Reporting Complications in Spinal Surgery—a Systematic Literature Review
| Autor: | Andrei Fernandes Joaquim, Martín Gagliardi, Sergio Terrasa, Gaston Camino-Willhuber, Alfredo Guiroy, Juan P. Cabrera, Charles A Carazzo |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Evidence-based medicine Neurosurgical Procedures Checklist Spinal surgery 03 medical and health sciences Evidence quality Postoperative Complications 0302 clinical medicine Systematic review 030220 oncology & carcinogenesis medicine Humans Spinal Diseases Surgery Neurology (clinical) Intensive care medicine business Complication Adverse effect 030217 neurology & neurosurgery Health care quality |
| Zdroj: | World Neurosurgery. 150:e765-e770 |
| ISSN: | 1878-8750 |
| DOI: | 10.1016/j.wneu.2021.03.143 |
| Popis: | Many efforts are expended to improve health care quality in the surgical treatment of spinal conditions. However, the prevalence of reporting complications in spinal surgeries is highly heterogeneous, which is partially due to the lack of a universal and comprehensive system.A systematic review of the literature was performed in 5 international and indexed spine journals from January to December 2020. All clinical studies that had surgical procedures in any spinal region were classified according to level of evidence, study design, category of spinal condition, and primary outcome. The prevalence and quality of complication reporting were evaluated through a checklist.Of 455 articles screened, complications were reported in 64.2% (292 articles). A significant higher prevalence of reports was observed in randomized compared with nonrandomized studies (P0.05). In 89 articles, at least 1 classification was used to report complications, with 12 different classification systems employed in the total sample. Timing to record complications was as follows: 47 (16.1%) articles reported complications at 30 days, 31 (10.6%) reported complications at 90 days, and 88 (30.1%) reported complications during all follow-ups. In 126 (43.1%) articles, complications were not mentioned.Almost one-third of spine surgical studies did not report complications in their results despite reporting clinical outcomes. The evidence quality of the study was directly related with the reporting of complications. A high heterogeneity regarding complication reporting was seen in the literature. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect