Evidence map›Paper›PMID 38453667›Full record

ArticleGlobal spine journal2024

Does Patient Blood Management Affect Outcomes in Metastatic Spine Tumour Surgery? A Review of Current Concepts.

Naresh Kumar, Eunice Xin Yi Lee, Si Jian Hui, Laranya Kumar, Jiong Hao Jonathan Tan, Balakrishnan Ashokka

Abstract 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

6 authors.

Naresh KumarUniversity Spine Centre, Department of Orthopaedic Surgery, National University Health System, Singapore.ORCID 0000-0003-4538-5031
Eunice Xin Yi LeeDepartment of Anaesthesia, National University Hospital, Singapore.
Si Jian HuiUniversity Spine Centre, Department of Orthopaedic Surgery, National University Health System, Singapore.ORCID 0000-0001-5355-497X
Laranya KumarRoyal College of Surgeons of Ireland, Dublin, Ireland.
Jiong Hao Jonathan TanUniversity Spine Centre, Department of Orthopaedic Surgery, National University Health System, Singapore.ORCID 0000-0002-9237-2586
Balakrishnan AshokkaDepartment of Anaesthesia, National University Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designNarrative review.

objectiveThe spine is the most common site of metastases, associated with decreased quality of life. Increase in metastatic spine tumour surgery (MSTS) has caused us to focus on the management of blood, as blood loss is a significant morbidity in these patients. However, blood transfusion is also not without its own risks, and hence this led to blood conservation strategies and implementation of a concept of patient blood management (PBM) in clinical practise focusing on these patients.

methodsA narrative review was conducted and all studies that were related to blood management in metastatic spine disease as well as PBM surrounding this condition were included.

resultsA total of 64 studies were included in this review. We discussed a new concept of patient blood management in patients undergoing MSTS, with stratification to pre-operative and intra-operative factors, as well as anaesthesia and surgical considerations. The studies show that PBM and reduction in blood transfusion allows for reduced readmission rates, lower risks associated with blood transfusion, and lower morbidity for patients undergoing MSTS.

conclusionThrough this review, we highlight various pre-operative and intra-operative methods in the surgical and anaesthesia domains that can help with PBM. It is an important concept with the significant amount of blood loss expected from MSTS. LEVEL OF EVIDENCE: Not applicable.

Indexed as

blood lossblood transfusionmetastatic spine tumour surgerypost-operative complicationssalvage blood

Identifiers

PMID38453667
PMCPMC11572015

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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.