{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:04:46Z","timestamp":1786997086112,"version":"build-2736575974"},"reference-count":41,"publisher":"Elsevier BV","issue":"8","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/100014452","name":"College of Medicine, University of Cincinnati","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014452","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","thespinejournalonline.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Spine Journal"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.spinee.2026.03.005","type":"journal-article","created":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T08:03:40Z","timestamp":1772870620000},"page":"1488-1496","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["The association between teaching hospital status and postoperative outcomes among adults undergoing long-segment posterior lumbar instrumentation"],"prefix":"10.1016","volume":"26","author":[{"given":"Janesh","family":"Karnati","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aydin","family":"Kaghazchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Ashraf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leina","family":"Lunasco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Jelkin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shameel","family":"Abid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sruthi","family":"Ranganathan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mikayla","family":"Wallace","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mir","family":"Ashraf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Owoicho","family":"Adogwa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"5","key":"10.1016\/j.spinee.2026.03.005_bib0001","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1097\/BRS.0000000000002822","article-title":"Trends in lumbar fusion procedure rates and associated hospital costs for degenerative spinal Diseases in the United States, 2004 to 2015","volume":"44","author":"Martin","year":"2019","journal-title":"Spine (Phila Pa 1976)"},{"issue":"15","key":"10.1016\/j.spinee.2026.03.005_bib0002","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.1097\/BRS.0000000000000365","article-title":"The incidence and risk factors for short-term morbidity and mortality in pediatric deformity spinal surgery: an analysis of the NSQIP pediatric database","volume":"39","author":"Pugely","year":"2014","journal-title":"Spine (Phila Pa 1976)"},{"issue":"13","key":"10.1016\/j.spinee.2026.03.005_bib0003","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1097\/BRS.0b013e3181a03013","article-title":"Incidence, prevalence, and analysis of risk factors for surgical site infection following adult spinal surgery","volume":"34","author":"Pull ter Gunne","year":"2009","journal-title":"Spine (Phila Pa 1976)"},{"issue":"10","key":"10.1016\/j.spinee.2026.03.005_bib0004","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1016\/j.spinee.2013.02.071","article-title":"Patient factors, comorbidities, and surgical characteristics that increase mortality and complication risk after spinal arthrodesis: a prognostic study based on 5,887 patients","volume":"13","author":"Schoenfeld","year":"2013","journal-title":"Spine J"},{"issue":"8","key":"10.1016\/j.spinee.2026.03.005_bib0005","doi-asserted-by":"crossref","first-page":"1610","DOI":"10.1097\/CORR.0000000000002576","article-title":"Projections from surgical use models in Germany suggest a rising number of spinal fusions in patients 75 years and older will challenge healthcare systems worldwide","volume":"481","author":"Heck","year":"2023","journal-title":"Clin Orthop Relat Res"},{"issue":"6","key":"10.1016\/j.spinee.2026.03.005_bib0006","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1377\/hlthaff.2017.1250","article-title":"Do academic medical centers disproportionately benefit the sickest patients?","volume":"37","author":"Burke","year":"2018","journal-title":"Health Aff (Millwood)"},{"issue":"9","key":"10.1016\/j.spinee.2026.03.005_bib0007","doi-asserted-by":"crossref","first-page":"e341","DOI":"10.1371\/journal.pmed.0030341","article-title":"Patient outcomes with teaching versus nonteaching healthcare: a systematic review","volume":"3","author":"Papanikolaou","year":"2006","journal-title":"PLoS Med"},{"issue":"1","key":"10.1016\/j.spinee.2026.03.005_bib0008","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1186\/s12873-019-0285-7","article-title":"Clinical operations of academic versus nonacademic emergency departments: a descriptive comparison of two large emergency department operations surveys","volume":"19","author":"Reznek","year":"2019","journal-title":"BMC Emerg Med"},{"issue":"4","key":"10.1016\/j.spinee.2026.03.005_bib0009","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1177\/1062860618800586","article-title":"A comparative analysis of academic and nonacademic hospitals on outcome measures and patient satisfaction","volume":"34","author":"Chen","year":"2019","journal-title":"Am J Med Qual"},{"issue":"3","key":"10.1016\/j.spinee.2026.03.005_bib0010","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1111\/1468-0009.00023","article-title":"Teaching hospitals and quality of care: a review of the literature","volume":"80","author":"Ayanian","year":"2002","journal-title":"Milbank Q"},{"key":"10.1016\/j.spinee.2026.03.005_bib0011","unstructured":"Institute of Medicine Committee on the Roles of Academic Health Centers in the 21st C. In: Kohn LT, ed. Academic Health Centers: Leading Change in the 21st Century. Washington (DC): National Academies Press (US) Copyright 2004 by the National Academy of Sciences. All rights reserved.; 2004."},{"issue":"5","key":"10.1016\/j.spinee.2026.03.005_bib0012","doi-asserted-by":"crossref","first-page":"1849","DOI":"10.1016\/j.juro.2011.06.068","article-title":"Radical prostatectomy at academic versus nonacademic institutions: a population based analysis","volume":"186","author":"Trinh","year":"2011","journal-title":"J Urol"},{"issue":"5","key":"10.1016\/j.spinee.2026.03.005_bib0013","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1177\/0194599816654689","article-title":"Quality indicators for head and neck oncologic surgery: academic versus nonacademic outcomes","volume":"155","author":"Puram","year":"2016","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"3","key":"10.1016\/j.spinee.2026.03.005_bib0014","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1007\/s11606-019-05449-x","article-title":"comparing outcomes and costs of medical patients treated at major teaching and non-teaching hospitals: a national matched analysis","volume":"35","author":"Silber","year":"2020","journal-title":"J Gen Intern Med"},{"issue":"5","key":"10.1016\/j.spinee.2026.03.005_bib0015","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1097\/BRS.0000000000000149","article-title":"Complications after lumbar spine surgery between teaching and nonteaching hospitals","volume":"39","author":"Nandyala","year":"2014","journal-title":"Spine (Phila Pa 1976)"},{"issue":"4","key":"10.1016\/j.spinee.2026.03.005_bib0016","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1177\/2192568219848666","article-title":"Effect of surgical setting on hospital-reported outcomes for elective lumbar spinal procedures: tertiary versus community hospitals","volume":"10","author":"Weir","year":"2020","journal-title":"Global Spine J"},{"issue":"1","key":"10.1016\/j.spinee.2026.03.005_bib0017","doi-asserted-by":"crossref","first-page":"15","DOI":"10.3171\/2015.11.SPINE151021","article-title":"Inpatient morbidity and mortality after adult spinal deformity surgery in teaching versus nonteaching hospitals","volume":"25","author":"De la Garza-Ramos","year":"2016","journal-title":"J Neurosurg Spine"},{"issue":"9","key":"10.1016\/j.spinee.2026.03.005_bib0018","doi-asserted-by":"crossref","first-page":"1397","DOI":"10.1016\/j.spinee.2020.05.096","article-title":"Is academic department teaching status associated with adverse outcomes after lumbar laminectomy and discectomy for degenerative spine diseases?","volume":"20","author":"Perfetti","year":"2020","journal-title":"Spine J"},{"issue":"20","key":"10.1016\/j.spinee.2026.03.005_bib0019","doi-asserted-by":"crossref","first-page":"2329","DOI":"10.1097\/01.brs.0000238968.82799.d9","article-title":"Pseudarthrosis in long adult spinal deformity instrumentation and fusion to the sacrum: prevalence and risk factor analysis of 144 cases","volume":"31","author":"Kim","year":"2006","journal-title":"Spine (Phila Pa 1976)"},{"key":"10.1016\/j.spinee.2026.03.005_bib0020","doi-asserted-by":"crossref","DOI":"10.1097\/BRS.0000000000005070","article-title":"Comparison of length of stay and discharge disposition after short-segment lumbar fusion surgery at tertiary care and non-tertiary care hospitals: a propensity score matched analysis","author":"Narayanan","year":"2024","journal-title":"Spine (Phila Pa 1976)"},{"issue":"1","key":"10.1016\/j.spinee.2026.03.005_bib0021","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2024.54745","article-title":"Patient complexity, social factors, and hospitalization outcomes at academic and community hospitals","volume":"8","author":"Colacci","year":"2025","journal-title":"JAMA Netw Open"},{"issue":"3","key":"10.1016\/j.spinee.2026.03.005_bib0022","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1089\/sur.2010.083","article-title":"The surgical care improvement project and prevention of postoperative infection, including surgical site infection","volume":"12","author":"Rosenberger","year":"2011","journal-title":"Surg Infect (Larchmt)"},{"issue":"24","key":"10.1016\/j.spinee.2026.03.005_bib0023","doi-asserted-by":"crossref","first-page":"2479","DOI":"10.1001\/jama.2010.841","article-title":"Adherence to surgical care improvement project measures and the association with postoperative infections","volume":"303","author":"Stulberg","year":"2010","journal-title":"JAMA"},{"issue":"6","key":"10.1016\/j.spinee.2026.03.005_bib0024","doi-asserted-by":"crossref","first-page":"1221","DOI":"10.1097\/SLA.0000000000004462","article-title":"Challenges and opportunities for the academic mission within expanding health systems: a qualitative study","volume":"275","author":"Chhabra","year":"2022","journal-title":"Ann Surg"},{"key":"10.1016\/j.spinee.2026.03.005_bib0025","doi-asserted-by":"crossref","first-page":"A1","DOI":"10.1016\/j.jss.2022.12.039","article-title":"Translating the value of the academic surgeon into salary, time, and resources","volume":"285","author":"Reiter","year":"2023","journal-title":"J Surg Res"},{"issue":"5","key":"10.1016\/j.spinee.2026.03.005_bib0026","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1097\/ACM.0000000000001932","article-title":"The adoption of surgical innovations at academic versus nonacademic health centers","volume":"93","author":"Yeo","year":"2018","journal-title":"Acad Med"},{"issue":"5","key":"10.1016\/j.spinee.2026.03.005_bib0027","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1097\/ACM.0b013e3181d748c3","article-title":"The future of academic surgery","volume":"85","author":"Smythe","year":"2010","journal-title":"Acad Med"},{"issue":"3","key":"10.1016\/j.spinee.2026.03.005_bib0028","doi-asserted-by":"crossref","first-page":"432","DOI":"10.1097\/SLA.0b013e3181b38de2","article-title":"Will the clinicians support the researchers and teachers? Results of a salary satisfaction survey of 947 academic surgeons","volume":"250","author":"Scarborough","year":"2009","journal-title":"Ann Surg"},{"issue":"3","key":"10.1016\/j.spinee.2026.03.005_bib0029","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1097\/SLA.0000000000002921","article-title":"An academic relative value unit system for incentivizing the academic productivity of surgery faculty members","volume":"268","author":"LeMaire","year":"2018","journal-title":"Ann Surg"},{"issue":"4","key":"10.1016\/j.spinee.2026.03.005_bib0030","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1097\/SLA.0000000000006414","article-title":"For the love of the game: calculating the premium associated with academic surgical practice","volume":"280","author":"Grimsley","year":"2024","journal-title":"Ann Surg"},{"issue":"12","key":"10.1016\/j.spinee.2026.03.005_bib0031","doi-asserted-by":"crossref","first-page":"3831","DOI":"10.1016\/j.arth.2021.08.023","article-title":"Procedures with longer intraoperative times undervalue surgeon work in total joint arthroplasty: a large, nationwide database study","volume":"36","author":"Rothfusz","year":"2021","journal-title":"J Arthroplasty"},{"issue":"10","key":"10.1016\/j.spinee.2026.03.005_bib0032","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.1016\/j.spinee.2018.01.026","article-title":"What provides a better value for your time? The use of relative value units to compare posterior segmental instrumentation of vertebral segments","volume":"18","author":"Orr","year":"2018","journal-title":"Spine J"},{"issue":"8","key":"10.1016\/j.spinee.2026.03.005_bib0033","doi-asserted-by":"crossref","first-page":"413","DOI":"10.5435\/JAAOS-D-22-00866","article-title":"Correlation of relative value units with surgical complexity and physician workload: a contemporary nationwide analysis of orthopaedic procedures","volume":"31","author":"McNassor","year":"2023","journal-title":"J Am Acad Orthop Surg"},{"issue":"11","key":"10.1016\/j.spinee.2026.03.005_bib0034","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0276812","article-title":"Patient-reported experiences and outcomes following hospital care are associated with risk of readmission among adults with chronic health conditions","volume":"17","author":"Watson","year":"2022","journal-title":"PLoS One"},{"issue":"5","key":"10.1016\/j.spinee.2026.03.005_bib0035","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1001\/jama.2014.18614","article-title":"Underlying reasons associated with hospital readmission following surgery in the United States","volume":"313","author":"Merkow","year":"2015","journal-title":"Jama"},{"issue":"4","key":"10.1016\/j.spinee.2026.03.005_bib0036","doi-asserted-by":"crossref","first-page":"484","DOI":"10.1001\/jamainternmed.2015.7863","article-title":"Preventability and causes of readmissions in a national cohort of general medicine patients","volume":"176","author":"Auerbach","year":"2016","journal-title":"JAMA Intern Med"},{"issue":"18","key":"10.1016\/j.spinee.2026.03.005_bib0037","first-page":"1715","article-title":"Quality of discharge practices and patient understanding at an academic medical center","volume":"173","author":"Horwitz","year":"2013","journal-title":"JAMA Intern Med"},{"issue":"3","key":"10.1016\/j.spinee.2026.03.005_bib0038","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1007\/s11606-012-2234-y","article-title":"Features of high quality discharge planning for patients following acute myocardial infarction","volume":"28","author":"Cherlin","year":"2013","journal-title":"J Gen Intern Med"},{"key":"10.1016\/j.spinee.2026.03.005_bib0039","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jss.2021.06.032","article-title":"Barriers to postdischarge monitoring and patient-clinician communication: a qualitative study","volume":"268","author":"Brajcich","year":"2021","journal-title":"J Surg Res"},{"issue":"3","key":"10.1016\/j.spinee.2026.03.005_bib0040","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1377\/hlthaff.2023.00843","article-title":"Higher rates of emergency surgery, serious complications, and readmissions in primary care Shortage Areas, 2015-19","volume":"43","author":"Schaefer","year":"2024","journal-title":"Health Aff (Millwood)"},{"issue":"2","key":"10.1016\/j.spinee.2026.03.005_bib0041","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1007\/s11606-022-07744-6","article-title":"Interdisciplinary team meetings in practice: an observational study of IDTs, sensemaking around care transitions, and readmission rates","volume":"38","author":"Leykum","year":"2023","journal-title":"J Gen Intern Med"}],"container-title":["The Spine Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S152994302600077X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S152994302600077X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T08:23:12Z","timestamp":1784535792000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S152994302600077X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":41,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S152994302600077X"],"URL":"https:\/\/doi.org\/10.1016\/j.spinee.2026.03.005","relation":{},"ISSN":["1529-9430"],"issn-type":[{"value":"1529-9430","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The association between teaching hospital status and postoperative outcomes among adults undergoing long-segment posterior lumbar instrumentation","name":"articletitle","label":"Article Title"},{"value":"The Spine Journal","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.spinee.2026.03.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier Inc.","name":"copyright","label":"Copyright"}]}}