Evidence map›Paper›PMID 38053709›Full record

ArticleSurgical neurology international2023

Temporal trends in neurosurgical volume and length of stay in a public healthcare system: A decade in review with a focus on the COVID-19 pandemic.

Ella Snowdon, Sayan Biswas, Zahra R Almansoor, Luqman Naim Bin Aizan, Xin Tian Chai, Sharan Manikanda Reghunathan, Joshua MacArthur, Callum James Tetlow, Ved Sarkar, K Joshi George

Abstract read
In one paragraph

Article in Surgical neurology international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 2 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

2 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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

10 authors.

Ella SnowdonDepartment of Neurosurgery, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.
Sayan BiswasDepartment of Neurosurgery, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.
Zahra R AlmansoorDepartment of Neurosurgery, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.
Luqman Naim Bin AizanDepartment of Colorectal Surgery, Warrington and Halton Foundation Trust, Warrington, United Kingdom.
Xin Tian ChaiDepartment of Neurosurgery, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.
Sharan Manikanda ReghunathanDepartment of Neurosurgery, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.
Joshua MacArthurDepartment of Neurosurgery, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom.
Callum James TetlowDepartment of Data Science, National Health Service (NHS) Northern Care Alliance, Manchester, United Kingdom.
Ved SarkarDepartment of Data Science, College of Letters and Sciences, University of California, Berkeley, United Kingdom.
K Joshi GeorgeDepartment of Neurosurgery, Manchester Centre for Clinical Neurosciences, Salford Royal Hospital, Salford, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Over the past decade, neurosurgical interventions have experienced changes in operative frequency and postoperative length of stay (LOS), with the recent COVID-19 pandemic significantly impacting these metrics. Evaluating these trends in a tertiary National Health Service center provides insights into the impact of surgical practices and health policy on LOS and is essential for optimizing healthcare management decisions. Methods: This was a single tertiary center retrospective case series analysis of neurosurgical procedures from 2012 to 2022. Factors including procedure type, admission urgency, and LOS were extracted from a prospectively maintained database. Six subspecialties were analyzed: Results: 19,237 elective and day case operations were analyzed. Of the 6 sub-specialties, Conclusion: Most subspecialties demonstrate a decreasing LOS coupled with a shift toward day case procedures, potentially attributable to improvements in surgical techniques, less invasive approaches, and increased pressure on beds. Setting up extra dedicated day case theaters could help deal with the backlog of procedures, particularly with regard to the impact of COVID-19.

Indexed as

COVID-19Length of stayNational Health ServiceNeurosurgical operationsTemporal trend analysis

Identifiers

PMID38053709
PMCPMC10695347

What OpenQuestion holds

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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.