Evidence map›Paper›PMID 38910167›Full record

ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2024

Associations between surgeons' preoperative expectations of lumbar surgery and patient-reported 2-year outcomes.

Carol A Mancuso, Roland Duculan, Frank P Cammisa, Andrew A Sama, Alexander P Hughes, Darren R Lebl, Federico P Girardi

Abstract read
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In one paragraph

Article in 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, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Expectation fulfillment, MCID achievement and postoperative outcomes in elderly patients with degenerative spinal deformity: minimum two-year evaluation.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
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

7 authors.

Carol A MancusoHospital for Special Surgery, 535 E 70th Street, New York, NY 10021, USA. mancusoc@hss.edu.ORCID http://orcid.org/0000-0003-1800-570X
Roland DuculanHospital for Special Surgery, 535 E 70th Street, New York, NY 10021, USA.
Frank P CammisaHospital for Special Surgery, 535 E 70th Street, New York, NY 10021, USA.
Andrew A SamaHospital for Special Surgery, 535 E 70th Street, New York, NY 10021, USA.
Alexander P HughesHospital for Special Surgery, 535 E 70th Street, New York, NY 10021, USA.
Darren R LeblHospital for Special Surgery, 535 E 70th Street, New York, NY 10021, USA.
Federico P GirardiHospital for Special Surgery, 535 E 70th Street, New York, NY 10021, USA.

Funding

Comparing Patients' and Surgeons' Expectations Of Lumbar Spine SurgeryR03HS022913 · AHRQ · HOSPITAL FOR SPECIAL SURGERY · PI MANCUSO, CAROL A · 2014 to 2015
$100k
AHRQ HHS R03 HS022913
6 · The paper itself

Abstract

purposeSurgeons' preoperative expectations of lumbar surgery may be associated with patient-reported postoperative outcomes.

methodsPreoperatively spine surgeons completed a validated Expectations Survey for each patient estimating amount of improvement expected (range 0-100). Preoperative variables were clinical characteristics, spine-specific disability (ODI), and general health (RAND-12). Two years postoperatively patients again completed these measures and global assessments of satisfaction. Surgeons' expectations were compared to preoperative variables and to clinically important pre- to postoperative changes (MCID) in ODI, RAND-12, and pain and to satisfaction using hierarchical models.

resultsMean expectations survey score for 402 patients was a 57 (IQR 44-68) reflecting moderate expectations. Lower scores were associated with preoperative older age, abnormal gait, sensation loss, vacuum phenomena, foraminal stenosis, prior surgery, and current surgery to more vertebrae (all p ≤ .05). Lower scores were associated postoperatively with not attaining MCID for the ODI (p = .02), RAND-12 (p = .01), and leg pain (p = .01). There were no associations between surgeons' scores and satisfaction (p = .06-.27). 55 patients (14%) reported unfavorable global outcomes and were more likely to have had fracture/infection/repeat surgery (OR 3.2, CI 1.6-6.7, p = .002).

conclusionSurgeons' preoperative expectations were associated with patient-reported postoperative improvement in symptoms and function, but not with satisfaction. These findings are consistent with clinical practice in that surgeons expect some but not complete improvement from surgery and do not anticipate that any particular patient will have markedly unfavorable satisfaction ratings. In addition to preoperative discussions about expectations, patients and surgeons should acknowledge different types of outcomes and address them jointly in postoperative discussions.

Indexed as

Lumbar VertebraePatient Reported Outcome MeasuresPatient SatisfactionAdultAgedFemaleHumansMaleMiddle AgedSurgeonsTreatment OutcomeAffective outcomeDelighted-terribleLumbar surgerySatisfactionSurgeons’ expectations

Identifiers

PMID38910167

What OpenQuestion holds

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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.