Evidence map›Paper›PMID 38324598›Full record

ArticleGlobal spine journal2024

Understanding Decision Making as It Influences Treatment in Thoracolumbar Burst Fractures Without Neurological Deficit: Conceptual Framework and Methodology.

Charlotte Dandurand, Cumhur F Öner, Olesja Hazenbiller, Richard J Bransford, Klaus Schnake, Alexander R Vaccaro, Lorin M Benneker, Emiliano Vialle, Gregory D Schroeder, Shanmuganathan Rajasekaran and 15 more

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. 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

25 authors at 17 institutions in 13 countries.

Charlotte DandurandCombined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-4520-6454
Cumhur F ÖnerUniversity Medical Centers, Utrecht, Netherlands.
Olesja HazenbillerAO Spine, AO Network Clinical Research, AO Foundation, Davos, Switzerland.
Richard J BransfordHarborview Medical Center, Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA, USA.
Klaus SchnakeCenter for Spinal and Scoliosis Surgery, Malteser Waldkrankenhaus St. Marien, Erlangen, Germany.
Alexander R VaccaroDepartment of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Lorin M BennekerSpine Unit, Sonnenhof Spital, University of Bern, Bern, Switzerland.ORCID 0000-0002-5320-5638
Emiliano VialleCajuru Hospital, Catholic University of Paraná, Curitiba, Brazil.ORCID 0000-0003-1157-4889
Gregory D SchroederDepartment of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Shanmuganathan RajasekaranDepartment of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, India.ORCID 0000-0001-6043-006X
Mohammad El-SkarkawiDepartment of Orthopaedic and Trauma Surgery, Faculty of Medicine, Assiut University, Assiut, Egypt.ORCID 0000-0001-6177-7145
Rishi M KannaDepartment of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, India.ORCID 0000-0001-5817-4909
Mohamed AlyDepartment of Neurosurgery, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabia.ORCID 0000-0001-5221-8288
Martin HolasKlinika Úrazovej Chirurgie SZU a FNsP F.D.Roosevelta, Banská Bystrica, Slovakia.ORCID 0000-0002-3763-8767
Jose A CansecoDepartment of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA, USA.ORCID 0000-0002-2152-5725
Sander MuijsUniversity Medical Centers, Utrecht, Netherlands.
Eugen Cezar PopescuProf. Dr. N. Oblu" Emergency Hospital, Iasi, Romania.ORCID 0000-0001-5732-5402
Jin Wee TeeDepartment of Neurosurgery, National Trauma Research Institute (NTRI), The Alfred Hospital, Melbourne, VIC, Australia.
Gaston Camino-WillhuberOrthopaedic and Traumatology Department, Institute of Orthopedics "Carlos E. Ottolenghi" Hospital Italiano de Buenos Aires, Buenes Aires, Argentina.ORCID 0000-0002-5684-7679
Andrei Fernandes JoaquimNeurosurgery Division, Department of Neurology, State University of Campinas, Sao Paulo, Brazil.ORCID 0000-0003-2645-0483
Ory KeynanRambam Health Care Campus, Haifa, Israel.
Harvinder Singh ChhabraSri Balaji Action Medical Institute, New Delhi, India.
Sebastian BigdonDepartment of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital, University of Bern, Bern, Switzerland.ORCID 0000-0002-4649-0610
Ulrich SpiegelDepartment of Orthopaedics, Trauma Surgery and Plastic Surgery, University of Leipzig, Leipzig, Germany.ORCID 0000-0002-5179-4192
Marcel F DvorakCombined Neurosurgical and Orthopedic Spine Program, Vancouver General Hospital, University of British Columbia, Vancouver, BC, Canada.
Thomas Jefferson University Hospital · USGanga Hospital · INUniversity Medical Center Utrecht · NLUniversity of Bern · CHUniversity of British Columbia · CAAO Foundation · CHAssiut University · EGHospital Italiano de Buenos Aires · ARHospital Universitário Cajuru · BRMahatma Gandhi Medical College and Research Institute · INMansoura University · EGNuremberg Hospital · DEOcná klinika · SKRambam Health Care Campus · ILThe Alfred Hospital · AUUniversidade Estadual de Campinas (UNICAMP) · BRUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designThis paper presents a description of a conceptual framework and methodology that is applicable to the manuscripts that comprise this focus issue.

objectivesOur goal is to present a conceptual framework which is relied upon to better understand the processes through which surgeons make therapeutic decisions around how to treat thoracolumbar burst fractures (TL) fractures.

methodsWe will describe the methodology used in the AO Spine TL A3/4 Study prospective observational study and how the radiographs collected for this study were utilized to study the relationships between various variables that factor into surgeon decision making.

resultsWith 22 expert spine trauma surgeons analyzing the acute CT scans of 183 patients with TL fractures we were able to perform pairwise analyses, look at reliability and correlations between responses and develop frequency tables, and regression models to assess the relationships and interactions between variables. We also used machine learning to develop decision trees.

conclusionsThis paper outlines the overall methodological elements that are common to the subsequent papers in this focus issue.

Indexed as

burst fracturesmethodologythoracolumbartreatment recommendations

Identifiers

PMID38324598
PMCPMC10867530
OpenAlexW4391594771

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.