Evidence map›Paper›PMID 36902730›Full record

ArticleJournal of clinical medicine2023

Can We Predict Imbalance in Patients? Analysis of the CDC National Health and Nutrition Examination Survey.

Bassel G Diebo, Sarah G Stroud, Neil V Shah, James Messina, James M Hong, Daniel Alsoof, Kashif Ansari, Renaud Lafage, Peter G Passias, Virginie Lafage and 4 more

Full text read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. [Dizziness in old age].Die Ophthalmologie · 2025
    Review
  2. Article
  3. Review
  4. [Dizziness in old age].Zeitschrift fur Gerontologie und Geriatrie · 2025
    Review
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

14 authors.

Bassel G DieboDepartment of Orthopedics, Warren Alpert Medical School, Brown University, Providence, RI 02903, USA.
Sarah G StroudDepartment of Orthopaedic Surgery and Rehabilitation Medicine, The State University of New York Downstate Health Sciences University, New York, NY 11203, USA.
Neil V ShahDepartment of Orthopaedic Surgery and Rehabilitation Medicine, The State University of New York Downstate Health Sciences University, New York, NY 11203, USA.ORCID 0000-0002-3439-3071
James MessinaDepartment of Orthopedics, University of Connecticut, Farmington, CT 06032, USA.
James M HongDepartment of Orthopedics, Warren Alpert Medical School, Brown University, Providence, RI 02903, USA.ORCID 0000-0002-0421-3447
Daniel AlsoofDepartment of Orthopedics, Warren Alpert Medical School, Brown University, Providence, RI 02903, USA.ORCID 0000-0002-8754-7070
Kashif AnsariDepartment of Orthopedics, Warren Alpert Medical School, Brown University, Providence, RI 02903, USA.ORCID 0000-0003-3796-0438
Renaud LafageDepartment of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY 10021, USA.ORCID 0000-0002-4820-1835
Peter G PassiasDepartment of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY 10010, USA.ORCID 0000-0002-1479-4070
Virginie LafageDepartment of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Health, New York, NY 10075, USA.
Frank J SchwabDepartment of Orthopaedic Surgery, Lenox Hill Hospital, Northwell Health, New York, NY 10075, USA.
Carl B PaulinoDepartment of Orthopaedic Surgery and Rehabilitation Medicine, The State University of New York Downstate Health Sciences University, New York, NY 11203, USA.ORCID 0000-0002-5997-8009
Roy AaronDepartment of Orthopedics, Warren Alpert Medical School, Brown University, Providence, RI 02903, USA.ORCID 0000-0002-0745-2267
Alan H DanielsDepartment of Orthopedics, Warren Alpert Medical School, Brown University, Providence, RI 02903, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Understanding global body balance can optimize the postoperative course for patients undergoing spinal or lower limb surgical realignment. This observational cohort study aimed to characterize patients with reported imbalance and identify predictors. The CDC establishes a representative sample annually via the NHANES. All participants who said "yes" (Imbalanced) or "no" (Balanced) to the following question were identified from 1999-2004: "During the past 12 months, have you had dizziness, difficulty with balance or difficulty with falling?" Univariate analyses compared Imbalanced versus Balanced subjects and binary logistic regression modeling predicted for Imbalance. Of 9964 patients, imbalanced (26.5%) were older (65.4 vs. 60.6 years), with more females (60% vs. 48%). Imbalanced subjects reported higher rates of comorbidities, including osteoporosis (14.4% vs. 6.6%), arthritis (51.6% vs. 31.9%), and low back pain (54.4% vs 32.7%). Imbalanced patients had more difficulty with activities, including climbing 10 steps (43.8% vs. 21%) and stooping/crouching/kneeling (74.3% vs. 44.7%), and they needed greater time to walk 20 feet (9.5 vs. 7.1 s). Imbalanced subjects had significantly lower caloric and dietary intake. Regression revealed that difficulties using fingers to grasp small objects (OR: 1.73), female gender (OR: 1.43), difficulties with prolonged standing (OR: 1.29), difficulties stooping/crouching/kneeling (OR: 1.28), and increased time to walk 20 feet (OR: 1.06) were independent predictors of Imbalance (all

Indexed as

CDC NHANESfall riskfrailtyfunctional assessmentimbalancenutritional assessment

Identifiers

PMID36902730
PMCPMC10004139

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measurements read29
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.