A systematic review of spinal research conducted using the National Surgical Quality Improvement Program

Marjoua, Youssra; Xiao, Ryan; Waites, Cameron; Yang, Brian; Harris, Mitchel B.; Schoenfeld, Andrew J.

doi:10.1016/j.spinee.2016.08.013

Cited by 5 publications

(6 citation statements)

References 17 publications

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“…Pre-existing systematic and scoping reviews on the NSQIP have been limited to a narrower focus, such as specific populations, surgical specialties and procedures. 6 – 10 Although this type of review does not capture findings in as much detail as a systematic review, the use of Synthesis allows for interpretation of large volumes of data and has produced a larger review than has generally been feasible allowing for a global picture of the existing NSQIP literature.…”

Section: Discussionmentioning

confidence: 99%

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A novel computerized approach to scoping reviews using Synthesis software: the first 15 years of The American College of Surgeons National Surgical Quality Improvement Program

Mardinger¹,

Drover²,

Hyndman³

et al. 2023

cjs

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Summary Scoping reviews of innovations in health care characterized by large numbers and types of publications present a unique challenge. A novel software application, Synthesis, can efficiently scan the literature to map the evidence and inform practice. We applied Synthesis to the National Surgical Quality Improvement Program (NSQIP), a high-quality database designed to measure risk-adjusted 30-day surgical outcomes for national and international benchmarking. The scoping review describes the breadth of studies in the NSQIP literature. We performed a comprehensive electronic literature search using PubMed, MEDLINE, Web of Knowledge and Scopus to capture all NSQIP articles published between Jan. 1, 2000, and Dec. 31, 2020. Two reviewers independently reviewed articles to determine their relevance using predefined inclusion criteria. We imported references into Synthesis to semiautomate data management. Extracted data included surgical specialty, study type and year of publication. Of the 4661 NSQIP articles included, 3631 (77.9%) were published within the last 5 years. Among NSQIP-related articles, the most common study types were based on outcomes (46.7%) and association (41.7%), and the most common surgical specialties were general surgery and orthopedic surgery, representing 35.7% and 24.0% of the articles, respectively. Synthesis enabled a rapid review of thousands of NSQIP publications. The scoping review provided an overview of the articles in the NSQIP literature and suggested that the NSQIP is increasingly being described in publications of quality and safety in surgery.

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Section: Discussionmentioning

confidence: 99%

“…Systematic and scoping reviews have reported on specific patient populations, surgical specialties and procedures within the NSQIP literature. 6 – 10 However, little is known about the entire breadth of research being conducted and the types of articles being published.…”

mentioning

confidence: 99%

A novel computerized approach to scoping reviews using Synthesis software: the first 15 years of The American College of Surgeons National Surgical Quality Improvement Program

Mardinger¹,

Drover²,

Hyndman³

et al. 2023

cjs

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“…While the advent of large multicenter studies and national datasets has led to a focus on risk stratification, the clinical impact of these efforts has been relatively limited. 17 Choosing a single metric to assess the impact of risk stratification is also difficult. For this study, we selected revision surgery, a readily identifiable serious adverse event that negatively affects both cost and outcome.…”

Section: Discussionmentioning

confidence: 99%

Neurologic Disease Is a Risk Factor for Revision After Lumbar Spine Fusion

Glassman

Carreon

Dimar

et al. 2019

Global Spine Journal

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Study Design: Medicare database analysis. Objective: The purpose of this study was to investigate whether neurologic disorders represent a risk factor for revision after lumbar spine surgery. Methods: Patients who underwent lumbar spine surgery were identified from 5% Medicare Part B claims between 2005 and 2008. Cox regression analysis was used to evaluate risk factors for revision within the 7 years after the index lumbar surgery. Covariates included age, gender, race, census region, Medicare buy-in status, Charlson score, year, prior lumbar fusion within 2 years of index surgery, prior diagnosis of cervical spondylotic myelopathy treated with or without cervical spine surgery, and diagnoses of other neuromuscular conditions. Results: Of 8665 cases who had decompression only, 401 (5%) had a revision within 7 years after the index surgery. Factors predictive of revision were prior lumbar fusion (hazard ratio [HR] = 2.78, confidence interval [CI] = 1.43-5.37, P = .002) and being female (HR = 1.61, CI = 1.31-1.97, P < .001). Of 5501 cases who had a decompression and fusion, 752 (14%) had a revision surgery within 7 years after the index surgery. Factors predictive of revision were the presence of a neurologic disorder (HR = 1.24, CI = 1.05-1.46, P = .010), prior lumbar fusion (HR = 3.09, CI = 2.05-4.63, P < .001), and being female (HR = 1.35, CI = 1.15-1.57, P < .001). Conclusions: An increase in revision rate ( P = 0.01, HR = 1.24) was seen in patients with neurologic disorders undergoing lumbar decompression and fusion, although not for patients undergoing decompression alone. This suggests an opportunity to improve clinical outcome and reduce revision rate through improved surgical decision making or treatment of the neurologic disorder.

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“…Retrospective data was retrieved from the NSQIP ACS database which aggregates around 250 HIPAA compliant variables on cases submitted from more than 700 sites [ 7 , 8 ]. Patients who underwent lumbar microdiscectomy were identified using Current Procedural Terminology (CPT) code 63030 to assess demographic variables, health history, comorbidities, and postoperative events limited to 30 days following surgery.…”

Section: Methodsmentioning

confidence: 99%

The effect of low preoperative platelet count on adverse outcomes following lumbar microdiscectomy

Aynaszyan

Udoeyo

DelSole

2022

North American Spine Society Journal (NASSJ)

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A systematic review of spinal research conducted using the National Surgical Quality Improvement Program

Cited by 5 publications

References 17 publications

A novel computerized approach to scoping reviews using Synthesis software: the first 15 years of The American College of Surgeons National Surgical Quality Improvement Program

A novel computerized approach to scoping reviews using Synthesis software: the first 15 years of The American College of Surgeons National Surgical Quality Improvement Program

Neurologic Disease Is a Risk Factor for Revision After Lumbar Spine Fusion

The effect of low preoperative platelet count on adverse outcomes following lumbar microdiscectomy

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