Evidence map›Paper›PMID 37880960›Full record

ArticleGlobal spine journal2025

Outcomes and Complications of Surgery for Symptomatic Spinal Metastases; a Comparison Between Patients Aged ≥ 70 and <70.

Jiong Hao Jonathan Tan, James Thomas Patrick Decourcy Hallinan, Shi Wei Ang, Tuan Hao Tan, Hwee Inn Joelle Tan, Le Tian Isaac Tan, Qinxiang Shant Sin, Renick Lee, Hwee Weng Dennis Hey, Yiong Huak Chan and 2 more

Abstract 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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

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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

12 authors.

Jiong Hao Jonathan TanDepartment of Orthopaedic Surgery, National University Health System, Singapore.ORCID 0000-0002-9237-2586
James Thomas Patrick Decourcy HallinanDepartment of Diagnostic Imaging, National University Hospital, Singapore.
Shi Wei AngYong Loo Lin School of Medicine, NUHS, Singapore.ORCID 0000-0001-7205-118X
Tuan Hao TanYong Loo Lin School of Medicine, NUHS, Singapore.
Hwee Inn Joelle TanYong Loo Lin School of Medicine, NUHS, Singapore.
Le Tian Isaac TanYong Loo Lin School of Medicine, NUHS, Singapore.
Qinxiang Shant SinYong Loo Lin School of Medicine, NUHS, Singapore.
Renick LeeDepartment of Orthopaedic Surgery, National University Health System, Singapore.
Hwee Weng Dennis HeyDepartment of Orthopaedic Surgery, National University Health System, Singapore.ORCID 0000-0002-2012-9835
Yiong Huak ChanBiostatistics Unit, Yong Loo Lin School of Medicine, National University of Singapore, Block MD11, Clinical Research Centre, 10 Medical Drive, Singapore.
Ka Po Gabriel LiuDepartment of Orthopaedic Surgery, National University Health System, Singapore.
Naresh KumarDepartment of Orthopaedic Surgery, National University Health System, Singapore.ORCID 0000-0003-4538-5031

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designRetrospective cohort study.

objectivePhysicians may be deterred from operating on elderly patients due to fears of poorer outcomes and complications. We aimed to compare the outcomes of surgical treatment of spinal metastases patients aged ≥70-yrs and <70-yrs. MATERIALS AND

methodsThis is a retrospective study of patients surgically treated for metastatic epidural spinal cord compression and spinal instability between January-2005 to December-2021. Follow-up was till death or minimum 1-year post-surgery. Outcomes included post-operative neurological status, ambulatory status, medical and surgical complications. Two Sample

resultsWe identified 412 patients of which 29 (7.1%) patients were excluded due to loss to follow-up and previous surgical treatment. 79 (20.6%) were ≥70-yrs. Age ≥70-yrs patients had poorer ECOG scores (

conclusion≥70-yrs patients have comparable outcomes to <70-yr old patients with no significant increase in complication rates. Age should not be a determining factor in deciding surgical management of spinal metastases.

Indexed as

agedelderlymetastatic spine diseasemetastatic spine surgerypost-operative complications

Identifiers

PMID37880960
PMCPMC11877557

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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.