Evidence map›Paper›PMID 39131416›Full record

ArticleSpine surgery and related research2024

Patient-Reported Outcomes and Patient Satisfaction Following Surgery for Thoracic Myelopathy.

Yusuke Ito, Nozomu Ohtomo, Hideki Nakamoto, So Kato, Yuki Taniguchi, Hiroyasu Kodama, Yusuke Sato, Naohiro Kawamura, Juichi Tonosu, Akiro Higashikawa and 20 more

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In one paragraph

Article in Spine surgery and related research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

30 authors.

Yusuke ItoDepartment of Orthopaedic Surgery, University of Tokyo, Tokyo, Japan.
Nozomu OhtomoDepartment of Orthopaedic Surgery, University of Tokyo, Tokyo, Japan.
Hideki NakamotoDepartment of Orthopaedic Surgery, University of Tokyo, Tokyo, Japan.
So KatoDepartment of Orthopaedic Surgery, University of Tokyo, Tokyo, Japan.
Yuki TaniguchiDepartment of Orthopaedic Surgery, University of Tokyo, Tokyo, Japan.
Hiroyasu KodamaDepartment of Spine and Orthopedic Surgery, Japanese Red Cross Medical Center, Tokyo, Japan.
Yusuke SatoDepartment of Spine and Orthopedic Surgery, Japanese Red Cross Medical Center, Tokyo, Japan.
Naohiro KawamuraDepartment of Spine and Orthopedic Surgery, Japanese Red Cross Medical Center, Tokyo, Japan.
Juichi TonosuDepartment of Orthopaedic Surgery, Japan Organization of Occupational Health and Safety Kanto Rosai Hospital, Kanagawa, Japan.
Akiro HigashikawaDepartment of Orthopaedic Surgery, Japan Organization of Occupational Health and Safety Kanto Rosai Hospital, Kanagawa, Japan.
Fumiko SaikiDepartment of Orthopaedic Surgery, Japan Organization of Occupational Health and Safety Yokohama Rosai Hospital, Kanagawa, Japan.
Yujiro TakeshitaDepartment of Orthopaedic Surgery, Japan Organization of Occupational Health and Safety Yokohama Rosai Hospital, Kanagawa, Japan.
Masato AnnoSpine Center, Toranomon Hospital, Tokyo, Japan.
Masayoshi FukushimaSpine Center, Toranomon Hospital, Tokyo, Japan.
Masaaki IizukaDepartment of Spinal Surgery, Japan Community Health-Care Organization Tokyo Shinjuku Medical Center, Tokyo, Japan.
Satoshi BabaDepartment of Spinal Surgery, Japan Community Health-Care Organization Tokyo Shinjuku Medical Center, Tokyo, Japan.
Takashi OnoDepartment of Spinal Surgery, Japan Community Health-Care Organization Tokyo Shinjuku Medical Center, Tokyo, Japan.
Naohiro TachibanaDepartment of Orthopaedic Surgery, Japanese Red Cross Musashino Hospital, Tokyo, Japan.
Nobuhiro HaraDepartment of Orthopaedic Surgery, Japanese Red Cross Musashino Hospital, Tokyo, Japan.
Naoki OkamotoDepartment of Orthopaedic Surgery, Japanese Red Cross Saitama Hospital, Saitama, Japan.
Seiichi AzumaDepartment of Orthopaedic Surgery, Japanese Red Cross Saitama Hospital, Saitama, Japan.
Ryuji SakamotoDepartment of Orthopaedic Surgery, Inanami Spine and Joint Hospital, Tokyo, Japan.
Hiroki IwaiDepartment of Orthopaedic Surgery, Inanami Spine and Joint Hospital, Tokyo, Japan.
Masahito OshinaDepartment of Orthopaedic Surgery, NTT Medical Center Tokyo, Tokyo, Japan.
Shurei SugitaDepartment of Orthopaedic Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan.
Shima HiraiDepartment of Orthopaedic Surgery, NHO Sagamihara National Hospital, Kanagawa, Japan.
Yukimasa YamatoDepartment of Orthopaedic Surgery, NHO Sagamihara National Hospital, Kanagawa, Japan.
Kazuhiro MasudaDepartment of Orthopaedic Surgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
Sakae TanakaDepartment of Orthopaedic Surgery, University of Tokyo, Tokyo, Japan.
Yasushi OshimaDepartment of Orthopaedic Surgery, University of Tokyo, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The association between postoperative patient-reported outcomes (PROs) and patient satisfaction remains poorly defined in patients undergoing surgery for thoracic myelopathy. This study aimed to investigate PROs and patient satisfaction following surgical intervention for thoracic myelopathy. Methods: A prospective cohort of 133 patients who underwent surgery for thoracic myelopathy at 13 hospitals between April 2017 and August 2021 was enrolled. Patient demographics and perioperative complications were recorded. PROs were assessed using questionnaires administered preoperatively and 1 year postoperatively, including the EuroQol-5 dimension, physical and mental component summaries of the 12-item Short-Form Health Survey, Oswestry Disability Index, and numerical rating scales for low back, lower extremity, and plantar pain. Patients were categorized into two groups: satisfied (very satisfied, satisfied, and slightly satisfied) and dissatisfied (neither satisfied nor dissatisfied, slightly dissatisfied, dissatisfied, and very dissatisfied). Results: The mean age of the patients was 66.5 years, comprising 87 men and 46 women. The most common diagnoses were ossification of the ligamentum flavum (48.8%) and thoracic spondylotic myelopathy (26.3%). Seventy-four (55.6%) and 59 (44.3%) patients underwent decompression surgery and underwent decompression with fusion, respectively. Eight patients required reoperation due to postoperative surgical site infection, hematoma, and insufficient decompression in four, three, and one patient. Ninety (67.7%) patients completed both the preoperative and postoperative PRO questionnaires, all of which demonstrated significant improvement. Among them, 58 (64.4%) and 32 (35.6%) reported satisfaction and dissatisfaction with their treatment, respectively. The satisfied group showed superior improvement in PROs than the dissatisfied group, although there were no significant differences in complication rates between the two groups. Conclusions: The 64.4% satisfaction rate observed in patients undergoing surgery for thoracic myelopathy was lower than that reported in previous studies on cervical or lumbar spine surgery. The dissatisfied group exhibited significantly poorer quality of life (QOL) and higher pain scores than the satisfied group.

Indexed as

disc herniationossification of the ligamentum flavumossification of the posterior longitudinal ligamentperioperative complicationsthoracic spondylotic myelopathy

Identifiers

PMID39131416
PMCPMC11310529

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