Evidence map›Paper›PMID 37487672›Full record

ArticleInternational journal of spine surgery2023

Comparing 30-Day Outcomes After Emergent Spine Procedures Performed "During Hours" vs "After Hours".

Gabrielle Santangelo, Nathaniel Ellens, Aman Singh, Ricky Hoang, Stephen Susa, Robert Molinari, Thomas Mattingly

Abstract read
In one paragraph

Article in International journal of spine surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. The role of surgical timing in survival of patients with spinal metastases.International journal of clinical oncology · 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

7 authors.

Gabrielle SantangeloDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA gabrielle.santangelo@urmc.rochester.edu.
Nathaniel EllensDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
Aman SinghDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
Ricky HoangDepartment of Anesthesiology, University of Rochester Medical Center, Rochester, NY, USA.
Stephen SusaDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
Robert MolinariDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.
Thomas MattinglyDepartment of Neurosurgery, University of Rochester Medical Center, Rochester, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpinal injuries, whether mechanical or neurological, frequently require urgent intervention. Superior outcomes are associated with earlier intervention, which often requires operating overnight and on weekends. However, operating after hours has been associated with increased risks of complications in selected studies. The authors sought to determine whether there are differences in outcomes for "after hours" surgery compared with "during hours" surgery for spinal emergencies.

methodsThis is a single-center retrospective cohort study of spine surgery patients who underwent urgent surgery within 6 hours, from January 2015 through December 2019. Surgery was considered during hours if it started between 8 am and 5 pm Monday through Friday. After hours was defined as from 5 pm through 8 am on a weekday or Saturday or Sunday. We assessed 30-day outcome measures for differences between operations performed during hours or after hours.

resultsThere were 241 spine procedures performed (49 during hours and 192 after hours). There was no significant difference between the length of operation (145.3 vs 129.8 minutes,

conclusionsSpine surgery must often be performed after hours. However, the time of day does not significantly impact the 30-day outcomes for emergent spine surgery. LEVEL OF EVIDENCE: 3:

Indexed as

After hoursemergency surgerylength of staymortalityreadmissionspine

Identifiers

PMID37487672
PMCPMC10478691

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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.