Evidence map›Paper›PMID 35796834›Full record

SynthesisArchives of orthopaedic and trauma surgery2023

Impact of local steroid application on dysphagia after anterior cervical spine surgery: a meta-analysis.

Li Shen, Lin Lu, Cheng Si, Du Yu, Ke Zhen-Yong, Deng Zhong-Liang, Yan Zheng-Jian

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Archives of orthopaedic and trauma surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 38% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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

7 authors at 1 institution in 1 country.

Li ShenDepartment of Orthopedics, Chongqing geriatric clinical research center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing City, 400010, China.ORCID http://orcid.org/0000-0002-0653-0649
Lin LuDepartment of Orthopedics, Chongqing geriatric clinical research center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing City, 400010, China.
Cheng SiDepartment of Orthopedics, Chongqing geriatric clinical research center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing City, 400010, China.
Du YuDepartment of Orthopedics, Chongqing geriatric clinical research center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing City, 400010, China.
Ke Zhen-YongDepartment of Orthopedics, Chongqing geriatric clinical research center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing City, 400010, China.
Deng Zhong-LiangDepartment of Orthopedics, Chongqing geriatric clinical research center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing City, 400010, China.
Yan Zheng-JianDepartment of Orthopedics, Chongqing geriatric clinical research center, The Second Affiliated Hospital of Chongqing Medical University, Chongqing City, 400010, China. 5659122@qq.com.
Dalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDysphagia is one of the most common complications of anterior cervical spine surgery. Local steroid was widely used to reduce the postoperative swallowing pain. However, the effect of local steroid application on dysphagia after anterior cervical spine surgery was still uncertain. MATERIALS AND

methodsWe searched Medline (PubMed), Embase and the Cochrane Library on July 27, 2021 for studies investigating the effect of local steroid application on dysphagia after anterior cervical spine surgery from their date of inception to 2021. The relative risk or weighted mean difference with 95% confidence interval was recorded as a summary statistic consist of postoperative dysphagia, swallowing VAS scores, SWAL-QOL scores, PSTSI, and steroid related complications.

resultsThis meta-analysis included 7 RCT studies involving 254 patients in the steroid group and 232 patients in the placebo group. Results showed local steroid group had less patients with dysphagia, lower swallowing VAS scores and less severe of prevertebral soft-tissue edema on the fourth day after surgery. No significant difference in non-fusion rate between the two groups was observed. And all included studies had no serious steroid related complications reported.

conclusionsThe use of local steroid in anterior cervical spine surgery could reduce the early postoperative dysphagia without serious steroid related complication. However, the safety of local steroid application still need further studies with larger samples.

Indexed as

Deglutition DisordersSpinal FusionCervical VertebraeDiskectomyHumansPostoperative ComplicationsPostoperative PainQuality of LifeSteroidsSteroidsAnteriorCervical spineDysphagiaMeta-analysisSteroids

Identifiers

PMID35796834
OpenAlexW4284880247

What OpenQuestion holds

Textmetadata
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.