Evidence map›Paper›PMID 41243194›Full record

ArticleGlobal spine journal2026

Barriers to Adhering to Post-operative Recovery in Spinal Decompression Surgery and Impact on Patient-Reported Outcomes.

Paul Wilson, Kiumars Edalati, Michael Jeffko, Aiyush Bansal, Patricia Lipson, Kenneth Thinh Nguyen, Jerry Du, Eric Varley, Philip K Louie

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Global spine journal, 2026. 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

9 authors.

Paul WilsonDepartment of Neurosurgery, Center for Neurosciences and Spine, Virginia Mason Medical Center, Seattle, WA, USA.
Kiumars EdalatiDepartment of Neurosurgery, Center for Neurosciences and Spine, Virginia Mason Medical Center, Seattle, WA, USA.
Michael JeffkoDepartment of Neurosurgery, Center for Neurosciences and Spine, Virginia Mason Medical Center, Seattle, WA, USA.
Aiyush BansalDepartment of Neurosurgery, Center for Neurosciences and Spine, Virginia Mason Medical Center, Seattle, WA, USA.ORCID 0000-0002-6787-5501
Patricia LipsonDepartment of Neurosurgery, Center for Neurosciences and Spine, Virginia Mason Medical Center, Seattle, WA, USA.
Kenneth Thinh NguyenDepartment of Neurosurgery, Center for Neurosciences and Spine, Virginia Mason Medical Center, Seattle, WA, USA.ORCID 0009-0005-8303-367X
Jerry DuDepartment of Neurosurgery, Center for Neurosciences and Spine, Virginia Mason Medical Center, Seattle, WA, USA.
Eric VarleyDepartment of Neurosurgery, Center for Neurosciences and Spine, Virginia Mason Medical Center, Seattle, WA, USA.
Philip K LouieDepartment of Neurosurgery, Center for Neurosciences and Spine, Virginia Mason Medical Center, Seattle, WA, USA.ORCID 0000-0002-4787-1538

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Study DesignProspective Cohort Study.ObjectivesThis study aimed to (1) compare anticipated and encountered post-operative barriers following lumbar decompression surgery, (2) assess the relationship between encountering barriers and achieving meaningful improvement (MCID) in Oswestry Disability Index (ODI) scores, and (3) evaluate the association between socioeconomic status and encountered barriers via Social Vulnerability Index (SVI).MethodsPatients completed pre-operative surveys assessing anticipated recovery barriers and ODI. Post-operative surveys collected 6 weeks post-operation captured encountered barriers and ODI. Barriers were quantified with a 1-5 Likert scale. Wilcoxon Rank Sign tests assessed differences between anticipated and encountered barriers. Logistic regression evaluated associations between barriers and achievement of ODI MCID. Spearman correlation tested associations between SVI and barrier frequency.ResultsPatients were generally able to predict post-operative barriers accurately. Exercise adherence, financial stress, and care understanding were frequently reported concerns. Five post-operative barriers decreased the likelihood of achieving MCID: difficulty meeting exercise goals (OR = 0.43,

Indexed as

barriers to recoveryhealthcare disparitieslumbar decompression surgerypatient-reported outcomes (PROs)post-operative recoverysocial vulnerability index (SVI)

Identifiers

PMID41243194
PMCPMC13219848

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.