Evidence map›Paper›PMID 38798805›Full record

ReviewAlpha psychiatry2024

The Association Between Mental Disorders and Postoperative Outcomes of Scoliosis Surgery: A Systematic Review and Meta-analysis.

Luyou Ye, Shenglei Lin, Yangxun Lv, Chengmeng Ge, Xuewu Chen

Abstract readReview
In one paragraph

Review in Alpha psychiatry, 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
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Gender Dysphoria and Scoliosis: Pediatric Orthopaedists Are Very Much Members of the Healthcare Team.Journal of the Pediatric Orthopaedic Society of North America · 2024
    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

5 authors.

Luyou YeDepartment of Orthopedic, Wenzhou Central Hospital, Wenzhou, China.ORCID 0009-0008-9865-7188
Shenglei LinDepartment of Orthopedic, Wenzhou Central Hospital, Wenzhou, China.ORCID 0000-0002-2465-6042
Yangxun LvDepartment of Orthopedic, Wenzhou Central Hospital, Wenzhou, China.ORCID 0000-0003-0143-9130
Chengmeng GeDepartment of Orthopedic, Wenzhou Central Hospital, Wenzhou, China.ORCID 0009-0004-5618-1362
Xuewu ChenDepartment of Orthopedic, Wenzhou Central Hospital, Wenzhou, China.ORCID 0009-0003-0638-8835

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Mental disorders may adversely impact postoperative recovery in scoliosis surgery. However, study findings have been inconsistent and a systematic synthesis is lacking. Methods: We searched PubMed, Embase, PsycINFO, and Cochrane Library for studies examining associations between preoperative mental disorders, assessed by various scales, such as the Patient Health Questionnaire (PHQ), the Modified Somatic Perception Questionnaire (MSPQ), and the State-Trait Anxiety Inventory (STAI), and postoperative outcomes, such as pain, disability, quality of life, and satisfaction, in scoliosis surgery. Random-effects meta-analyses pooled standardized mean differences (SMDs) in postoperative outcomes between patients with and without mental disorders. Results: Twelve observational studies were included for the systematic review, and 5 studies were included in the meta-analysis. The meta-analysis demonstrated significantly worse postoperative outcomes in patients with mental disorders compared to those without (SMD -1.96, 95% confidence interval [CI] -3.08 to -0.84, Conclusion: Preoperative mental disorders, especially depression and anxiety, are associated with significantly worse postoperative pain, disability, quality of life, and satisfaction in scoliosis surgery. This association may be mediated by psychological factors, such as catastrophizing, self-criticism, and kinesiophobia, and biological factors, such as inflammation, neuroendocrine changes, and central sensitization. Routine psychological screening and interventions for high-risk patients may improve postoperative outcomes but not necessarily surgical effectiveness. Further research is warranted to confirm these findings and elucidate optimal treatment approaches.

Indexed as

Mental disorderspreoperative painscoliosis surgery

Identifiers

PMID38798805
PMCPMC11117427

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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.