Evidence map›Paper›PMID 35926885›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Survival after surgery for spinal metastases: a population-based study.

Kunal Bhanot, Jessica Widdifield, Anjie Huang, J Michael Paterson, David B Shultz, Joel Finkelstein

Open access · diamondAbstract read
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 18 citations in OpenAlex.

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  14. Epidemiological and pathological characteristics of spinal metastases from gastrointestinal cancers - a series of 40 cases.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
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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

6 authors at 4 institutions in 2 countries.

Kunal BhanotFrom the Department of Surgery, University of Toronto, Toronto, Ont. (Bhanot, Finkelstein); the Holland Bone and Joint Research Program, Sunnybrook Research Institute, Toronto, Ont. (Widdifield, Finkelstein); ICES Central, Toronto, Ont. (Widdifield, Huang, Paterson); the Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ont. (Widdifield, Paterson); the Department of Family Medicine, McMaster University, Hamilton, Ont. (Paterson); the Department of Radiation Oncology, University of Toronto, Toronto, Ont. (Shultz); Princess Margaret Cancer Centre, Toronto, Ont. (Shultz); and Unity Health Toronto, St. Michael's Hospital, Toronto, Ont. (Bhanot).
Jessica WiddifieldFrom the Department of Surgery, University of Toronto, Toronto, Ont. (Bhanot, Finkelstein); the Holland Bone and Joint Research Program, Sunnybrook Research Institute, Toronto, Ont. (Widdifield, Finkelstein); ICES Central, Toronto, Ont. (Widdifield, Huang, Paterson); the Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ont. (Widdifield, Paterson); the Department of Family Medicine, McMaster University, Hamilton, Ont. (Paterson); the Department of Radiation Oncology, University of Toronto, Toronto, Ont. (Shultz); Princess Margaret Cancer Centre, Toronto, Ont. (Shultz); and Unity Health Toronto, St. Michael's Hospital, Toronto, Ont. (Bhanot).
Anjie HuangFrom the Department of Surgery, University of Toronto, Toronto, Ont. (Bhanot, Finkelstein); the Holland Bone and Joint Research Program, Sunnybrook Research Institute, Toronto, Ont. (Widdifield, Finkelstein); ICES Central, Toronto, Ont. (Widdifield, Huang, Paterson); the Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ont. (Widdifield, Paterson); the Department of Family Medicine, McMaster University, Hamilton, Ont. (Paterson); the Department of Radiation Oncology, University of Toronto, Toronto, Ont. (Shultz); Princess Margaret Cancer Centre, Toronto, Ont. (Shultz); and Unity Health Toronto, St. Michael's Hospital, Toronto, Ont. (Bhanot).
J Michael PatersonFrom the Department of Surgery, University of Toronto, Toronto, Ont. (Bhanot, Finkelstein); the Holland Bone and Joint Research Program, Sunnybrook Research Institute, Toronto, Ont. (Widdifield, Finkelstein); ICES Central, Toronto, Ont. (Widdifield, Huang, Paterson); the Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ont. (Widdifield, Paterson); the Department of Family Medicine, McMaster University, Hamilton, Ont. (Paterson); the Department of Radiation Oncology, University of Toronto, Toronto, Ont. (Shultz); Princess Margaret Cancer Centre, Toronto, Ont. (Shultz); and Unity Health Toronto, St. Michael's Hospital, Toronto, Ont. (Bhanot).
David B ShultzFrom the Department of Surgery, University of Toronto, Toronto, Ont. (Bhanot, Finkelstein); the Holland Bone and Joint Research Program, Sunnybrook Research Institute, Toronto, Ont. (Widdifield, Finkelstein); ICES Central, Toronto, Ont. (Widdifield, Huang, Paterson); the Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ont. (Widdifield, Paterson); the Department of Family Medicine, McMaster University, Hamilton, Ont. (Paterson); the Department of Radiation Oncology, University of Toronto, Toronto, Ont. (Shultz); Princess Margaret Cancer Centre, Toronto, Ont. (Shultz); and Unity Health Toronto, St. Michael's Hospital, Toronto, Ont. (Bhanot).
Joel FinkelsteinFrom the Department of Surgery, University of Toronto, Toronto, Ont. (Bhanot, Finkelstein); the Holland Bone and Joint Research Program, Sunnybrook Research Institute, Toronto, Ont. (Widdifield, Finkelstein); ICES Central, Toronto, Ont. (Widdifield, Huang, Paterson); the Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ont. (Widdifield, Paterson); the Department of Family Medicine, McMaster University, Hamilton, Ont. (Paterson); the Department of Radiation Oncology, University of Toronto, Toronto, Ont. (Shultz); Princess Margaret Cancer Centre, Toronto, Ont. (Shultz); and Unity Health Toronto, St. Michael's Hospital, Toronto, Ont. (Bhanot) joel.finkelstein@sunnybrook.ca.
Sunnybrook Health Science Centre · CASunnybrook Research InstituteMcMaster University · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are limited published data on population estimates of survival after spinal surgery for metastatic disease. We performed a population-based study to evaluate survival and complications among patients with cancer who underwent surgery for spinal metastases in Ontario, Canada, between 2006 and 2016.

methodsWe used health administrative databases to identify all patients who underwent surgery for spinal metastases in Ontario between Jan. 1, 2006, and Dec. 31, 2016. We assessed overall survival, mortality rates according to primary cancer lesion and complications after surgery. We contrast the results to those for a comparable cohort from 1991 to 1998.

resultsA total of 2646 patients (1194 women [45.1%]; mean age 62.5 yr [standard deviation 12.2 yr]) were identified. The median survival time was 236 (interquartile range 84-740) days. Mortality was highest for patients with melanoma, upper gastrointestinal cancer and lung cancer, with 50% dying within 90 days of surgery. The longest median survival times were observed for primary cancers of the thyroid (906 d) and breast (644 d), and myeloma (830 d). Overall 90-day and 1-year mortality rates were 29% and 59%, respectively.

conclusionWe identified differential survivorship based on primary tumour type and a shift in the distribution of operations performed for specific primary cancers over the past 2 decades in Ontario. Overall reductions in mortality associated with this shift in treatment may reflect the use of adjuvant therapies and more personalized treatment approaches.

Indexed as

Lung NeoplasmsSpinal NeoplasmsCohort StudiesCombined Modality TherapyFemaleHumansMiddle AgedOntarioRetrospective StudiesSurvival Rate

Identifiers

PMID35926885
PMCPMC9363129
OpenAlexW4289780937

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.