Evidence map›Paper›PMID 42605476›Full record

ArticleSpine surgery and related research2026

Clinical Features of Older Patients with Lumbar Spinal Stenosis Who Discontinued Postoperative Follow-Up.

Takaya Imai, Takehiro Michikawa, Soya Kawabata, Yuki Akaike, Sota Nagai, Hiroki Takeda, Daiki Ikeda, Shinjiro Kaneko, Nobuyuki Fujita

Abstract read
In one paragraph

Article in Spine surgery and related research, 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.

Takaya ImaiDepartment of Spine and Spinal Cord Surgery, School of Medicine, Fujita Health University, Aichi, Japan.
Takehiro MichikawaDepartment of Environmental and Occupational Health, School of Medicine, Toho University, Tokyo, Japan.
Soya KawabataDepartment of Orthopaedic Surgery, School of Medicine, Fujita Health University, Aichi, Japan.
Yuki AkaikeDepartment of Orthopaedic Surgery, School of Medicine, Fujita Health University, Aichi, Japan.
Sota NagaiDepartment of Orthopaedic Surgery, School of Medicine, Fujita Health University, Aichi, Japan.
Hiroki TakedaDepartment of Spine and Spinal Cord Surgery, School of Medicine, Fujita Health University, Aichi, Japan.
Daiki IkedaDepartment of Orthopaedic Surgery, School of Medicine, Fujita Health University, Aichi, Japan.
Shinjiro KanekoDepartment of Spine and Spinal Cord Surgery, School of Medicine, Fujita Health University, Aichi, Japan.
Nobuyuki FujitaDepartment of Orthopaedic Surgery, School of Medicine, Fujita Health University, Aichi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Although follow-up is recommended for 2 years after lumbar spinal stenosis (LSS) surgery, some patients fail to complete all follow-up visits. In recent years, the treatment burden on older adults has attracted increasing attention, with particular emphasis on outpatient visits. Thus, we aimed to clarify the clinical characteristics of older adults who discontinued postoperative follow-up between 1 and 2 years after LSS surgery. Methods: This retrospective study included consecutive patients aged ≥65 years who had undergone surgery for LSS at a single center between April 2020 and June 2023. At follow-up assessments scheduled 1 and 2 years after surgery, patients completed the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) and the Zurich Claudication Questionnaire (ZCQ). The preoperative and 1-year postoperative JOABPEQ and ZCQ scores were statistically compared between patients who did and did not complete follow-up and were adjusted using analysis of covariance or the Poisson regression model. Results: Among the 330 patients who attended the 1-year follow-up visit, 252 (76.4%) attended the 2-year visit, whereas the remaining 78 (23.6%) did not. Patients who did not complete follow-up exhibited significantly higher rates of dyslipidemia (p=0.022), cardiovascular disease (p=0.005), and frailty (p=0.014), and a lower prevalence of spondylolisthesis (p<0.001) and fusion surgery (p<0.001), than those who completed the follow-up. Furthermore, patients who did not complete follow-up had worse scores in the psychological disorder domain of the JOABPEQ both preoperatively and at 1 year, and worse 1-year scores across all ZCQ domains than those who completed the follow-up. Conclusions: Several factors were associated with the likelihood of discontinuing postoperative follow-up among older adults with LSS, and their postoperative outcomes were poorer. Therefore, when analyzing data from older adults with LSS at 2 years postoperatively, considering the characteristics of patients who discontinued follow-up is essential.

Indexed as

dropped outJOABPEQlumbar spinal stenosisolder patientpostoperative follow-upZCQ

Identifiers

PMID42605476
PMCPMC13477750

What OpenQuestion holds

Textmetadata
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.