Evidence map›Paper›PMID 41346977›Full record

SynthesisFrontiers in medicine2025

Efficacy of exercise-based prehabilitation for patients undergoing elective spinal surgery: a systematic review and meta-analysis.

Lian-Song Lu, Shao-Hua Sun, Hao-Jie Li, Zhen-Shan Yuan

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in medicine, 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

4 authors.

Lian-Song LuDepartment of Spinal Surgery, Ningbo No.6 Hospital, Ningbo, Zhejiang, China.
Shao-Hua SunDepartment of Spinal Surgery, Ningbo No.6 Hospital, Ningbo, Zhejiang, China.
Hao-Jie LiDepartment of Spinal Surgery, Ningbo No.6 Hospital, Ningbo, Zhejiang, China.
Zhen-Shan YuanDepartment of Spinal Surgery, Ningbo No.6 Hospital, Ningbo, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The study aimed to investigate the efficacy of exercise-based prehabilitation for preoperative and postoperative outcomes in patients undergoing elective spinal surgery. Methods: A total of five databases were searched from their inception to March 2025 with no date restrictions. Standardized mean differences (SMDs) and mean differences (MDs) with 95% confidence intervals (CIs) were pooled using random effects models. The certainty of the evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach. Results: In total, six studies with 365 participants were included in this study. Preoperative (after prehabilitation): Exercise-based prehabilitation produced modest improvements compared to controls for back pain (SMD -0.32, 95% CI -0.54 to -0.11; Conclusion: Exercise-based prehabilitation provides consistent small-to-moderate standardized benefits for most preoperative outcomes and shows a favorable signal for early postoperative back pain in adults undergoing elective spinal surgery. However, evidence for sustained intermediate- and long-term postoperative improvements is not established with current data. Systematic Review Registration: CRD420251120535, https://www.crd.york.ac.uk/PROSPERO/view/CRD420251120535.

Indexed as

elective spinal surgeryexercise-based prehabilitationmeta-analysispostoperative recoverypreoperative outcomes

Identifiers

PMID41346977
PMCPMC12673885

What OpenQuestion holds

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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.