Evidence map›Paper›PMID 41634294›Full record

ArticleScientific reports2026

Symptom clusters and symptom network analysis of patients after anterior cervical spine surgery: a cross-sectional study.

Yao-Jing Ma, Shao-Ying Sheng, Li-Ming Zheng, Ying Ren, Man-Man Wang, Qun-Fei Yu, Cheng-Fei Yu, Nan Liang, Dou-Dou Lv, Qun Ye

Abstract read
In one paragraph

Article in Scientific reports, 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yao-Jing Ma *Nursing Department, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Shao-Ying Sheng *Nursing Department, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Li-Ming ZhengDepartment of Orthopedic Surgery, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Ying RenNursing Department, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Man-Man WangNursing Department, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Qun-Fei YuNursing Department, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Cheng-Fei YuNursing Department, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Nan LiangNursing Department, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Dou-Dou LvNursing Department, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Qun YeNursing Department, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China. yequn@zju.edu.cn.

Funding

General Research Project of the Zhejiang Provincial Department of Education Y202352208Zhejiang Traditional Chinese Medicine Science and Technology Program Project 2024ZL581
6 · The paper itself

Abstract

The aim of this study was to investigate the incidence of symptoms in patients after anterior cervical spine surgery, to construct a symptom network, identify core symptoms and symptom clusters, and provide a theoretical basis for specified symptom management. A total of 375 patients who underwent anterior cervical spine surgery in a tertiary hospital in Zhejiang Province from January to August 2025 were selected using the convenience sampling method, a self-designed general information questionnaire and the MD Anderson Symptom Inventory–Head and Neck Cancer Module were used to evaluate the occurrence of patients’ symptoms. Exploratory factor analysis was conducted to extract the symptom clusters of patients after anterior cervical spine surgery. The symptom network was constructed in R language and the central indicators were analyzed. The four most common symptoms after anterior cervical spine surgery were difficulty swallowing/chewing (95.5%), sore mouth/throat (91.8%), dry mouth (91.5%), and constipation (89.1%). The four symptom clusters extracted were the pharyngolaryngeal and dysphagia symptom cluster, gastrointestinal symptom cluster, neurosensory symptom cluster, and somatic-cognitive symptom cluster, with a cumulative variance contribution rate of 66.38%. In the symptom cluster network, sore mouth/throat (rs = 2.08), difficulty swallowing/chewing (rs = 1.29), fatigue (rs = 1.19), and dry mouth (rs = 0.97) were the strongest symptoms among the four symptom groups. Sore mouth/throat, difficulty swallowing/chewing, fatigue, and dry mouth are the core symptoms of patients after anterior cervical spine surgery, and the pharyngolaryngeal and dysphagia symptom cluster is the core symptom cluster. It is recommended that medical staff formulate interventions according to the core symptoms and symptom clusters of patients. In addition, precise symptom management should be implemented.

Indexed as

Cervical VertebraePostoperative ComplicationsAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesSymptom BurdenAnterior cervical spine surgeryCore symptomsNetwork analysisSymptom clusterSymptom management

Identifiers

PMID41634294
PMCPMC12921342

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.