Evidence map›Paper›PMID 37549640›Full record

ArticleGlobal spine journal2025

Impact of Anxiety During Hospitalization on the Clinical Outcome of Patients With Osteoporotic Thoracolumbar Vertebral Fracture.

F Schwarz, E Klee, P Schenk, S Katscher, K J Schnake, M Bäumlein, V Zimmermann, G Schmeiser, M A Scherer, M Müller and 9 more

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2025. 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
1.3field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

19 authors at 13 institutions in 2 countries.

F SchwarzDepartment of Neurosurgery, University Hospital Jena, Jena, Germany.ORCID 0000-0003-0821-193X
E KleeDepartment of Neurosurgery, University Hospital Jena, Jena, Germany.
P SchenkDepartment of Science and Research, BG Clinic Bergmannstrost Halle (Saale), Halle, Deutschland.
S KatscherInterdisciplinary Center for Spine and Neurotrauma, Sana Clinic Borna, Borna, Germany.
K J SchnakeInterdisciplinary Center for Spinal and Scoliosis Surgery, Waldkrankenhaus Erlangen, Erlangen, Germany.
M BäumleinDepartment of Orthopaedics and Traumatology, University Hospital Marburg, Marburg, Germany.ORCID 0000-0003-3010-5156
V ZimmermannDepartment of Trauma and Orthopedic Surgery, Klinikum Traunstein, Traunstein, Germany.
G SchmeiserDepartment of Spinal Surgery, Schön Clinic Hamburg Eilbek, Hamburg, Germany.ORCID 0000-0002-2432-8276
M A SchererMedical Practice Clinic Orthopedics and Surgery Munich West, Munich, Germany.
M MüllerDepartment of Orthopaedics and Traumatology, University Hospital Kiel, Kiel, Germany.
K SprengelDepartment of Traumatology, Hirslanden Clinic St. Anna, University of Lucerne, Lucerne, Switzerland.ORCID 0000-0001-5921-8272
U SpieglDepartment of Orthopaedics, Traumatology and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0002-5179-4192
G OsterhoffDepartment of Orthopaedics, Traumatology and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.ORCID 0000-0001-5051-0998
S SchrammDepartment of Trauma and Orthopaedic Surgery, University Hospital Erlangen, Erlangen, Germany.
H SiekmannDepartment of Traumatology and Reconstructive Surgery, AMEOS Klinikum Halberstadt, Halberstadt, Germany.
A FranckDepartment of Orthopaedics and Traumatology, Regiomed-Clinic of Coburg, Coburg, Germany.
M-J ScheyererDepartment of Orthopaedics and Traumatology, University Hospital Duesseldorf, Duesseldorf, Germany.
B W UllrichDepartment of Traumatology and Reconstructive Surgery, BG Clinic Bergmannstrost Halle (Saale), Halle, Germany.
Working Group Osteoporotic Fractures of the Spine Section of the German Society of Orthopaedics and TraumaGerman Society for Orthopaedics and Trauma (DGOU), Berlin, Deutschland.
Jena University Hospital · DEUniversity Hospital Leipzig · DEBG Klinikum Bergmannstrost Halle · DEDüsseldorf University Hospital · DEKlinikum Ingolstadt · DEMalteser Waldkrankenhaus Erlangen · DEMünchen Klinik · DEPhilipps University of Marburg · DERegio Kliniken · DESchön Klinik Hamburg Eilbek · DEUniversitätsklinikum Erlangen · DEUniversity Hospital Schleswig-Holstein · DEUniversity of Lucerne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designMulticenter prospective cohort study.

objectivesAnxiety in combination with osteoporotic vertebral compression fractures (OVCFs) of the spine remains understudied. The purpose of this study was to analyze whether anxiety has an impact on the short-term functional outcome of patients with an OVCF. Furthermore, a direct impact of the fracture on the patient's anxiety during hospitalization should be recognized.

methodsAll inpatients with an OVCF of the thoracolumbar spine from 2017 to 2020 were included. Trauma mechanism, analgetic medication, anti-osteoporotic therapy, timed-up-and-go test (TuG), mobility, Barthel index, Oswestry-Disability Index (ODI) and EQ5D-5L were documented.For statistical analysis, the U test, chi-square independence test, Spearman correlation, General Linear Model for repeated measures, Bonferroni analysis and Wilcoxon test were used. The item anxiety/depression of the EQ5D-5L was analyzed to describe the patients' anxiousness.

resultsData from 518 patients from 17 different hospitals were evaluated. Fracture severity showed a significant correlation (r = .087,

conclusionsHigher anxiety is associated with lower functional outcome after OVCF. The item anxiety/depression of the EQ5D-5L provides an easily accessible, quick and simple tool that can be used to screen for poor outcomes and may also offer the opportunity for a specific anxiety intervention.

Indexed as

anxietyEQ5D-5Lhospitalizationosteoporotic fracturethoracolumbar spine

Identifiers

PMID37549640
PMCPMC11877610
OpenAlexW4385621759

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.