Evidence map›Paper›PMID 41188242›Full record

ArticleScientific reports2025

Blood transfusion and mortality after spine osteotomy: a nationwide population-based retrospective cohort study.

Jae Won Shin, Ju Hyoung Park, Si Young Park, Dong Hee Ye, Hak Sun Kim, Kyung Soo Suk, Seong Hwan Moon, Byung Ho Lee, Ji Won Kwan, Yung Park and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

12 authors.

Jae Won ShinDepartment of Orthopedic Surgery, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Ju Hyoung ParkCollege of Business, Hallym University, 1, Hallymdaehak-gil, Chuncheon, 24252, Republic of Korea.
Si Young ParkDepartment of Orthopedic Surgery, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea. drspine90@gmail.com.
Dong Hee YeDepartment of Orthopedic Surgery, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Hak Sun KimDepartment of Orthopedic Surgery, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Kyung Soo SukDepartment of Orthopedic Surgery, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Seong Hwan MoonDepartment of Orthopedic Surgery, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Byung Ho LeeDepartment of Orthopedic Surgery, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Ji Won KwanDepartment of Orthopedic Surgery, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.
Yung ParkDepartment of Orthopedic Surgery, National Health Insurance Service Ilsan Hospital, 100 Ilsan-ro, Goyang, 10444, Republic of Korea.
Joong Won HaDepartment of Orthopedic Surgery, National Health Insurance Service Ilsan Hospital, 100 Ilsan-ro, Goyang, 10444, Republic of Korea.
Chae Jae SeokDepartment of Orthopedic Surgery, Yonsei University College of Medicine, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Whether perioperative transfusion worsens survival after spinal osteotomy (SO) remains unclear. Using the Korean National Health Insurance Service database (2002–2018), we analyzed 912 adults aged ≥ 50 years who had undergone SO. Transfusion occurred in 72.6% of the patients (mean ± SD, 1324 ± 1120 mL). In the unmatched cohort, Female sex independently increased the transfusion risk (adjusted odds ratio 1.48, 95% CI 1.23–1.77; p < 0.0001). this associations disappeared after propensity matching. A 1:1 propensity score-matched cohort was created (232 pairs, all standardized mean differences ≤ 0.11). In this balanced sample, transfusion was not associated with all-cause mortality at 3 months, 6 months, 1 year, 3 years, 5 years, or 10 years (all p > 0.05). Mortaility rates observed before matching appeared to reflect the clinical condition necessitating transfusion rather than the transfusion itself. Given the high exposure rate, comprehensive patient blood management— preoperative anemia correction, tranexamic acid, meticulous hemostasis, and restrictive thresholds—remains essential to minimize unnecessary transfusion and optimize outcomes after SO.Level of evidence: III.

Indexed as

Blood TransfusionOsteotomySpineAgedFemaleHumansMaleMiddle AgedRepublic of KoreaRetrospective StudiesBloodMorbidityMortalitySpine osteotomySpine surgeryTransfusion

Identifiers

PMID41188242
PMCPMC12586566

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.