Evidence map›Paper›PMID 37718341›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2023

The Norwegian registry for spine surgery (NORspine): cohort profile.

Eirik Mikkelsen, Tor Ingebrigtsen, Anette M Thyrhaug, Lena Ringstad Olsen, Øystein P Nygaard, Ivar Austevoll, Jens Ivar Brox, Christian Hellum, Frode Kolstad, Greger Lønne and 1 more

Abstract read
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In one paragraph

Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Eligibility definitions and response rate accuracy in studies using routinely collected PROMs: a systematic review.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Pooled it
  2. Article
  3. Preoperative health-related quality of life across four degenerative lumbar conditions in a multi-ethnic Southeast Asian surgical cohort: a cross-sectional SF-36 analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
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  9. Loss to follow-up after lumbar decompressive surgery: effect of collection method and perioperative factors on patient-reported outcome measures.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  10. Development of machine learning models for predicting patient-perceived benefit following lumbar disc herniation or spinal stenosis surgery.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
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  14. Observational
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  17. Cross-cultural adaptation of the Czech version of the core outcome measures index for low back and neck pain.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
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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

11 authors.

Eirik MikkelsenDepartment of Neurosurgery, Ophthalmology and Otorhinolaryngology, University Hospital of North Norway, Tromsø, Norway.ORCID 0000-0002-2932-5138
Tor IngebrigtsenDepartment of Neurosurgery, Ophthalmology and Otorhinolaryngology, University Hospital of North Norway, Tromsø, Norway. tor.ingebrigtsen@unn.no.ORCID 0000-0001-5966-9786
Anette M ThyrhaugThe Norwegian Registry for Spine Surgery, University Hospital of North Norway, Tromsø, Norway.ORCID 0009-0007-8034-8697
Lena Ringstad OlsenCentre for Clinical Documentation and Evaluation, Northern Norway Regional Health Authority, Tromsø, Norway.ORCID 0009-0008-7015-3420
Øystein P NygaardThe Norwegian Registry for Spine Surgery, University Hospital of North Norway, Tromsø, Norway.
Ivar AustevollDepartment of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway.ORCID 0000-0002-1960-5574
Jens Ivar BroxDepartment of Clinical Medicine, University of Oslo, Oslo, Norway.ORCID 0000-0002-2507-1812
Christian HellumDepartment of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway.
Frode KolstadDepartment of Neurosurgery, Oslo University Hospital, Oslo, Norway.ORCID 0000-0003-1234-8576
Greger LønneDepartment of Neuromedicine and Movement Science, The Norwegian University of Science and Technology, Trondheim, Norway.ORCID 0000-0003-2191-9676
Tore K SolbergDepartment of Neurosurgery, Ophthalmology and Otorhinolaryngology, University Hospital of North Norway, Tromsø, Norway.ORCID 0000-0002-8991-8867

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo review and describe the development, methods and cohort of the lumbosacral part of the Norwegian registry for spine surgery (NORspine).

methodsNORspine was established in 2007. It is government funded, covers all providers and captures consecutive cases undergoing operations for degenerative disorders. Patients' participation is voluntary and requires informed consent. A set of baseline-, process- and outcome-variables (3 and 12 months) recommended by the International Consortium for Health Outcome Measurement is reported by surgeons and patients. The main outcome is the Oswestry disability index (ODI) at 12 months.

resultsWe show satisfactory data quality assessed by completeness, timeliness, accuracy, relevance and comparability. The coverage rate has been 100% since 2016 and the capture rate has increased to 74% in 2021. The cohort consists of 60,647 (47.6% women) cases with mean age 55.7 years, registered during the years 2007 through 2021. The proportions > 70 years and with an American Society of Anaesthesiologists' Physical Classification System (ASA) score > II has increased gradually to 26.1% and 19.3%, respectively. Mean ODI at baseline was 43.0 (standard deviation 17.3). Most cases were operated with decompression for disc herniation (n = 26,557, 43.8%) or spinal stenosis (n = 26,545, 43.8%), and 7417 (12.2%) with additional or primary fusion. The response rate at 12 months follow-up was 71.6%.

conclusionNORspine is a well-designed population-based comprehensive national clinical quality registry. The register's methods ensure appropriate data for quality surveillance and improvement, and research.

Indexed as

Intervertebral Disc DisplacementSpinal StenosisFemaleHumansLumbar VertebraeMaleMiddle AgedNorwayRegistriesCohort profileData qualityDegenerative disordersQuality registrySpine surgery

Identifiers

What OpenQuestion holds

Textmetadata
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.