a lead clinician. Data was analysed to explore current annual activity and longitudinal change.

results34,903 FCEs with one or more of the five ICD-10 codes were identified, of which 18,733 (53.6%) were of working age (18-64 years). Mean incidence of DCM was 7.44 per 100,000 (SD ± 0.32). Overall incidence of DCM rose from 6.94 per 100,000 in 2012-2013 to 7.54 per 100,000 in 2018-2019. The highest incidence was seen in 2016-2017 (7.94 per 100,000). The median male number of FCEs per year (2919, IQR: 228) was consistently higher than the median female number of FCEs per year (2216, IQR: 326). The rates of both emergency admissions and planned admissions are rising.

conclusionsThe incidence of hospitalisation for DCM in England is rising. Health care policymakers and providers must recognise the increasing burden of DCM and act to address both early diagnoses and access to treatment in future service provision plans.

Indexed as

Spinal Cord DiseasesState MedicineAdolescentAdultDatabases, FactualFemaleHospitalizationHospitalsHumansMaleMiddle AgedYoung AdultCervicalDegenerationDisabilityMyelopathySpondylosis

Identifiers

PMID35511406
PMCPMC9069214
OpenAlexW4229022367

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.