Evidence map›Paper›PMID 36263340›Full record

ArticleJournal of craniovertebral junction & spine

What is a better value for your time? Anterior cervical discectomy and fusion versus cervical disc arthroplasty.

Austen David Katz, Junho Song, Daniel Bowles, Terence Ng, Eric Neufeld, Sayyida Hasan, Dean Perfetti, Nipun Sodhi, David Essig, Jeff Silber and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of craniovertebral junction & spine. 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
–field-weighted citation impact
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. Article
  2. Article
  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

11 authors.

Austen David KatzDepartment of Orthopedic Surgery, North Shore University Hospital and Long Island Jewish Medical Center, Zucker School of Medicine, Hofstra University, New York, USA.
Junho SongDepartment of Orthopedic Surgery, North Shore University Hospital and Long Island Jewish Medical Center, Zucker School of Medicine, Hofstra University, New York, USA.
Daniel BowlesDepartment of Orthopedic Surgery, North Shore University Hospital and Long Island Jewish Medical Center, Zucker School of Medicine, Hofstra University, New York, USA.
Terence NgDepartment of Orthopedic Surgery, North Shore University Hospital and Long Island Jewish Medical Center, Zucker School of Medicine, Hofstra University, New York, USA.
Eric NeufeldDepartment of Orthopedic Surgery, North Shore University Hospital and Long Island Jewish Medical Center, Zucker School of Medicine, Hofstra University, New York, USA.
Sayyida HasanDepartment of Orthopedic Surgery, North Shore University Hospital and Long Island Jewish Medical Center, Zucker School of Medicine, Hofstra University, New York, USA.
Dean PerfettiDepartment of Orthopedic Surgery, North Shore University Hospital and Long Island Jewish Medical Center, Zucker School of Medicine, Hofstra University, New York, USA.
Nipun SodhiDepartment of Orthopedic Surgery, North Shore University Hospital and Long Island Jewish Medical Center, Zucker School of Medicine, Hofstra University, New York, USA.
David EssigDepartment of Orthopedic Surgery, North Shore University Hospital and Long Island Jewish Medical Center, Zucker School of Medicine, Hofstra University, New York, USA.
Jeff SilberDepartment of Orthopedic Surgery, North Shore University Hospital and Long Island Jewish Medical Center, Zucker School of Medicine, Hofstra University, New York, USA.
Sohrab VirkDepartment of Orthopedic Surgery, North Shore University Hospital and Long Island Jewish Medical Center, Zucker School of Medicine, Hofstra University, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Compared to anterior cervical discectomy and fusion (ACDF), the motion preservation of cervical disc arthroplasty (CDA) provides an attractive alternative with similar short-term results. However, there is a paucity of the economics of performing CDA over ACDF. Study Design: This was retrospective study. Objective: The objective of this study is to evaluate relative-value-units (RVUs), operative time, and RVUs-per-minute between single-level ACDF and CDA. Secondary outcomes included 30-day readmission, reoperation, and morbidity. Methods: Adults who underwent ACDF or CDA in 2011-2019 National Surgical Quality Improvement Program database datasets. Multivariate quantile regression was utilized. Results: There were 26,595 patients (2024 CDA). ACDF patients were older, more likely to be female, discharged to inpatient rehabilitation, and have a history of obesity, smoking, diabetes, steroid use, and the American Society of Anesthesiologists-class ≥3. ACDF had greater median RVUs-per-case (41.2 vs. 24.1) and RVUs-per-minute (0.36 vs. 0.27), despite greater operative-time (109 min vs. 92 min) ( Conclusions: Median RVUs-per-minute increased by 0.119 points for ACDF over CDA, or $257.7/h for each additional-hour of surgery. Adjusted 30-day outcomes were similar between procedures. Reimbursement for CDA does not appear to be in line with ACDF and may be a barrier to widespread usage.

Indexed as

Anteriorarthroplastycervicalcomparativefusionmorbiditynational surgical Quality Improvement Program Databaserelative-value-units

Identifiers

PMID36263340
PMCPMC9574118

What OpenQuestion holds

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Registered trials

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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.