Spine
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Meta Analysis Comparative Study
Percutaneous Transforaminal Endoscopic Discectomy versus Open Microdiscectomy for Lumbar Disc Herniation: A Systematic Review and Meta-analysis.
Systematic review and meta-analysis. ⋯ There is moderate quality evidence suggesting no difference in leg pain or functional status at intermediate and long-term follow-up between PTED and OM in the treatment of LDH. High quality, robust studies reporting on clinical outcomes and cost-effectiveness on the long term are lacking.Level of Evidence: 2.
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Retrospective cohort study. ⋯ From a nationwide database analysis of 3221 patients, wound complications are predictors of both prolonged LOS and readmission. Patient comorbidities, including diabetes, higher ASA classification, female sex, and higher BMI also increased risk of prolonged LOS or readmission.Level of Evidence: 3.
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Individual participant data (IPD) meta-analysis. ⋯ We did not identify any moderators that enable clinicians to identify which patients are likely to benefit more from SMT compared to other treatments.Level of Evidence: 2.