Evidence map›Paper›PMID 35840320›Full record

ArticleInternational journal of spine surgery2022

Dysphagia May Attenuate Improvements in Postoperative Outcomes Following Anterior Cervical Discectomy and Fusion.

Elliot D K Cha, Conor P Lynch, Junyoung Ahn, Madhav R Patel, Kevin C Jacob, Cara E Geoghegan, Michael C Prabhu, Nisheka N Vanjani, Hanna Pawlowski, Kern Singh

Open access · diamondAbstract read
In one paragraph

Article in International journal of spine surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 31% 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, 4 citations in OpenAlex.

  1. 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

10 authors at 1 institution in 1 country.

Elliot D K ChaDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Conor P LynchDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Junyoung AhnDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Madhav R PatelDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Kevin C JacobDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Cara E GeogheganDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Michael C PrabhuDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Nisheka N VanjaniDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Hanna PawlowskiDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Kern SinghDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA kern.singh@rushortho.com.
Rush University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPast studies outline potential risk factors for dysphagia following anterior cervical discectomy and fusion (ACDF). Few studies explored the impact of dysphagia, as measured by the swallowing quality of life (SWAL-QOL), on postoperative patient-reported outcome measure (PROM) improvement. This study aimed to determine the relationship between dysphagia and improvement in pain, disability, physical function, and mental health following ACDF.

methodsA retrospective review of patients undergoing primary 1- or 2-level ACDF was performed. Individuals without a completed preoperative SWAL-QOL were excluded. Outcomes were collected for visual analog scale (VAS) neck and arm pain, Neck Disability Index (NDI), Patient-Reported Outcome Measurement Information System Physical Function (PROMIS-PF), 12-Item Short Form Physical Component Score (SF-12 PCS), 9-Item Patient Health Questionnaire (PHQ-9), and SWAL-QOL. Postoperative improvement from preoperative values was evaluated using a paired

resultsA total of 91 patients were included. Mean preoperative SWAL-QoL was 90.4, which worsened at 6 weeks and resolved by 6 months (

conclusionFollowing ACDF, patients experienced a worsening of dysphagia but resolved by 12 weeks. All PROMs demonstrated significant improvements by the 6-month timepoint, except for PHQ-9. SWAL-QoL demonstrated a significant effect on all postoperative outcomes, which may suggest that this questionnaire could effectively evaluate dysphagia and predict positive or negative outcomes following ACDF. LEVEL OF EVIDENCE: 3 CLINICAL RELEVANCE: The severity of dysphagia has a significant association with pain, disability, mental health, and physical function patient-reported outcome measures in patients undergoing ACDF.

Indexed as

cervical fusiondysphagiaquality of life

Identifiers

PMID35840320
PMCPMC9807062
OpenAlexW4285490831

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.