Evidence map›Paper›PMID 36562179›Full record

ReviewGlobal spine journal2023

Risk Factors for Postoperative Urinary Retention Following Lumbar Spine Surgery: A Review of Current Literature and Meta-Analysis.

Logan A Reed, Alexander K Mihas, Travis A Fortin, Connor J Donley, Guna Pratheep, Sakthivel Rajaram Manoharan, Steven M Theiss, Vibhu Krishnan Viswanathan

Open access · goldAbstract readReview
In one paragraph

Review in Global spine journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 13 citations in OpenAlex.

  1. Impact of diabetic kidney disease on perioperative outcomes after lumbar spinal fusion: a propensity score analysis of the Nationwide Inpatient Sample.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
    Article
  2. Sex difference in outcomes and risk factors for lumbar decompressive surgery.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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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

8 authors at 2 institutions in 2 countries.

Logan A ReedDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Alexander K MihasDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Travis A FortinDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Connor J DonleyDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Guna PratheepDepartment of Spine Surgery, Ganga Medical Center and Hospitals, Coimbatore, India.
Sakthivel Rajaram ManoharanDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Steven M TheissDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Vibhu Krishnan ViswanathanDepartment of Spine Surgery, Ganga Medical Center and Hospitals, Coimbatore, India.
University of Alabama at Birmingham · USGanga Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSystematic Review and Meta-analysis.

objectivePostoperative urinary retention (POUR) is a common complication following lumbar spine surgery (LSS) and timely recognition is imperative to avoid long-term consequences. The aim of the current meta-analysis was to systematically review the literature in order to identify risk factors associated with POUR after LSS.

methodsIn accordance with PRISMA guidelines, a systematic review of the literature was performed using Pubmed, EMBASE, and MEDLINE database for articles on POUR following LSS. A meta-analysis was performed comparing patients with and without POUR; and the factors associated with this adverse event were analyzed. The pooled data were reported as mean differences with 95% confidence intervals (CI;

resultsThe meta-analysis included 10 studies compromised of 30,300 patients. Based on our analysis, patients who were male, were older in age, underwent instrumented fusion, had diabetes mellitus, coronary artery disease, or benign prostatic hypertrophy had significantly higher risk of developing POUR. Additionally, patients in who developed POUR had significantly longer surgical times and higher volumes of intra-operative fluid administration, as compared with non-POUR patients. The POUR patients also had a significantly higher association with urinary tract infection. Prior surgery, BMI, length of stay, and smoking status did not reveal any statistical association with POUR.

conclusionsRisk factors associated with POUR following LSS include male gender, older age, longer surgical times, fusion procedures, larger volumes of intraoperative infusions, and associated comorbidities like DM, CAD, and BPH.

Indexed as

lumbarrisk factorsspineurinary retention

Identifiers

PMID36562179
PMCPMC10448081
OpenAlexW4312114767

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.