Evidence map›Paper›PMID 37023036›Full record

ArticlePloS one2023

Survey research of patient's preference on choosing microscopic or endoscopic spine surgery for lumbar discectomy.

Gun Keorochana, Chaiwat Kraiwattanapong, Thamrong Lertudomphonwanit, Umaporn Udomsubpayakul, Pittavat Leelapattana, Pongsthorn Chanplakorn, Nutthee Wannaratsiri, Tulyapruek Tawonsawatruk

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 28% 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, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
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 1 country.

Gun KeorochanaDepartment of Orthopaedics, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Chaiwat KraiwattanapongDepartment of Orthopaedics, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.ORCID 0000-0003-4519-0920
Thamrong LertudomphonwanitDepartment of Orthopaedics, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Umaporn UdomsubpayakulSection for Clinical Epidemiology and Biostatistics, Ramathibodi Hospital, Mahidol university, Bangkok, Thailand.
Pittavat LeelapattanaDepartment of Orthopaedics, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Pongsthorn ChanplakornDepartment of Orthopaedics, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Nutthee WannaratsiriDepartment of Orthopaedics, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Tulyapruek TawonsawatrukDepartment of Orthopaedics, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Mahidol University · THRamathibodi Hospital · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are several surgical methods of lumbar discectomy which provide the similar clinical outcomes. There is no clear evidence for how to select the procedures. To better understand the patient's opinion and decision process in the selection of surgical methods between microscopic lumbar discectomy (MLD) and endoscopic lumbar discectomy (ELD).

methodsA cross-sectional survey study. Summary information sheet was created by reviewing the comparative literatures, and tested for quality and bias. Participants read the summary information sheet then were asked to complete the anonymous questionnaire.

resultsSeventy-six patients (71%) of patients who had no experience in lumbar discectomy selected ELD while 31 patients (29%) selected MLD. There were significant differences of score between patients who selected MLD and ELD in this group for wound size, anesthetic method, operative time, blood loss and length of stay (P< 0.05). In patients who had experience in discectomy group, 22 patients (76%) who underwent MLD still selected MLD if they could select surgical methods again for themselves, while 24 patients (96%) who underwent ELD still selected ELD if they could select again. The most important factor in patients who selected MLD was outcomes of treatment. The most important factor in patients who selected ELD was wound size. There were significant differences of scores between patients who selected MLD and ELD in this group for wound size, anesthetic method, operative time, complication, cost and length of stay (P< 0.05).

conclusionsAbout two thirds of the participants preferred ELD after reading the summary evidence information. The most important factor in MLD group was outcomes of treatment while the most important factor in ELD group was wound size.

Indexed as

Diskectomy, PercutaneousIntervertebral Disc DisplacementCross-Sectional StudiesDiskectomyEndoscopyHumansLumbar VertebraePatient PreferenceRetrospective StudiesTreatment Outcome

Identifiers

PMID37023036
PMCPMC10079117
OpenAlexW4362657376

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.