Evidence map›Paper›PMID 36281560›Full record

ArticleGlobal spine journal2024

The Effect of Cervical and Lumbar Decompression Surgery for Spinal Stenosis on Erectile Dysfunction.

Stephanie Wottrich, Stephanie Kha, Nicolas Thompson, Dara Bakar, Philina Yee, Albert Melillo, Christopher Nash, Andrew T Healy, Michael Steinmetz, Thomas Mroz

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2024. 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 33% 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. Review
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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 4 institutions in 1 country.

Stephanie WottrichDell Seton Medical Center at the University of Texas at Austin, Austin, TX, USA.ORCID 0000-0002-4000-2006
Stephanie KhaThe Cleveland Clinic Foundation, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Nicolas ThompsonThe Cleveland Clinic Foundation, Cleveland, OH, USA.
Dara BakarThe Warren Alpert Medical School of Brown University, Providence, RI, USA.
Philina YeeThe Cleveland Clinic Foundation, Case Western Reserve University School of Medicine, Cleveland, OH, USA.
Albert MelilloThe Cleveland Clinic Foundation, Cleveland, OH, USA.
Christopher NashThe Cleveland Clinic Foundation, Cleveland, OH, USA.
Andrew T HealyCarolina Neurosurgery and Spine Associates, Charlotte, NC, USA.
Michael SteinmetzThe Cleveland Clinic Foundation, Cleveland, OH, USA.
Thomas MrozThe Cleveland Clinic Foundation, Cleveland, OH, USA.
Cleveland Clinic · USBrown University · USCarolina Neurosurgery and Spine Associates · USSeton Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designObservational study.

objectivesTo evaluate the prevalence of erectile dysfunction and evaluate the effects of decompressive surgery on erectile dysfunction in cervical spinal stenosis and lumbar canal stenosis patients.

methodsThis observational, prospective analysis enrolled patients aged 18-80 with cervical spinal stenosis and/or lumbar canal stenosis that underwent respective decompressive surgery. The IIEF-5 questionnaire was administered preoperatively, and at 6- and 12-months postoperatively to assess erectile dysfunction severity. The EPIC database was queried to determine any postoperative complications and document prominent erectile dysfunction risk factors.

resultsOf 79 patients included in the analysis, 42 (53.2%) completed the IIEF-5 at 6 months, and 62 (78.5%) completed it at 12 months. Eighteen had cervical stenosis only, 54 had lumbar stenosis only, and 7 had both. 72% (18/25) of cervical stenosis patients and 83.6% (51/61) of lumbar stenosis patients had erectile dysfunction preoperatively according to IIEF-5 responses. The average preoperative IIEF-5 score indicated significant presence of erectile dysfunction for both the cervical and lumbar stenosis groups. No significant differences were identified in IIEF-5 score deltas from pre- to both postoperative periods. The presence of erectile dysfunction in both the cervical and lumbar stenosis groups was not significantly associated with the presence of any documented risk factors.

conclusionsOur results suggest no significant improvement in overall erectile function postoperatively for patients with preoperative erectile dysfunction. This is important to address during patient counseling for decompression surgery candidates with cervical spinal stenosis and/or lumbar canal stenosis to manage expectations.

Indexed as

decompressionerectile dysfunctionpatient outcome assessmentspinal cord compressionspinal stenosissurgicalsurveys and questionnaires

Identifiers

PMID36281560
PMCPMC11289528
OpenAlexW4307234296

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.