Evidence map›Paper›PMID 39819600›Full record

ArticleJournal of orthopaedic surgery and research2025

Enhanced recovery pathway in adult patients with spinal deformity undergoing open thoracolumbar surgery.

Qingyang Huang, Lang Xiao, Shuaikang Wang, Peng Cui, Di Han, Peng Wang, Shibao Lu

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In one paragraph

Article in Journal of orthopaedic surgery and research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
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.

Qingyang HuangDepartment of Orthopedics, Xuanwu Hospital, Capital Medical University, Beijing, 10053, China.
Lang XiaoDepartment of Orthopedics, Xuanwu Hospital, Capital Medical University, Beijing, 10053, China.
Shuaikang WangDepartment of Orthopedics, Xuanwu Hospital, Capital Medical University, Beijing, 10053, China.
Peng CuiDepartment of Orthopedics, Xuanwu Hospital, Capital Medical University, Beijing, 10053, China.
Di HanDepartment of Orthopedics, Xuanwu Hospital, Capital Medical University, Beijing, 10053, China.
Peng WangDepartment of Orthopedics, Xuanwu Hospital, Capital Medical University, Beijing, 10053, China.
Shibao LuDepartment of Orthopedics, Xuanwu Hospital, Capital Medical University, Beijing, 10053, China. spinelu@xwhosp.org.

Funding

Beijing Hospitals Authority's Ascent Plan No. DFL20190802
6 · The paper itself

Abstract

purposeThe poor prognosis of adult patients with spinal deformity following long-segment spinal fusion surgery remains a major concern. Our study aims to investigate the impact of an Enhanced Recovery After Surgery (ERAS) protocol on the prognosis of adult patients with spinal deformity.

methodsThis study focused on a retrospective review of a database of previous adult spinal deformity. Adult patients with spinal deformity who underwent long-segment fusion surgery from July 2016 to July 2022 were evaluated, from July 2016 to July 2019 for the pre-ERAS patient group and from July 2019 to July 2022 for the ERAS group. Demographic data, radiological sagittal parameters, and intraoperative data were collected from all patients. The length of hospital stay, postoperative complications, and 90-day readmission rates were compared between the two groups. Additionally, multivariate regression models were used to analyze the predictors of postoperative length of stay, postoperative complications, and 90-day readmission rates.

resultsA total of 215 patients were included in this study, 102 patients in the pre-ERAS group and 113 patients in the ERAS group. Postoperative outcomes in the ERAS group included significantly lower postoperative length of stay (LOS) (13.09 ± 4.57 vs. 11.13 ± 4.16, P = 0.001); significantly lower rate of postoperative complications (52.0% vs. 29.2%, P < 0.001) and significantly lower 90-day readmission rates (14.7% vs. 6.19%, P = 0.040). Multivariate linear regression showed that fewer ERAS (P = 0.022), later drain placement (P = 0.027), and more complications (P = 0.002) were significantly associated with longer postoperative LOS. Multivariate logistic regression showed that fewer ERAS (P = 0.015) and later drain removal (P = 0.041) were significantly associated with more complications, and more ERAS (P = 0.009), earlier postoperative LOS (P = 0.020), and earlier urinary catheter removal (P = 0.034) were significantly associated with the 90-day readmission rates.

conclusionsAccording to the results of our study, it is necessary to implement an ERAS protocol for adult patients with spinal deformity undergoing long-segment fusion surgery. The ERAS protocol is effective in reducing postoperative hospital length of stay, incidence of surgical complications, and 90-day readmission rates.

Indexed as

Enhanced Recovery After SurgeryLumbar VertebraeSpinal CurvaturesSpinal FusionThoracic VertebraeAdultAgedFemaleHumansLength of StayMaleMiddle AgedPatient ReadmissionPostoperative ComplicationsRetrospective StudiesTreatment OutcomeAdult spinal deformityEnhanced recovery after surgeryThocacolumbar fusion

Identifiers

PMID39819600
PMCPMC11740348

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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.