Evidence map›Paper›PMID 41769553›Full record

ArticleCureus2026

The Initial Learning and Supply Cost Curve of Incorporating Interlaminar and Transforaminal Endoscopy at a Tertiary Academic Medical Center.

Mark M Zaki, Edward S Harake, Varun G Kathawate, Michael J Strong, Rushikesh S Joshi, Joseph R Linzey, Yamaan S Saadeh, Osama N Kashlan

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In one paragraph

Article in Cureus, 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

8 authors.

Mark M ZakiNeurosurgery, University of Michigan, Ann Arbor, USA.
Edward S HarakeNeurosurgery, University of Michigan, Ann Arbor, USA.
Varun G KathawateNeurosurgery, University of Pennsylvania, Philadelphia, USA.
Michael J StrongNeurosurgery, Columbia University, New York, USA.
Rushikesh S JoshiNeurosurgery, University of Michigan, Ann Arbor, USA.
Joseph R LinzeyNeurosurgery, University of Michigan, Ann Arbor, USA.
Yamaan S SaadehNeurosurgery, University of Michigan, Ann Arbor, USA.
Osama N KashlanNeurological Surgery, Weill Cornell Medicine, New York, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Spinal endoscopy is challenging with a steep learning curve and an unclear supply cost curve. We describe the initial learning and supply cost curves for a surgeon who incorporated interlaminar and transforaminal endoscopy. Methods Interlaminar and transforaminal cases performed between November 2021 and May 2023 were retrospectively reviewed. Linear regressions were used to assess the effect of experience on operative time, intraoperative X-ray utilization, and surgical supply costs. Trends were assessed using a cumulative running median analysis to determine a cutoff point for surgeon familiarity. Results A total of 56 patients were included (41 interlaminar and 15 transforaminal). Surgical time per decompressed level was similar (192 minutes ± 60.9 vs. 213 minutes ± 80,

Indexed as

interlaminarlearning curveminimally invasive spine surgeryretrospective reviewtransforaminal endoscopy

Identifiers

PMID41769553
PMCPMC12948325

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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.