Evidence map›Paper›PMID 38374453›Full record

ArticleActa neurochirurgica2024

Dysphagia, health-related quality of life, and return to work after occipitocervical fixation.

Aman Singh, Ann-Christin von Vogelsang, Charles Tatter, Victor Gabriel El-Hajj, Alexander Fletcher-Sandersjöö, Paulina Cewe, Gunnar Nilsson, Simon Blixt, Paul Gerdhem, Erik Edström and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Acta neurochirurgica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 4% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Swespine in the literature: a bibliometric analysis of trends and characteristics of publications.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Review
  4. [Experimental study of patient-specific three-dimensional-printed drill guide-assisted CZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026
    Article
  5. Patient-centered care in cervical spine surgery - the impact of perceived patient involvement on patient-reported outcomes measures: a Swedish multicenter study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Observational
  6. Crossing the cervicothoracic junction in multilevel posterior fixations for degenerative cervical disease: a Swedish registry-based study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2026
    Article
  7. Observational
  8. Patient-reported outcome measures and satisfaction after laminectomy for degenerative cervical myelopathy in octogenarians: an observational study from the national Swedish spine registry.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
    Observational
  9. Article
  10. Review
  11. 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

11 authors at 3 institutions in 1 country.

Aman SinghDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Ann-Christin von VogelsangDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Charles TatterDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Victor Gabriel El-HajjDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Alexander Fletcher-SandersjööDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Paulina CeweDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Gunnar NilssonCapio Spine Center Stockholm, Löwenströmska Hospital, Upplands-Väsby, Sweden.
Simon BlixtClinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.
Paul GerdhemClinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.
Erik EdströmDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Adrian Elmi-TeranderDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden. Adrian.elmi.terander@ki.se.ORCID 0000-0002-3776-6136
Karolinska Institutet · SEUppsala University · SEÖrebro University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to evaluate patient-reported outcome measures (PROMS) on dysphagia, health-related quality of life (HRQoL) and return to work after occipitocervical fixation (OCF). Postoperative radiographic measurements were evaluated to identify possible predictors of dysphagia.

methodsAll individuals (≥ 18 years) who underwent an OCF at the study center or were registered in the Swedish spine registry (Swespine) between 2005 and 2019, and were still alive when the study was conducted, were eligible for inclusion. There was no overlap between the cohorts. Prospectively collected data on dysphagia (Dysphagia Short Questionnaire DSQ), HRQoL (EQ5D-3L) and return to work were used. Radiological and baseline patient data were retrospectively collected. In addition, HRQoL data of a matched sample of individuals was elicited from the Stockholm Public Health Survey 2006.

resultsIn total, 54 individuals were included. At long-term follow-up, 26 individuals (51%) had no dysphagia, and 25 (49%) reported some degree of dysphagia: 11 (22%) had mild dysphagia, and 14 (27%) had moderate to severe dysphagia. On a group level, the OCF sample scored significantly lower EQ

conclusionOccipitocervical fixation results in a high frequency of long-term dysphagia. The HRQoL of OCF patients is significantly reduced compared to matched controls. However, most patients are satisfied with their surgery. No radiographic predictors of long-term dysphagia could be identified. Future prospective and systematic studies with larger samples and more objective outcome measures are needed to elucidate the causes of dysphagia in OCF.

Indexed as

Deglutition DisordersSpinal FusionCervical VertebraeHumansQuality of LifeRetrospective StudiesReturn to WorkDysphagiaDysphagia Short Questionnaire (DSQ)Health-related quality of lifeOccipitocervical fusionRadiographic measurements

Identifiers

PMID38374453
PMCPMC10876741
OpenAlexW4391969865

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.