Evidence map›Paper›PMID 36372842›Full record

SynthesisEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2023

Prognostic factors and outcomes of surgical intervention for patients with spinal metastases secondary to lung cancer: an update systematic review and meta analysis.

Jiale Zheng, Xing Ding, Jinze Wu, Lin Li, Xin Gao, Quan Huang, Zhengwang Sun, Junming Ma, Mengchen Yin

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Trends and postoperative complications of spinal metastasis surgery in Thailand between 2015 and 2024: a nationwide retrospective cohort study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
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  9. Assessment of survival prediction after surgery in spinal metastases patients using the Global Spine Study Tumor Group (GSTSG) risk calculator; an external validation from a tertiary cancer hospital.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
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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

9 authors.

Jiale Zheng *Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Xing Ding *Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Jinze Wu *Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Lin LiChangzheng Hospital, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Xin GaoChangzheng Hospital, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Quan HuangChangzheng Hospital, Second Affiliated Hospital of Naval Medical University, Shanghai, China.
Zhengwang SunDepartment of Musculoskeletal Surgery, Shanghai Cancer Center, Fudan University, Shanghai, China. specialsamsun@126.com.
Junming MaLonghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China. junming236@aliyun.com.
Mengchen YinLonghua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China. yinmengchen0513@126.com.ORCID 0000-0001-7404-1495

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLung cancer is one of the most common malignant tumors. Most patients develop spinal metastases during the course of cancer and suffer skeletal-related events. Currently, no consensus has been reached on the prognostic factors in patients undergoing surgeries. This study aimed to answer two questions: (1) what are the effects of surgical intervention, and (2) what are the factors associated with postoperative survival.

methodsSearches were performed on electronic databases including PubMed, Ovid/MEDLINE, Cochrane, and Scopus for articles published before February of 2022, involving the survival factors of patients with spinal metastasis. Multiple data items were considered, such as baseline demographics, surgical details, clinical outcome, and prognostic factors. The analysis was performed in Review Manager (RevMan) 5.5. The prognostic factors of survival were analyzed with univariate and multivariate cox regression analysis.

resultsFinally, 14 studies with 813 patients were identified. Their 6, 12, and 24 months survival rates ranged from 18 to 58%, 18 to 22.4%, and 0 to 58.5%, respectively. The pooled hazard ratio of preoperative ambulatory status and the number of involved vertebrae demonstrated statistical significance, while no significant prognostic effect on the overall survival was found for targeted therapy, visceral metastases, chemotherapy, radiotherapy, or postoperative ambulatory status.

conclusionOverall, surgical intervention could achieve significant pain relief and neurological function improvements. For patients receiving surgery for spinal metastasis from lung cancer, preoperative ambulatory status and the number of involved vertebrae were significant prognostic factors associated with their survival.

Indexed as

Lung NeoplasmsSpinal NeoplasmsHumansMultivariate AnalysisPrognosisRetrospective StudiesSpineLung cancerMeta-analysisPrognostic factorsSpinal metastasesSurgical intervention

Identifiers

PMID36372842
PMCPMC9660217

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.