Evidence map›Paper›PMID 40629045›Full record

ArticleNeurosurgical review2025

Trends in spinal surgery pre- and post-pandemic in a large metropolitan area.

Matthew T Carr, John Caridi

Abstract read
In one paragraph

Article in Neurosurgical review, 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. 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

2 authors.

Matthew T CarrDepartment of Neurosurgery, Icahn School of Medicine, New York, NY, USA.
John CaridiDepartment of Neurosurgery, Lenox Hill Hospital, New York, NY, USA. jcaridi2@northwell.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

New York City was hit particularly hard by the COVID-19 pandemic, with lockdowns and elective surgery stoppages. Research into lasting trends in spine surgery volume following the COVID-19 pandemic remains scarce. The primary aim was to identify trends in spine surgery volume and secondary aim was to outline trends in patient characteristics during and after the COVID-19 pandemic in this large urban metropolitan area. The Statewide Planning and Research Cooperative System (SPARCS) database of New York was queried for all adult spine surgery claims from the 5 boroughs of New York City and Westchester County from 2019 to 2023. The principal submitted ICD10 code was used to categorize manually each claim by its associated spinal pathology. There were 26,066 claims in 2019, 20,437 in 2020, 24,829 in 2021, 26,271 claims in 2022, and 30,485 claims in 2023. Total ICD10 diagnoses per claim increased from 9.8 in 2019 to 10.3 in 2023. The proportion of ambulatory claims increased from 36.1% in 2019 to 49.1% in 2023. Length-of-stay averaged 3.23 days in 2019 and fell to 2.80 days by 2023. The percent of patients discharged home rose from 83.5 to 87.0%, with decreases in discharge to skilled nursing facilities (SNF) or rehabilitation. Spine surgery volumes decreased during the pandemic, but in 2022 and 2023 surpassed pre-pandemic numbers. These trends can help guide spine surgeons about ongoing changes in demographics, insurance status, and surgical characteristics, as well as prepare for future pandemics.

Indexed as

COVID-19Neurosurgical ProceduresSpinal DiseasesSpineAdultAgedFemaleHumansLength of StayMaleMiddle AgedNew York CityPandemicsSARS-CoV-2Ambulatory surgeryCOVID-19 pandemicDemographicsInsurance statusSpine surgeryVolume trends

Identifiers

PMID40629045
PMCPMC12238211

What OpenQuestion holds

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LicenceCC BY
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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.