Evidence map›Paper›PMID 37084354›Full record

ArticleGlobal spine journal2023

Mediating Medical Comorbidities in Geriatric Patients Undergoing Surgery for OVCF: From Preoperative Screening to Risk and Outcomes Optimization.

Max J Scheyerer, Max Lenz, Cornelius Jacobs, Matthias Pumberger, Ulrich J A Spiegl, Bernhard W Ullrich, Nicolas von der Höh, Klaus John Schnake

Open access · goldAbstract read
In one paragraph

Article 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.2field-weighted citation impact, top 13% 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, 7 citations in OpenAlex.

  1. Trial
  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 6 institutions in 1 country.

Max J ScheyererDepartment of Orthopedics and Trauma Surgery, University Hospital, Düsseldorf, Germany.ORCID 0000-0003-1392-3990
Max LenzDepartment of Orthopedic and Trauma Surgery, Medical Faculty, University of Cologne, Cologne, Germany.
Cornelius JacobsCenter for Spine Surgery, St Remigius Hospital Leverkusen, Leverkusen, Germany.
Matthias PumbergerSpine Department, Center for Musculoskeletal Surgery, Charité University Medicine Berlin.
Ulrich J A SpieglDepartment of Orthopaedics, Trauma Surgery and Plastic Surgery, University Hospital Leipzig.
Bernhard W UllrichDepartment of Trauma and Reconstructive Surgery, Halle, Germany.ORCID 0000-0001-8748-1190
Nicolas von der HöhDepartment of Orthopaedics, Trauma Surgery and Plastic Surgery, University Hospital Leipzig.
Klaus John SchnakeCenter for Spinal and Scoliosis Surgery, Waldkrankenhaus Erlangen, Germany.
University Hospital Leipzig · DEUniversity of Cologne · DECharité - Universitätsmedizin Berlin · DEJena University Hospital · DEMalteser Waldkrankenhaus Erlangen · DESt. Remigius Krankenhaus Opladen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOsteoporotic vertebral compression fractures (OVCF) are a common increasing entity in elderly patients and represent a tremendous economic burden. Surgical treatment is related to high complication rates and little is known about patient-specific and internal risk factors associated with poor clinical results.

methodsWe carried out a comprehensive, systematic literature search according to the PRISMA checklist and algorithm. Risk factors for perioperative complications, for early inpatient readmission, for the duration of the hospital stay, the hospital mortality, the total mortality and the clinical result were analyzed.

resultsA total of 739 potentially usable studies were identified. After considering all inclusion and exclusion criteria, 15 studies with 15,515 patients were included. Non-adjustable risk factors were age >90 years (OR 3.27), male gender (OR 1.41), BMI less than 18.5 kg/m DISCUSSION: We identified a couple of non-adjustable risk factors, which should be considered preoperatively in terms of risk assessment. However, even more important were adjustable factors that can be influenced preoperatively. In conclusion, we recommend a perioperative interdisciplinary cooperation, especially with geriatricians, to achieve the best possible clinical results in geriatric patients undergoing surgery for OVCF.

Indexed as

clinical outcomecomplicationsmedical comorbiditiesosteoporotic vertebral compression fracturerisk factor

Identifiers

PMID37084354
PMCPMC10177309
OpenAlexW4366606579

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.