Evidence map›Paper›PMID 40296935›Full record

ArticleCureus2025

Lumbar Fusion and Decompression in American Indian, Alaskan Native, Native Hawaiian, and Pacific Islander Populations: Healthcare Disparities in Spine Surgery.

Mohammad F Khan, Saarang Patel, Dillon H Putzler, Avi N Albert, Hibbah I Khan, Ryan T Gensler, Maveric Abella, Jeffrey Hayashi, Frishan O Paulo, Julian L Gendreau and 4 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cureus, 2025. 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

14 authors.

Mohammad F KhanNeurosurgery, Indiana University School of Medicine, Indianapolis, USA.
Saarang PatelBiological Sciences, Seton Hall University, South Orange, USA.
Dillon H PutzlerNeurosurgery, University of Hawaii John A. Burns School of Medicine, Honolulu, USA.
Avi N AlbertNeurosurgery, Meharry Medical College, Nashville, USA.
Hibbah I KhanNeurosurgery, Indiana University School of Medicine, Indianapolis, USA.
Ryan T GenslerNeurosurgery, Georgetown University School of Medicine, Washington, D.C., USA.
Maveric AbellaNeurosurgery, University of Hawaii John A. Burns School of Medicine, Honolulu, USA.
Jeffrey HayashiNeurosurgery, University of Hawaii John A. Burns School of Medicine, Honolulu, USA.
Frishan O PauloNeurosurgery, University of Hawaii John A. Burns School of Medicine, Honolulu, USA.
Julian L GendreauBiomedical Engineering, Johns Hopkins University, Baltimore, USA.
Janette Bow-KeolaNeurosurgery, University of Hawaii John A. Burns School of Medicine, Honolulu, USA.
Andrea FinlayOrthopedic Surgery, Stanford University School of Medicine, Stanford, USA.
Derek F AmanatullahOrthopedic Surgery, Stanford University School of Medicine, Stanford, USA.
Thomas NohNeurosurgery, University of Hawaii John A. Burns School of Medicine, Honolulu, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRacial disparities in surgical outcomes are well documented, yet data on American Indian/Alaskan Native (AI/AN) and Native Hawaiian/Pacific Islander (NH/PI) populations remain limited. This study examines disparities in 30-day outcomes following lumbar decompression and fusion in these underrepresented groups. MATERIALS AND

methodsA retrospective analysis was conducted using the American College of Surgeons National Surgical Quality Improvement Program database (2017-2020). Patients undergoing lumbar decompression and fusion were identified via current procedural terminology codes. Multivariable logistic regression models adjusted for demographic and clinical factors assessed associations between race/ethnicity and postoperative outcomes, including readmission, complications, reoperation, and non-home discharge. Adjusted odds ratios (AOR) with 95% confidence intervals (CI) were reported.

resultsAmong 113,340 patients, 0.38% (n=429) were AI/AN patients and 0.20% (n=229) were NH/PI patients. Compared to non-Hispanic White patients, AI/AN patients had higher odds of readmission (AOR: 1.023, 95% CI: 1.003-1.043, p=0.026) and complications (AOR: 1.030, 95% CI: 1.004-1.056, p=0.023). NH/PI patients had increased odds of readmission (AOR: 1.033, 95% CI: 1.006-1.062, p=0.018), major complications (AOR: 1.029, 95% CI: 1.007-1.051, p=0.009), and reoperation (AOR: 1.035, 95% CI: 1.014-1.057, p=0.001).

conclusionsAI/AN and NH/PI patients face higher risks of adverse postoperative outcomes following lumbar spine surgery. Targeted interventions and increased inclusion in surgical disparities research are needed to improve equity in spine care.

Indexed as

american indian/alaskan native (ai/an)lumbar spine surgerynative hawaiian/pacific islander (nh/pi)postoperative outcomesracial disparitiessurgical equity

Identifiers

PMID40296935
PMCPMC12036314

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