Evidence map›Paper›PMID 39083198›Full record

ArticleSpine deformity2024

Expectations of clinical improvement following corrective surgery for adult cervical deformity based on functional disability at presentation.

Peter G Passias, Oluwatobi O Onafowokan, Rachel Joujon-Roche, Justin Smith, Peter Tretiakov, Thomas Buell, Bassel G Diebo, Alan H Daniels, Jeffrey L Gum, D Kojo Hamiltion and 13 more

Abstract read
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In one paragraph

Article in Spine deformity, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

23 authors.

Peter G PassiasDepartment of Orthopaedics, Neurological Surgery, New York Spine Institute, NYU Langone Medical Center-Orthopaedic Hospital, 301 East 17th St, New York, NY, 10003, USA. Peter.Passias@nyumc.org.ORCID 0000-0002-1479-4070
Oluwatobi O OnafowokanDepartment of Orthopaedics, Neurological Surgery, New York Spine Institute, NYU Langone Medical Center-Orthopaedic Hospital, 301 East 17th St, New York, NY, 10003, USA.
Rachel Joujon-RocheDepartment of Orthopaedics, Neurological Surgery, New York Spine Institute, NYU Langone Medical Center-Orthopaedic Hospital, 301 East 17th St, New York, NY, 10003, USA.
Justin SmithDepartment of Neurosurgery, University of Virginia Medical Center, Charlottesville, VA, US.
Peter TretiakovDepartment of Orthopaedics, Neurological Surgery, New York Spine Institute, NYU Langone Medical Center-Orthopaedic Hospital, 301 East 17th St, New York, NY, 10003, USA.
Thomas BuellDepartment of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, US.
Bassel G DieboDepartment of Orthopaedic Surgery, Warren Alpert School of Medicine, Brown University, Providence, RI, US.
Alan H DanielsDepartment of Orthopaedic Surgery, Warren Alpert School of Medicine, Brown University, Providence, RI, US.
Jeffrey L GumNorton Leatherman Spine Center, Louisville, KY, USA.
D Kojo HamiltionDepartment of Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, US.
Alex SoroceanuDepartment of Orthopaedic Surgery, University of Calgary, Calgary, AB, Canada.
Justin ScheerDepartment of Neurological Surgery, University of California, San Francisco, San Francisco, CA, US.
Robert K EastlackDivision of Orthopaedic Surgery, Scripps Clinic, La Jolla, CA, US.
Richard G FesslerDepartment of Neurosurgery, Northwestern University Feinberg School of Medicine, Chicago Il, US.
Eric O KlinebergDepartment of Orthopaedic Surgery, UT Health, Houston, TX, US.
Han Jo KimDepartment of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, US.
Douglas C BurtonDepartment of Orthopaedic Surgery, University of Kansas Medical Center, Kansas City, KS, US.
Frank J SchwabDepartment of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, US.
Shay BessDepartment of Spine Surgery, Denver International Spine Center, Presbyterian St. Luke's/Rocky Mountain Hospital for Children, Denver, CO, US.
Virginie LafageDepartment of Orthopaedics, Lenox Hill Hospital, Northwell Health, New York, NY, US.
Christopher I ShaffreyDepartment of Neurosurgery, Duke University Medical Center, Durham, NC, England.
Christopher AmesDepartment of Neurological Surgery, University of California San Francisco, San Francisco, CA, US.
International Spine Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess impact of baseline disability on HRQL outcomes.

methodsCD patients with baseline (BL) and 2 year (2Y) data included, and ranked into quartiles by baseline NDI, from lowest/best score (Q1) to highest/worst score (Q4). Means comparison tests analyzed differences between quartiles. ANCOVA and logistic regressions assessed differences in outcomes while accounting for covariates (BL deformity, comorbidities, HRQLs, surgical details and complications).

resultsOne hundred and sixteen patients met inclusion (Age:60.97 ± 10.45 years, BMI: 28.73 ± 7.59 kg/m

conclusionsPatients in Q2, with mean BL NDI of 42, consistently demonstrated the greatest improvement in HRQLs whereas those in Q4, (NDI 70), saw the least. BL NDI between 39 and 44 may represent a disability "Sweet Spot," within which operative intervention maximizes patient-reported outcomes. Furthermore, delaying intervention until patients are severely disabled, beyond an NDI of 61, may limit the benefits of surgery.

Indexed as

Cervical VertebraeQuality of LifeAgedDisability EvaluationFemaleHumansMaleMiddle AgedTreatment OutcomeCervical deformity surgeryCervical spineClinical improvement

Identifiers

PMID39083198

What OpenQuestion holds

Textmetadata
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.