Evidence map›Paper›PMID 38291749›Full record

ArticleNeurospine2024

Prognostic Value in Preoperative Veterans RAND-12 Mental Component Score on Clinical Outcomes for Patients Undergoing Minimally Invasive Lateral Lumbar Interbody Fusion.

Ishan Khosla, Fatima N Anwar, Andrea M Roca, Srinath S Medakkar, Alexandra C Loya, Keith R MacGregor, Omolabake O Oyetayo, Eileen Zheng, Aayush Kaul, Jacob C Wolf and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Neurospine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 43% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

14 authors at 2 institutions in 1 country.

Ishan KhoslaDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Fatima N AnwarDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Andrea M RocaDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Srinath S MedakkarDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Alexandra C LoyaDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Keith R MacGregorDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Omolabake O OyetayoDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Eileen ZhengDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Aayush KaulChicago Medical School at Rosalind Franklin University of Medicine and Science, Chicago, IL, USA.
Jacob C WolfChicago Medical School at Rosalind Franklin University of Medicine and Science, Chicago, IL, USA.
Vincent P FedericoDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Gregory D LopezDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Arash J SayariDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Kern SinghDepartment of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL, USA.
Rush University Medical Center · USRosalind Franklin University of Medicine and Science · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the effect of Veterans RAND 12-item health survey mental composite score (VR-12 MCS) on postoperative patient-reported outcome measures (PROMs) after undergoing lateral lumbar interbody fusion.

methodsRetrospective data from a single-surgeon database created 2 cohorts: patients with VR-12 MCS ≥ 50 or VR-12 MCS < 50. Preoperative, 6-week, and final follow-up (FF)- PROMs including VR-12 MCS/physical composite score (PCS), 12-item Short Form health survey (SF-12) MCS/PCS, Patient-Reported Outcomes Measurement Information System Physical Function (PROMIS-PF), Patient Health Questionnaire-9 (PHQ-9), visual analogue scale (VAS)-back/leg pain (VAS-BP/LP), and Oswestry Disability Index (ODI) were collected. ∆6-week and ∆FF-PROMs were calculated. Minimal clinically important difference (MCID) achievement rates were determined from established cutoffs from the literature. For intercohort comparison, chi-square analysis was used for categorical variables, and Student t-test for continuous variables.

resultsSeventy-nine patients were included; 25 were in VR-12 MCS < 50. Mean postoperative follow-up time was 17.12 ± 8.43 months. The VR-12 MCS < 50 cohort had worse VR-12 PCS, SF-12 MCS, PROMIS-PF, PHQ-9, VAS-BP, and ODI scores preoperatively (p ≤ 0.014, all), worse VR-12 MCS/PCS, SF-12 MCS, PROMIS-PF, PHQ-9, and ODI scores at 6-week postoperatively (p ≤ 0.039, all), and worse VR-12 MCS, SF-12 MCS, PROMIS-PF, PHQ-9, VAS-BP, VAS-LP, and ODI scores at FF (p ≤ 0.046, all). The VR-12 MCS < 50 cohort showed greater improvement in VR-12 MCS and SF-12 MCS scores at 6 weeks and FF (p ≤ 0.005, all). The VR-12 MCS < 50 cohort experienced greater MCID achievement for VR-12 MCS, SF-12 MCS, and PHQ-9 (p ≤ 0.006, all).

conclusionVR-12 MCS < 50 yielded worse mental health, physical function, pain and disability postoperatively, yet reported greater improvements in magnitude and MCID achievement for mental health.

Indexed as

Lateral lumbar interbody fusionMinimal clinically important differenceOutcomes

Identifiers

PMID38291749
PMCPMC10992641
OpenAlexW4391323321

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.