Evidence map›Paper›PMID 39239502›Full record

ArticleInterventional pain medicine2024

Efficacy of endoscopic decompression surgery for treatment of lumbar spinal stenosis.

Dharam Persaud-Sharma, Chamara Gunaratne, Jay Talati, Will Philips, Akib Sohel, Andrew Blake, Terrie Vasilopoulos, Sanjeev Kumar

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Interventional pain medicine, 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. Review
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

8 authors.

Dharam Persaud-SharmaPenn State Hershey Milton Medical Center, Hershey, PA, 17033, USA.
Chamara GunaratneUniversity of Florida College of Medicine, Gainesville, FL, 32610, USA.
Jay TalatiUniversity of Florida College of Medicine, Gainesville, FL, 32610, USA.
Will PhilipsUniversity of Florida College of Medicine, Gainesville, FL, 32610, USA.
Akib SohelUniversity of Florida College of Medicine, Gainesville, FL, 32610, USA.
Andrew BlakeUniversity of Florida College of Medicine, Gainesville, FL, 32610, USA.
Terrie VasilopoulosDepartments of Anesthesiology and Orthopedic Surgery & Sports Medicine, University of Florida College of Medicine, Gainesville, FL, 32610, USA.
Sanjeev KumarDepartment of Anesthesiology, University of Florida College of Medicine, Gainesville, FL, 32610, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The overall aim of this study was to assess the effectiveness of endoscopic decompression for outcomes in patients with lumbar spinal stenosis (LSS). Methods: We conducted a retrospective cohort, single-institution study of n = 139 patients from 2019 to 2022 who underwent endoscopic decompression for LSS. The primary outcome was improvement of Oswestry Disability Index (ODI) between baseline and 12-month follow-up. Results: In the present sample (n = 139) the average age was 57.6 years (SD = 17.4, with even distribution of men (49%) vs. women (51%). In patients with LSS, lumbar disc herniation was the most common diagnosis in 49 patients followed by lumbar radiculopathy in 25 patients. Lumbar radicular pain was the 3rd most common diagnosis in 21 patients with all other diagnosis listed in Table S1. There was a significant improvement (i.e., decrease) in ODI following endoscopic decompression (mean change: -8.3, 95% CI: -9.4, -7.2, Conclusions: In patients with lumbar spinal stenosis, endoscopic decompression was associated with reduced disability. Patients with no prior lumbar spine surgery, normal BMI, and who were under 40 years old showed greater improvements.

Indexed as

Back surgeryEndoscopic decompressionIndicationsInterventionalLumbar stenosisOswestry disability index (ODI)PainPROMIS-29TreatmentVisual analog scale (VAS)

Identifiers

PMID39239502
PMCPMC11373059

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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.