Evidence map›Paper›PMID 36943086›Full record

ArticleGlobal spine journal2024

The Influence of Multilevel Spinal Deformity Surgery on the EuroQol 5 Dimensions' (EQ-5D) Questionnaire and Residential Status in the Elderly: A Prospective, Observational, Multicenter Study.

Thorsten Jentzsch, Stephen J Lewis, Colby Oitment, Anna Rienmüller, Allan R Martin, Christopher J Nielsen, Hananel Shear-Yashuv, Marinus de Kleuver, Yong Qiu, Yukihiro Matsuyama and 13 more

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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

23 authors at 19 institutions in 12 countries.

Thorsten JentzschDivision of Orthopaedic Surgery, Arthritis Program, Toronto Western Hospital, University Health Network, Toronto, ON, Canada.ORCID 0000-0002-6133-3314
Stephen J LewisDivision of Orthopaedic Surgery, Arthritis Program, Toronto Western Hospital, University Health Network, Toronto, ON, Canada.ORCID 0000-0002-9173-8443
Colby OitmentDivision of Orthopaedic Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada, Canada.ORCID 0000-0003-1351-9410
Anna RienmüllerDepartment of Orthopedic and Trauma Surgery, Medical University Vienna, Vienna, Austria.
Allan R MartinDepartment of Neurological Surgery, University of California - Davis, Sacramento, CA, USA.
Christopher J NielsenDivision of Orthopaedic Surgery, Arthritis Program, Toronto Western Hospital, University Health Network, Toronto, ON, Canada.
Hananel Shear-YashuvDepartment of Orthopaedic, Hebrew University, Hadassah Medical Center, Jerusalem, Israel.
Marinus de KleuverDepartment of Orthopedics, Medical Center, Radboud University, Nijmegen, Gelderland, The Netherlands.
Yong QiuSpine Surgery, Drum Tower Hospital of Nanjing University Medical School, Nanjing, Jiangsu, China.ORCID 0000-0003-4202-6092
Yukihiro MatsuyamaDepartment of Orthopedic Surgery, Hamamatsu University School of Medicine, Hamamatsu, Shizuoka, Japan.
Lawrence G LenkeDepartment of Orthopedic Surgery, The Spine Hospital, Medical Center, Columbia University, New York, NY, USA.
Ahmet AlanayDepartment of Orthopedics and Traumatology, Acibadem Mehmet ali Aydinlar University, Istanbul, Turkey.
Ferran Pellisé-UrquizaHospital Universitari de la Vall d'Hebron, Barcelona, Spain.
Kenneth M C CheungDepartment of Orthopaedics and Traumatology, The University of Hong Kong, Hong Kong.ORCID 0000-0001-8304-0419
Maarten SpruitSint Maartenskliniek Nijmegen, Gelderland, the Netherlands.
David W PollyDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
Jonathan N SembranoDepartment of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA.
Christopher I ShaffreyDepartment of Orthopaedic Surgery, Duke University, Durham, NC, USA.
Justin S SmithDepartment of Neurosurgery, University of Virginia, Charlottesville, VA, USA.
Michael P KellyOrthopaedic Surgery, Washington University School of Medicine, St Louis, MO, USA.ORCID 0000-0001-6221-7406
Benny DahlDivision of Orthopedic Surgery, Texas Children's Hospital and Baylor College of Medicine, Houston, TX, USA.
Sigurd H BervenDepartment of Neurosurgery and Orthopaedic Surgery, University of California, San Francisco, CA, USA.
AO Spine Knowledge Forum Deformity
University Health Network · CAUniversity of Minnesota · USColumbia University Irving Medical Center · USDuke University Hospital · USHadassah Medical Center · ILHamamatsu University School of Medicine · JPKent Hastanesi · TRMcMaster University · CAMedical University of Vienna · ATNanjing Drum Tower Hospital · CNNeurological Surgery · USRadboud University Nijmegen · NLSint Maartenskliniek · NLUniversity of California, San Francisco · USUniversity of Copenhagen · DKUniversity of Hong Kong · HKUniversity of Virginia · USVall d'Hebron Hospital Universitari · ESWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designMulticenter, international prospective study.

objectiveThis study investigated the clinical outcome up to 2 years after multi-level spinal deformity surgery in the elderly by reporting the minimal clinically important difference (MCID) of EuroQol 5-dimensions (EQ-5D), EQ-VAS, and residential status.

methodsAs an ancillary study of 219 patients ≥60 years with spinal deformity undergoing primary instrumented fusion surgery of ≥5 levels, this study focuses on EQ-5D (3-L) as the primary outcome and EQ-VAS and residential status as secondary outcomes. Data on EQ-5D were compared between pre-operatively and postoperatively at 10 weeks, 12 months, and 24 months. An anchor-based approach was used to calculate the MCID.

resultsThe EQ-5D index and EQ-VAS, respectively, improved significantly at each time point compared to pre-operatively (from .53 (SD .21) and 55.6 (SD 23.0) pre-operatively to .64 (SD .18) and 65.8 (SD 18.7) at 10 weeks, .74 (SD .18) and 72.7 (SD 18.1) at 12 months, and .73 (SD .20) and 70.4 (SD 20.4) at 24 months). 217 (99.1%) patients lived at home pre-operatively, while 186 (88.6%), 184 (98.4%), and 172 (100%) did so at 10 weeks, 12 months, and 24 months, respectively. Our calculated MCID for the EQ-5D index at 1 year was .22 (95% CI .15-.29).

conclusionsThe EQ-5D index significantly increased at each time point over 24 months after ≥5 level spinal deformity surgery in elderly patients. The MCID of the EQ-5D-3 L was .22. Patients living at home pre-operatively can expect to be able to live at home 2 years postoperatively.

Indexed as

adulthealth careminimal clinically important differenceoutcome assessmentresidence characteristicsscoliosissurgery

Identifiers

PMID36943086
PMCPMC11418680
OpenAlexW4328048067

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.