Evidence map›Paper›PMID 41006670›Full record

ReviewGeroScience2026

Standardizing Preoperative Care for Elective Spine Surgery: The University of Oklahoma Elective Spine Surgery Protocol.

Lonnie Smith, David Barkyoumb, William C Kaiser, Fauziyya Muhammad, Tara Sukut, Ishan Purani, Chao Li, DO, Karl Balsara, Hakeem J Shakir and 4 more

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in GeroScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

14 authors.

Lonnie SmithDepartment of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
David BarkyoumbDepartment of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.ORCID http://orcid.org/0009-0007-4444-8930
William C KaiserDepartment of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Fauziyya MuhammadDepartment of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.ORCID http://orcid.org/0000-0003-0028-0375
Tara SukutDepartment of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Ishan PuraniDepartment of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.ORCID http://orcid.org/0009-0008-5899-3419
Chao Li
DODepartment of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Karl BalsaraDepartment of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.ORCID http://orcid.org/0000-0002-8639-771X
Hakeem J ShakirDepartment of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.ORCID http://orcid.org/0000-0003-4234-340X
M Burhan JanjuaDepartment of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.ORCID http://orcid.org/0000-0002-7948-0232
John F BurkeDepartment of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.ORCID http://orcid.org/0000-0002-6190-5116
Andrew JeaDepartment of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Zachary A SmithDepartment of Neurosurgery, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA. zachary-a-smith@ou.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As rates of spinal surgery in the United States continue to rise, the field has undergone a paradigm shift towards standardized, evidence-based care aimed at optimizing surgical outcomes. Indeed, numerous Enhanced Recovery After Surgery (ERAS) protocols have emerged and demonstrated significant success in improving outcomes in spinal surgery. In this article, we present a preoperative optimization protocol for elective spinal surgery from our own institution, which is in a state with notoriously high rates of comorbidities relative to the rest of the nation. This standardized protocol addresses six critical aspects of patient care: preoperative evaluation, bone health, diabetes, nutritional status, social risk factors, and medical comorbidities. By targeting these pillars of preoperative evaluation and management in an evidence-based, standardized manner, our protocol aims to enhance patient safety, minimize complications, and optimize the overall quality of care for our elective spinal surgery patients. In doing so, this protocol meets the growing demand for improved patient care in the expanding field of spinal surgery and lays the foundation for future advancements in elective spine protocols, thus contributing to the ongoing pursuit of optimized surgical outcomes and overall quality of care in the field.

Indexed as

Elective Surgical ProceduresPreoperative CareSpinal DiseasesClinical ProtocolsFemaleHumansMaleOklahomaPostoperative ComplicationsComplication reductionElective spine surgeryERASPreoperative careProtocolSpine surgery

Identifiers

PMID41006670
PMCPMC13356114

What Socratic 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 Socratic graph.