Evidence map›Paper›PMID 40223828›Full record

ArticleSpine surgery and related research2025

Patient-Reported Outcomes in Super-Elderly Patients over 90 Years of Age with Degenerative Spinal Diseases: A Multicenter Study.

Masahiro Kosaka, So Kato, Hiroyuki Nakarai, Hideki Nakamoto, Toru Doi, Yoshitaka Matsubayashi, Yuki Taniguchi, Naohiro Tachibana, Shima Hirai, Masayoshi Fukushima and 11 more

Abstract read
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In one paragraph

Article in Spine surgery and related research, 2025. 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
  2. Outcomes of adult spinal deformity surgery in octogenarians - How old is too old?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

21 authors.

Masahiro KosakaDepartment of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan.
So KatoDepartment of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan.
Hiroyuki NakaraiDepartment of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan.
Hideki NakamotoDepartment of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan.
Toru DoiDepartment of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan.
Yoshitaka MatsubayashiDepartment of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan.
Yuki TaniguchiDepartment of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan.
Naohiro TachibanaDepartment of Orthopaedics, Japanese Red Cross Musashino Hospital, Tokyo, Japan.
Shima HiraiDepartment of Orthopaedics, NHO Sagamihara National Hospital, Kanagawa, Japan.
Masayoshi FukushimaSpine Center, Toranomon Hospital, Tokyo, Japan.
Masahito OshinaDepartment of Orthopaedics, NTT Medical Center Tokyo, Tokyo, Japan.
Yujiro TakeshitaDepartment of Orthopaedics, Yokohama Rosai Hospital, Kanagawa, Japan.
Shurei SugitaDepartment of Orthopaedics, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan.
Rentaro OkazakiDepartment of Orthopaedics, Japanese Red Cross Saitama Hospital, Saitama, Japan.
Kazuhiro MasudaDepartment of Orthopaedics, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
Takashi OnoDepartment of Spinal Surgery, Japan Community Health Care Organization Tokyo Shinjuku Medical Center, Tokyo, Japan.
Akiro HigashikawaDepartment of Spine and Orthopaedics, Kanto Rosai Hospital, Kanagawa, Japan.
Naohiro KawamuraDepartment of Spine and Orthopaedics, Japanese Red Cross Medical Center, Tokyo, Japan.
Hiroki IwaiDepartment of Orthopaedics, Iwai Orthopaedic Medical Hospital, Tokyo, Japan.
Sakae TanakaDepartment of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan.
Yasushi OshimaDepartment of Orthopaedic Surgery, The University of Tokyo, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Due to global increases in life expectancy, numbers of both super-elderly patients (≥90 years old) and the spine surgeries they undergo are increasing. However, no studies on spine surgery for super-elderly patients have focused on patient-reported outcomes (PROs). Methods: Subjects were elderly patients (over 75 years old) undergoing spine surgery for degenerative disease (4408 cases) performed at our 13 affiliated centers between April 2017 and August 2021. Surgical procedures, perioperative complications, and PROs were investigated and compared between patients ≥90 years old (SE group) and control patients 75-89 years old (E group). Results: Although the two groups showed no significant differences in patient background, the SE group showed significantly fewer fusions. The incidence of perioperative complications, including death within 30 days, did not significantly differ between groups. Regarding PROs, there were no significant differences in percentages of patients who achieved minimum clinically important differences in Neck Disability Index, Oswestry Disability Index, or EuroQoL 5 Dimension. There were no significant differences in pre- and postoperative numeric rating scales for each item or patient satisfaction. Conclusions: There were significant improvements in PROs at 1 year postoperatively in the SE group than in the E group, and there were no significant differences in perioperative complication rates or mortality.

Indexed as

Degenerative diseasePatient-reported outcomes (PROs)Patient satisfactionPerioperative complicationPerioperative mortalitySuper-elderly

Identifiers

PMID40223828
PMCPMC11983112

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