Department of Orthopaedic Surgery, University of Rochester, Rochester, NY.
Spine (Phila Pa 1976). 2020 Jan 15;45(2):141-147. doi: 10.1097/BRS.0000000000003189.
Literature review.
To determine characteristics and trends in published spine research over a recent decade in a high impact, general orthopedic surgery journal.
Recent trends in published spine research in a high-impact orthopedic surgery journal are unknown. Such knowledge could guide future research in the field.
A comprehensive literature review of clinical and basic science spine articles published in The Journal of Bone & Joint Surgery from 2006 to 2015 was conducted. Articles were assessed for: title, year of publication, authorship, academic degrees of the authors, number of citations, institution of origin, and spine topic. Clinical articles were evaluated for: sex and race/ethnicity of the human subjects, level of evidence, and inclusion of patient-reported outcome measures (PROMs). Basic science articles were evaluated for: type of study (animal, cadaver, cell-based), sex of the animals, cadavers or cells studied (male, female, or male and female), and presence of sex-based reporting (defined as reporting of results by sex).
A total of 203 spine articles were evaluated from the 10-year study period. At least 35 validated or nonvalidated patient-reported outcome measures were utilized in clinical spine research. The most commonly reported PROMs were the Oswestry Disability Index (24.4%), Short Form-36 Health Survey (23.7%), and Visual Analog Scale for Pain (19.3%). The average level of evidence improved from 3.25 in 2006 to 2.60 in 2015. Only 13.2% of clinical spine articles reported the race/ethnicity of the subjects.
A consensus regarding validated PROMs in spine research would be valuable. From 2006 to 2015, the level of evidence of spine articles in The Journal of Bone & Joint Surgery improved. Accurate and complete reporting of patient demographics is an area for improvement in spine research in light of studies demonstrating sex and race/ethnicity-related differences in clinical outcome after spine surgery.
文献回顾。
在一份高影响力的综合骨科杂志上，确定近十年发表的脊柱研究的特点和趋势。
目前尚不清楚在高影响力的骨科杂志上发表的脊柱研究的最新趋势。这些知识可以指导该领域的未来研究。
对 2006 年至 2015 年《骨与关节外科杂志》上发表的临床和基础脊柱研究文章进行了全面的文献回顾。对文章进行了评估：标题、发表年份、作者、作者的学术学位、引用次数、来源机构以及脊柱主题。对临床文章进行了评估：人体研究对象的性别和种族/民族、证据水平以及是否包含患者报告的结果测量（PROMs）。对基础科学文章进行了评估：研究类型（动物、尸体、基于细胞的）、研究的动物、尸体或细胞的性别（男性、女性或男性和女性），以及是否存在基于性别的报告（定义为按性别报告结果）。
在十年的研究期间，共评估了 203 篇脊柱文章。在临床脊柱研究中，至少使用了 35 种经过验证或未经验证的患者报告结果测量。最常报告的 PROM 是 Oswestry 残疾指数（24.4%）、36 项简短健康调查（23.7%）和疼痛视觉模拟量表（19.3%）。证据水平从 2006 年的 3.25 提高到 2015 年的 2.60。只有 13.2%的临床脊柱文章报告了研究对象的种族/民族。
在脊柱研究中达成关于经过验证的 PROM 的共识将是有价值的。从 2006 年到 2015 年，《骨与关节外科杂志》上的脊柱文章的证据水平有所提高。考虑到研究表明性别和种族/民族与脊柱手术后临床结果相关的差异，准确和完整地报告患者人口统计学数据是脊柱研究的一个改进领域。
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