Evidence map›Paper›PMID 42608450›Full record

ArticleSpinal cord2026

Surgical outcomes and age-related differences in cauda equina tumors assessed by patient-reported outcome measures using the Japanese orthopaedic association back pain evaluation questionnaire.

Shuhei Ito, Narihito Nagoshi, Toshiki Okubo, Masahiro Ozaki, Satoshi Suzuki, Kazuki Takeda, Takahito Iga, Morio Matsumoto, Masaya Nakamura, Kota Watanabe

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Article in Spinal cord, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Shuhei ItoDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-0047-0884
Narihito NagoshiDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan. nagoshi@keio.jp.ORCID http://orcid.org/0000-0001-8267-5789
Toshiki OkuboDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0003-0912-7422
Masahiro OzakiDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0001-9055-264X
Satoshi SuzukiDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Kazuki TakedaDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Takahito IgaDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-7869-7421
Morio MatsumotoDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Masaya NakamuraDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0001-7916-5497
Kota WatanabeDepartment of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.ORCID http://orcid.org/0000-0002-4830-4690

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designSingle-institution retrospective study.

objectivesTo evaluate postoperative neurological and QOL outcomes in patients with cauda equina tumors using JOABPEQ, and to investigate age-related differences in postoperative recovery, which remain poorly understood in this population.

settingSingle university hospital.

methodsSixty-five patients who underwent surgery for cauda equina tumors from 2008-2017 were retrospectively analyzed. Neurological function was assessed using the JOA score, and QOL was evaluated using JOABPEQ before surgery and at two years postoperatively. Pain and sensory symptoms were assessed using VAS scores. Patients were categorized into elderly (≥65 years) and non-elderly (<65 years) groups. General linear models and multivariable logistic regression analyses were performed.

resultsSignificant postoperative improvements were observed in JOA score, VAS scores, and all JOABPEQ domains. JOABPEQ demonstrated relatively high effectiveness rates in pain-related and physical function domains, whereas mental health showed the lowest effectiveness rate. Improvement in lower-limb numbness was independently associated with better recovery in walking ability, social life function, and mental health. Elderly patients showed worse preoperative neurological and pain-related symptoms; however, postoperative outcomes and JOABPEQ effectiveness rates were comparable between elderly and non-elderly patients after adjustment for cardiovascular disease and baseline severity.

conclusionSurgical treatment for cauda equina tumors resulted in significant improvements in neurological function, pain, and QOL. Despite worse preoperative symptoms, elderly patients achieved postoperative outcomes comparable to those of non-elderly patients after adjustment for baseline factors. These findings support the usefulness of PROM-based evaluation in patients with cauda equina tumors.

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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.