Evidence map›Paper›PMID 36113953›Full record

ArticleInternational journal of spine surgery2022

The Temporality of Deep Surgical Site Infection Rates Following Spinal Laminectomy and Fusion.

Jason B Kreinces, Mackenzie A Roof, Scott Friedlander, Shengnan Huang, Joseph A Bosco, Charla Fischer

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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

6 authors at 2 institutions in 1 country.

Jason B KreincesDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.
Mackenzie A RoofDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.
Scott FriedlanderDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.
Shengnan HuangDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.
Joseph A BoscoDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA.
Charla FischerDepartment of Orthopedic Surgery, NYU Langone Health, New York, NY, USA Charla.Fischer@nyulangone.org.
Hinge Health · USNYU Langone Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDeep surgical site infections (dSSI) following spinal laminectomy and fusion are serious complications associated with poor patient outcomes. The objective of this study is to investigate the monthly and seasonal variability of dSSI rates following common spinal surgeries to investigate the "July effect," which refers to the alleged increase in adverse health outcomes due to new hospital trainees at the beginning of the academic year.

methodsWe performed a retrospective analysis of patients who had a dSSI following laminectomy (without fusion) or spinal fusion (with or without laminectomy) at a single large urban academic medical center between January 2009 and August 2018. The change in dSSI rate over the entire study period was calculated. The monthly and seasonal variability of dSSI were assessed using a Poisson regression model to assess for the presence of the July effect.

resultsA total of 7931 laminectomies and 14,637 spinal fusions were reviewed. The average dSSI rates following laminectomy and spinal fusion were 0.46 (SD, 0.47) and 1.26 (SD, 0.86) per 100 patients, respectively. The rate of dSSI following spinal fusion significantly decreased over the study period (rate ratio [RR] = 0.89, 95% CI 0.84-0.94,

conclusionThe overall decrease in dSSI rate over the study period is consistent with previous reports. The monthly analysis revealed no significant differences in either procedure, calling into question the July effect. CLINICAL RELEVANCE: This study is relevant to practicing spinal surgeons and can inform surgeons about seasonal data regarding dSSIs. LEVEL OF EVIDENCE: 3:

Indexed as

laminectomymonthly variabilityseasonal variabilityspinal fusionsurgical site infectionsyearly variability

Identifiers

PMID36113953
PMCPMC9807047
OpenAlexW4296068412

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.