SynthesisNeurosurgical review2026
Effectiveness of preoperative cognitive behavioral therapy for patients undergoing lumbar spine fusion surgery: A systematic review focusing on patient-reported outcomes.
Synthesis in Neurosurgical review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To examine implementation approaches and effectiveness of preoperative cognitive behavioral therapy (CBT) on patient-reported outcomes following lumbar fusion. We systematically searched PubMed/Medline, Cochrane Database of Systematic Reviews, and Epistemonikos (inception to December 15, 2024) for studies investigating preoperative CBT in patients scheduled for lumbar fusion. Primary and secondary outcomes were postoperative disability (Oswestry Disability Index, ODI) and health-related quality of life (EQ-5D), respectively, at 3 and 6 months. Meta-analysis employed Inverse Variance Random Effects Standardized Mean Difference models to compare the change from baseline. From a total of 182 studies, three RCTs comprising 307 patients (mean age: 50 years; 58% female) met the inclusion criteria. Meta-analysis revealed no statistically significant differences between CBT and control groups in ODI change from baseline at 3 months (SMD 0.04 [95% CI: -0.81 to 0.88]; p = 0.93; I² = 92%) or 6 months (SMD - 0.17 [95% CI: -0.53 to 0.19]; p = 0.36; I² = 58%). Similarly, no significant differences emerged for EQ-5D at 3 months (SMD 0.09 [95% CI: -0.27 to 0.46]; p = 0.62; I² = 59%) or 6 months (SMD - 0.56 [95% CI: -1.49 to 0.36]; p = 0.23; I² = 93%). Current evidence does not support preoperative CBT as broadly effective for unselected lumbar fusion candidates. However, substantial heterogeneity tempers the validity of conclusions across surgical settings. Targeted psychological interventions for high-risk patients (catastrophizing, anxiety, depression) within comprehensive prehabilitation programs warrant consideration.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.