Evidence map›Paper›PMID 37913530›Full record

ArticleNeurosurgical focus2023

Greater improvement in Neck Disability Index scores in women after surgery for cervical myelopathy: an analysis of the Quality Outcomes Database.

Arati Patel, Sravani Kondapavulur, Gray Umbach, Andrew K Chan, Vivian P Le, Erica F Bisson, Mohamad Bydon, Dean Chou, Steve D Glassman, Kevin T Foley and 18 more

Open access · diamondAbstract read
In one paragraph

Article in Neurosurgical focus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

28 authors at 15 institutions in 1 country.

Arati Patel1Department of Neurological Surgery, University of California, San Francisco, California.
Sravani Kondapavulur1Department of Neurological Surgery, University of California, San Francisco, California.
Gray Umbach1Department of Neurological Surgery, University of California, San Francisco, California.
Andrew K Chan2Department of Neurosurgery, Columbia University, New York, New York.
Vivian P Le1Department of Neurological Surgery, University of California, San Francisco, California.
Erica F Bisson3Department of Neurosurgery, University of Utah, Salt Lake City, Utah.
Mohamad Bydon4Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota.
Dean Chou2Department of Neurosurgery, Columbia University, New York, New York.
Steve D Glassman5Norton Leatherman Spine Center, Louisville, Kentucky.
Kevin T Foley6Semmes Murphey Neurologic and Spine Institute, Memphis, Tennessee.
Christopher I Shaffrey7Department of Neurosurgery, Duke University Medical Center, Raleigh, North Carolina.
Eric A Potts8Goodman Campbell Brain and Spine, Carmel, Indiana.
Mark E Shaffrey9Department of Neurosurgery, University of Virginia, Charlottesville, Virginia.
Domagoj Coric10Carolina Neurosurgery and Spine Associates, Charlotte, North Carolina.
John J Knightly11Atlantic Neurosurgical Specialists, Morristown, New Jersey.
Paul Park6Semmes Murphey Neurologic and Spine Institute, Memphis, Tennessee.
Michael Y Wang12Department of Neurosurgery, University of Miami, Florida.
Kai-Ming Fu13Department of Neurological Surgery, Weill Cornell Medical Center, New York, New York.
Jonathan Slotkin14Geisinger Neuroscience Institute, Danville, Pennsylvania.
Anthony L Asher10Carolina Neurosurgery and Spine Associates, Charlotte, North Carolina.
Michael S Virk13Department of Neurological Surgery, Weill Cornell Medical Center, New York, New York.
Regis W Haid15Atlanta Brain and Spine Care, Atlanta, Georgia.
Oren Gottfried7Department of Neurosurgery, Duke University Medical Center, Raleigh, North Carolina.
Scott Meyer11Atlantic Neurosurgical Specialists, Morristown, New Jersey.
Cheerag D Upadhyaya16Department of Neurosurgery, University of North Carolina, Chapel Hill, North Carolina; and.
Luis M Tumialán17Department of Neurosurgery, Barrow Neurologic Institute, Phoenix, Arizona.
Jay D Turner17Department of Neurosurgery, Barrow Neurologic Institute, Phoenix, Arizona.
Praveen V Mummaneni1Department of Neurological Surgery, University of California, San Francisco, California.
University of California, San Francisco · USBarrow Neurological Institute · USCarolina Neurosurgery and Spine Associates · USColumbia University · USCornell University · USDuke Medical Center · USSemmes Murphey Foundation · USGeisinger Neuroscience Institute · USIndiana Spine Group · USMayo Clinic · USNorton Healthcare · USUniversity of Miami · USUniversity of North Carolina at Chapel Hill · USUniversity of Utah · USUniversity of Virginia · US

Funding

UCSF Core Center for Patient-centric Mechanistic Phenotyping in Chronic Low Back PainU19AR076737 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LOTZ, JEFFREY C. · 2019 to 2023
$34.1M
NIAMS NIH HHS U19 AR076737
6 · The paper itself

Abstract

objectiveThere is a high prevalence of cervical myelopathy that requires surgery; as such, it is important to identify how different groups benefit from surgery. The American Association of Neurological Surgeons launched the Quality Outcomes Database (QOD), a prospective longitudinal registry, that includes demographic, clinical, and patient-reported outcome data to measure the safety and quality of neurosurgical procedures. In this study, the authors assessed the impact of gender on patient-reported outcomes in patients who underwent surgery for cervical myelopathy.

methodsThe authors analyzed 1152 patients who underwent surgery for cervical myelopathy and were included in the QOD cervical module. Univariate comparison of baseline patient characteristics between males and females who underwent surgery for cervical spondylotic myelopathy was performed. Baseline characteristics that significantly differed between males and females were included in a multivariate generalized linear model comparing baseline and 1-year postoperative Neck Disability Index (NDI) scores.

resultsThis study included 546 females and 604 males. Females demonstrated significantly greater improvement in NDI score 1 year after surgery (p = 0.036). In addition to gender, the presence of axial neck pain and insurance status were also significantly predictive of improvement in NDI score after surgery (p = 0.0013 and p = 0.0058, respectively).

conclusionsFemales were more likely to benefit from surgery for cervical myelopathy compared with males. It is important to identify gender differences in postoperative outcomes after surgery in order to deliver more personalized and patient-centric care.

Indexed as

NeckSpinal Cord DiseasesCervical VertebraeFemaleHumansMaleNeck PainProspective StudiesTreatment Outcomecervical myelopathygenderNDIQOD

Identifiers

PMID37913530
PMCPMC12302914
OpenAlexW4388141599

What OpenQuestion holds

Textmetadata
LicenceTDM
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.