{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T03:09:21Z","timestamp":1793761761611,"version":"4.6.1"},"reference-count":32,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,4,1]]},"abstract":"<jats:sec>\n<jats:title>OBJECTIVE<\/jats:title>\n<jats:p>Degenerative cervical myelopathy (DCM) results in significant morbidity. The duration of symptoms prior to surgical intervention may be associated with postoperative surgical outcomes and functional recovery. The authors\u2019 objective was to investigate whether delayed surgical treatment for DCM is associated with worsened postoperative outcomes.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>METHODS<\/jats:title>\n<jats:p>Data from 1036 patients across 14 surgical centers in the Quality Outcomes Database were analyzed. Baseline demographic characteristics and findings of preoperative and postoperative symptom evaluations, including duration of symptoms, were assessed. Postoperative functional outcomes were measured using the Neck Disability Index (NDI) and modified Japanese Orthopaedic Association (mJOA) scale. Symptom duration was classified as either less than 12 months or 12 months or greater. Univariable and multivariable regression were used to evaluate for the associations between symptom duration and postoperative outcomes.<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>RESULTS<\/jats:title>\n<jats:p>In this study, 513 patients (49.5%) presented with symptom duration &lt; 12 months, and 523 (50.5%) had symptoms for 12 months or longer. Patients with longer symptom duration had higher BMI and higher prevalence of anxiety and diabetes (all p &lt; 0.05). Symptom duration \u2265 12 months was associated with higher average baseline NDI score (41 vs 36, p &lt; 0.01). However, improvements in NDI scores from baseline were not significantly different between groups at 3 months (p = 0.77) or 12 months (p = 0.51). Likewise, the authors found no significant differences between groups in changes in mJOA scores from baseline to 3 months or 12 months (both p &gt; 0.05).<\/jats:p>\n<\/jats:sec>\n<jats:sec>\n<jats:title>CONCLUSIONS<\/jats:title>\n<jats:p>Surgical intervention resulted in improved mJOA and NDI scores at 3 months, and this improvement was sustained in both patients with short and longer initial symptom duration. Patients with DCM can still undergo successful surgical management despite delayed presentation.<\/jats:p>\n<\/jats:sec>","DOI":"10.3171\/2021.7.spine21590","type":"journal-article","created":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T07:30:55Z","timestamp":1637911855000},"page":"568-574","source":"Crossref","is-referenced-by-count":19,"title":["Association of \u2265 12 months of delayed surgical treatment for cervical myelopathy with worsened postoperative outcomes: a multicenter analysis of the Quality Outcomes Database"],"prefix":"10.3171","volume":"36","author":[{"given":"David T.","family":"Asuzu","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University of Virginia, Charlottesville, Virginia;"},{"name":"Surgical Neurology Branch, National Institute of Neurologic Disorders and Stroke, National Institutes of Health, Bethesda, Maryland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan J.","family":"Yun","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Virginia, Charlottesville, Virginia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Ali","family":"Alvi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew K.","family":"Chan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California, San Francisco, San Francisco, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheerag D.","family":"Upadhyaya","sequence":"additional","affiliation":[{"name":"Saint Luke\u2019s Neurological and Spine Surgery, Kansas City, Missouri;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Domagoj","family":"Coric","sequence":"additional","affiliation":[{"name":"Carolina Neurosurgery and Spine Associates, Charlotte, North Carolina;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric A.","family":"Potts","sequence":"additional","affiliation":[{"name":"Goodman Campbell Brain and Spine, Carmel, Indiana;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica F.","family":"Bisson","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Utah, Salt Lake City, Utah;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay D.","family":"Turner","sequence":"additional","affiliation":[{"name":"Barrow Neurological Institute, Phoenix, Arizona;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jack J.","family":"Knightly","sequence":"additional","affiliation":[{"name":"Altair Health Spine and Wellness, Morristown, New Jersey;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kai-Ming","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Weill Cornell Medicine, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin T.","family":"Foley","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Tennessee, Memphis, Tennessee;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Tumialan","sequence":"additional","affiliation":[{"name":"Barrow Neurological Institute, Phoenix, Arizona;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Shaffrey","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Virginia, Charlottesville, Virginia;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamad","family":"Bydon","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Mayo Clinic, Rochester, Minnesota;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen V.","family":"Mummaneni","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of California, San Francisco, San Francisco, California;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Meyer","sequence":"additional","affiliation":[{"name":"Altair Health Spine and Wellness, Morristown, New Jersey;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony L.","family":"Asher","sequence":"additional","affiliation":[{"name":"Carolina Neurosurgery and Spine Associates, Charlotte, North Carolina;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oren N.","family":"Gottfried","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Duke University Medical Center, Durham, North Carolina; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khoi D.","family":"Than","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Duke University Medical Center, Durham, North Carolina; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael Y.","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Avery L.","family":"Buchholz","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Virginia, Charlottesville, Virginia;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"1","key":"b1","series-title":"Neurosurg Clin N Am","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1016\/j.nec.2017.09.020","article-title":"Significant predictors of outcome following surgery for the treatment of degenerative cervical myelopathy: a systematic review of the literature","volume":"29","author":"Tetreault L","year":"2018","unstructured":"Tetreault L, \nPalubiski LM, \nKryshtalskyj M, \nIdler RK, \nMartin AR, \nGanau M, \n\n \nSignificant predictors of outcome following surgery for the treatment of degenerative cervical myelopathy: a systematic review of the literature. \nNeurosurg Clin N Am. \n2018;\n29(\n1):\n115\u2013\n127.e35.\n10.1016\/j.nec.2017.09.02029173423"},{"issue":"9","key":"b2","series-title":"PLoS One","first-page":"e0222134","article-title":"Duration of symptoms in the quantification of upper limb disability and impairment for individuals with mild degenerative cervical myelopathy (DCM)","volume":"14","author":"Kalsi-Ryan S","year":"2019","unstructured":"Kalsi-Ryan S, \nClout J, \nRostami P, \nMassicotte EM, \nFehlings MG\n. \nDuration of symptoms in the quantification of upper limb disability and impairment for individuals with mild degenerative cervical myelopathy (DCM). \n\nHawryluk GWJ, ed.PLoS One.2019;14(9):e0222134.31498813"},{"issue":"2","key":"b3","series-title":"N Engl J Med","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1056\/NEJMra2003558","article-title":"Degenerative cervical spondylosis","volume":"383","author":"Theodore N","year":"2020","unstructured":"Theodore N\n. \nDegenerative cervical spondylosis. \nN Engl J Med. \n2020;\n383(\n2):\n159\u2013\n168.\n3264013410.1056\/NEJMra2003558"},{"issue":"6","key":"b4","series-title":"Global Spine J","doi-asserted-by":"publisher","first-page":"572","DOI":"10.1177\/2192568217699208","article-title":"Current diagnosis and management of cervical spondylotic myelopathy","volume":"7","author":"Bakhsheshian J","year":"2017","unstructured":"Bakhsheshian J, \nMehta VA, \nLiu JC\n. \nCurrent diagnosis and management of cervical spondylotic myelopathy. \nGlobal Spine J. \n2017;\n7(\n6):\n572\u2013\n586.\n10.1177\/219256821769920828894688"},{"issue":"12","key":"b5","series-title":"Spine","doi-asserted-by":"publisher","first-page":"E675","DOI":"10.1097\/BRS.0000000000000913","article-title":"Degenerative cervical myelopathy: epidemiology, genetics, and pathogenesis","volume":"40","author":"Nouri A","year":"2015","unstructured":"Nouri A, \nTetreault L, \nSingh A, \nKaradimas SK, \nFehlings MG\n. \nDegenerative cervical myelopathy: epidemiology, genetics, and pathogenesis. \nSpine (Phila Pa 1976).\n2015;\n40(\n12):\nE675\u2013\nE693.\n10.1097\/BRS.000000000000091325839387"},{"issue":"suppl 2","key":"b6","series-title":"Eur Spine J","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1007\/s00586-013-2781-x","article-title":"Prevalence of cervical spondylotic myelopathy","volume":"24","author":"Boogaarts HD","year":"2015","unstructured":"Boogaarts HD, \nBartels RHMA\n. \nPrevalence of cervical spondylotic myelopathy. \nEur Spine J. \n2015;24(suppl 2):139\u2013141.\n10.1007\/s00586-013-2781-x23616201"},{"issue":"1","key":"b7","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E10","DOI":"10.3171\/2013.4.FOCUS13122","article-title":"Epidemiology of cervical spondylotic myelopathy and its risk of causing spinal cord injury: a national cohort study","volume":"35","author":"Wu JC","year":"2013","unstructured":"Wu JC, \nKo CC, \nYen YS, \nHuang WC, \nChen YC, \nLiu L, \n\n \nEpidemiology of cervical spondylotic myelopathy and its risk of causing spinal cord injury: a national cohort study. \nNeurosurg Focus. \n2013;\n35(\n1):\nE10.\n2381524610.3171\/2013.4.FOCUS13122"},{"issue":"3","key":"b8","series-title":"Curr Rev Musculoskelet Med","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1007\/s12178-016-9348-5","article-title":"Degenerative cervical myelopathy","volume":"9","author":"Kato S","year":"2016","unstructured":"Kato S, \nFehlings M\n. \nDegenerative cervical myelopathy. \nCurr Rev Musculoskelet Med. \n2016;\n9(\n3):\n263\u2013\n271.\n2725004010.1007\/s12178-016-9348-5"},{"issue":"316","key":"b9","series-title":"Sci Transl Med","doi-asserted-by":"publisher","first-page":"316ra194","DOI":"10.1126\/scitranslmed.aac6524","article-title":"Riluzole blocks perioperative ischemia-reperfusion injury and enhances postdecompression outcomes in cervical spondylotic myelopathy","volume":"7","author":"Karadimas SK","year":"2015","unstructured":"Karadimas SK, \nLaliberte AM, \nTetreault L, \nChung YS, \nArnold P, \nFoltz WD, \nFehlings MG\n. \nRiluzole blocks perioperative ischemia-reperfusion injury and enhances postdecompression outcomes in cervical spondylotic myelopathy. \nSci Transl Med. \n2015;\n7(\n316):\n316ra194\u2013\n316ra194.\n2663163310.1126\/scitranslmed.aac6524"},{"issue":"11","key":"b10","series-title":"JCI Insight","doi-asserted-by":"publisher","first-page":"92512","DOI":"10.1172\/jci.insight.92512","article-title":"Delayed decompression exacerbates ischemia-reperfusion injury in cervical compressive myelopathy","volume":"2","author":"Vidal PM","year":"2017","unstructured":"Vidal PM, \nKaradimas SK, \nUlndreaj A, \nLaliberte AM, \nTetreault L, \nForner S, \n\n \nDelayed decompression exacerbates ischemia-reperfusion injury in cervical compressive myelopathy. \nJCI Insight. \n2017;\n2(\n11):\n92512.\n2857027110.1172\/jci.insight.92512"},{"issue":"6","key":"b11","series-title":"Spine","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1097\/00007632-199603150-00017","article-title":"The North American Spine Society Lumbar Spine Outcome Assessment Instrument: reliability and validity tests","volume":"21","author":"Daltroy LH","year":"1996","unstructured":"Daltroy LH, \nCats-Baril WL, \nKatz JN, \nFossel AH, \nLiang MH\n. \nThe North American Spine Society Lumbar Spine Outcome Assessment Instrument: reliability and validity tests. \nSpine (Phila Pa 1976).\n1996;\n21(\n6):\n741\u2013\n749.\n888269810.1097\/00007632-199603150-00017"},{"issue":"5","key":"b12","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E2","DOI":"10.3171\/2020.2.FOCUS207","article-title":"Quality Outcomes Database Spine Care Project 2012-2020: milestones achieved in a collaborative North American outcomes registry to advance value-based spine care and evolution to the American Spine Registry","volume":"48","author":"Asher AL","year":"2020","unstructured":"Asher AL, \nKnightly J, \nMummaneni PV, \nAlvi MA, \nMcGirt MJ, \nYolcu YU, \n\n \nQuality Outcomes Database Spine Care Project 2012-2020: milestones achieved in a collaborative North American outcomes registry to advance value-based spine care and evolution to the American Spine Registry. \nNeurosurg Focus. \n2020;\n48(\n5):\nE2.\n10.3171\/2020.2.FOCUS207"},{"issue":"4","key":"b13","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"919","DOI":"10.1093\/neuros\/nyy144","article-title":"Comparison of outcomes following anterior vs posterior fusion surgery for patients with degenerative cervical myelopathy: an analysis from Quality Outcomes Database","volume":"84","author":"Asher AL","year":"2019","unstructured":"Asher AL, \nDevin CJ, \nKerezoudis P, \nChotai S, \nNian H, \nHarrell FE Jr, \n\n \nComparison of outcomes following anterior vs posterior fusion surgery for patients with degenerative cervical myelopathy: an analysis from Quality Outcomes Database. \nNeurosurgery. \n2019;\n84(\n4):\n919\u2013\n926.\n10.1093\/neuros\/nyy14429741718"},{"issue":"6","key":"b14","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"763","DOI":"10.1093\/neuros\/nyz325","article-title":"Trajectory of improvement in myelopathic symptoms from 3 to 12 months following surgery for degenerative cervical myelopathy","volume":"86","author":"Khan I","year":"2020","unstructured":"Khan I, \nArcher KR, \nWanner JP, \nBydon M, \nPennings JS, \nSivaganesan A, \n\n \nTrajectory of improvement in myelopathic symptoms from 3 to 12 months following surgery for degenerative cervical myelopathy. \nNeurosurgery. \n2020;\n86(\n6):\n763\u2013\n768.\n10.1093\/neuros\/nyz32531435676"},{"issue":"2","key":"b15","series-title":"Neurosurg Clin N Am","doi-asserted-by":"publisher","first-page":"253","DOI":"10.1016\/j.nec.2014.11.010","article-title":"Using clinical registries to improve the quality of neurosurgical care","volume":"26","author":"Asher AL","year":"2015","unstructured":"Asher AL, \nParker SL, \nRolston JD, \nSelden NR, \nMcGirt MJ\n. \nUsing clinical registries to improve the quality of neurosurgical care. \nNeurosurg Clin N Am. \n2015;26(2):253\u2013263,\nix\u2013x.\n2577128110.1016\/j.nec.2014.11.010"},{"issue":"1","key":"b16","series-title":"Neurosurg Focus","doi-asserted-by":"publisher","first-page":"E2","DOI":"10.3171\/2012.10.FOCUS12311","article-title":"The National Neurosurgery Quality and Outcomes Database and NeuroPoint Alliance: rationale, development, and implementation","volume":"34","author":"Asher AL","year":"2013","unstructured":"Asher AL, \nMcCormick PC, \nSelden NR, \nGhogawala Z, \nMcGirt MJ\n. \nThe National Neurosurgery Quality and Outcomes Database and NeuroPoint Alliance: rationale, development, and implementation. \nNeurosurg Focus. \n2013;\n34(\n1):\nE2.\n2327826310.3171\/2012.10.FOCUS12311"},{"issue":"2","key":"b17","series-title":"J Manipulative Physiol Ther","first-page":"75","article-title":"Psychometric properties of the neck disability index","volume":"21","author":"Hains F","year":"1998","unstructured":"Hains F, \nWaalen J, \nMior S\n. \nPsychometric properties of the neck disability index. \nJ Manipulative Physiol Ther. \n1998;\n21(\n2):\n75\u2013\n80.\n9502061"},{"issue":"7","key":"b18","series-title":"J Manipulative Physiol Ther","first-page":"409","article-title":"The Neck Disability Index: a study of reliability and validity","volume":"14","author":"Vernon H","year":"1991","unstructured":"Vernon H, \nMior S\n. \nThe Neck Disability Index: a study of reliability and validity. \nJ Manipulative Physiol Ther. \n1991;\n14(\n7):\n409\u2013\n415.\n1834753"},{"issue":"7","key":"b19","series-title":"J Manipulative Physiol Ther","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1016\/j.jmpt.2008.08.006","article-title":"The Neck Disability Index: state-of-the-art, 1991-2008","volume":"31","author":"Vernon H","year":"2008","unstructured":"Vernon H\n. \nThe Neck Disability Index: state-of-the-art, 1991-2008. \nJ Manipulative Physiol Ther. \n2008;\n31(\n7):\n491\u2013\n502.\n10.1016\/j.jmpt.2008.08.00618803999"},{"issue":"5","key":"b20","series-title":"J Orthop Sports Phys Ther","doi-asserted-by":"publisher","first-page":"400","DOI":"10.2519\/jospt.2009.2930","article-title":"Measurement properties of the neck disability index: a systematic review","volume":"39","author":"MacDermid JC","year":"2009","unstructured":"MacDermid JC, \nWalton DM, \nAvery S, \nBlanchard A, \nEtruw E, \nMcAlpine C, \nGoldsmith CH\n. \nMeasurement properties of the neck disability index: a systematic review. \nJ Orthop Sports Phys Ther. \n2009;\n39(\n5):\n400\u2013\n417.\n10.2519\/jospt.2009.293019521015"},{"issue":"3","key":"b21","series-title":"J Spinal Disord","doi-asserted-by":"publisher","first-page":"286","DOI":"10.1097\/00002517-199109000-00005","article-title":"Cervical laminectomy and dentate ligament section for cervical spondylotic myelopathy","volume":"4","author":"Benzel EC","year":"1991","unstructured":"Benzel EC, \nLancon J, \nKesterson L, \nHadden T\n. \nCervical laminectomy and dentate ligament section for cervical spondylotic myelopathy. \nJ Spinal Disord. \n1991;\n4(\n3):\n286\u2013\n295.\n10.1097\/00002517-199109000-000051802159"},{"issue":"22)(suppl 1","key":"b22","series-title":"Spine","doi-asserted-by":"publisher","first-page":"S111","DOI":"10.1097\/BRS.0b013e3182a7f499","article-title":"Ancillary outcome measures for assessment of individuals with cervical spondylotic myelopathy","volume":"38","author":"Kalsi-Ryan S","year":"2013","unstructured":"Kalsi-Ryan S, \nSingh A, \nMassicotte EM, \nArnold PM, \nBrodke DS, \nNorvell DC, \n\n \nAncillary outcome measures for assessment of individuals with cervical spondylotic myelopathy. \nSpine (Phila Pa 1976).\n2013;\n38(\n22)(suppl 1):\nS111\u2013\nS122.\n2396300910.1097\/BRS.0b013e3182a7f499"},{"issue":"7","key":"b23","series-title":"Spine","doi-asserted-by":"publisher","first-page":"870","DOI":"10.1097\/00007632-198807000-00032","article-title":"Operative procedure and results of expansive open-door laminoplasty","volume":"13","author":"Hirabayashi K","year":"1988","unstructured":"Hirabayashi K, \nSatomi K\n. \nOperative procedure and results of expansive open-door laminoplasty. \nSpine (Phila Pa 1976).\n1988;\n13(\n7):\n870\u2013\n876.\n314315710.1097\/00007632-198807000-00032"},{"issue":"1-2","key":"b24","series-title":"Biometrika","first-page":"28","article-title":"The generalisation of student\u2019s problems when several different population variances are involved","volume":"34","author":"Welch BL","year":"1947","unstructured":"Welch BL\n. \nThe generalisation of student\u2019s problems when several different population variances are involved. \nBiometrika. \n1947;\n34(\n1-2):\n28\u2013\n35.\n20287819"},{"issue":"3","key":"b25","series-title":"Spine J","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1016\/j.spinee.2014.09.017","article-title":"The duration of symptoms and clinical outcomes in patients undergoing anterior cervical discectomy and fusion for degenerative disc disease and radiculopathy","volume":"15","author":"Burneikiene S","year":"2015","unstructured":"Burneikiene S, \nNelson EL, \nMason A, \nRajpal S, \nVillavicencio AT\n. \nThe duration of symptoms and clinical outcomes in patients undergoing anterior cervical discectomy and fusion for degenerative disc disease and radiculopathy. \nSpine J. \n2015;\n15(\n3):\n427\u2013\n432.\n10.1016\/j.spinee.2014.09.01725264315"},{"issue":"8","key":"b26","series-title":"Arch Pediatr Adolesc Med","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1001\/archpediatrics.2009.78","article-title":"Relation between socioeconomic status and body mass index: evidence of an indirect path via television use","volume":"163","author":"Morgenstern M","year":"2009","unstructured":"Morgenstern M, \nSargent JD, \nHanewinkel R\n. \nRelation between socioeconomic status and body mass index: evidence of an indirect path via television use. \nArch Pediatr Adolesc Med. \n2009;\n163(\n8):\n731\u2013\n738.\n10.1001\/archpediatrics.2009.7819652105"},{"issue":"3","key":"b27","series-title":"J Epidemiol Community Health","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1136\/jech.54.3.173","article-title":"Diabetes prevalence and socioeconomic status: a population based study showing increased prevalence of type 2 diabetes mellitus in deprived areas","volume":"54","author":"Connolly V","year":"2000","unstructured":"Connolly V, \nUnwin N, \nSherriff P, \nBilous R, \nKelly W\n. \nDiabetes prevalence and socioeconomic status: a population based study showing increased prevalence of type 2 diabetes mellitus in deprived areas. \nJ Epidemiol Community Health. \n2000;\n54(\n3):\n173\u2013\n177.\n10.1136\/jech.54.3.17310746110"},{"issue":"7","key":"b28","series-title":"J Clin Diagn Res","first-page":"LC18","article-title":"Association between socioeconomic status and diabetes mellitus: The National Socioeconomics Survey, 2010 and 2012","volume":"11","author":"Suwannaphant K","year":"2017","unstructured":"Suwannaphant K, \nLaohasiriwong W, \nPuttanapong N, \nSaengsuwan J, \nPhajan T\n. \nAssociation between socioeconomic status and diabetes mellitus: The National Socioeconomics Survey, 2010 and 2012. \nJ Clin Diagn Res. \n2017;\n11(\n7):\nLC18\u2013\nLC22.\n28892937"},{"issue":"2","key":"b29","series-title":"Circulation","doi-asserted-by":"publisher","first-page":"168","DOI":"10.1161\/CIRCULATIONAHA.106.176040","article-title":"Reducing delay in seeking treatment by patients with acute coronary syndrome and stroke: a scientific statement from the American Heart Association Council on cardiovascular nursing and stroke council","volume":"114","author":"Moser DK","year":"2006","unstructured":"Moser DK, \nKimble LP, \nAlberts MJ, \nAlonzo A, \nCroft JB, \nDracup K, \n\n \nReducing delay in seeking treatment by patients with acute coronary syndrome and stroke: a scientific statement from the American Heart Association Council on cardiovascular nursing and stroke council. \nCirculation. \n2006;\n114(\n2):\n168\u2013\n182.\n10.1161\/CIRCULATIONAHA.106.17604016801458"},{"issue":"Suppl 2","key":"b30","series-title":"J Health Commun","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1080\/10810730.2014.934936","article-title":"Predictors of health care system and physician distrust in hospitalized cardiac patients","volume":"19","author":"Gupta C","year":"2014","unstructured":"Gupta C, \nBell SP, \nSchildcrout JS, \nFletcher S, \nGoggins KM, \nKripalani S, \n\n \nPredictors of health care system and physician distrust in hospitalized cardiac patients. \nJ Health Commun. \n2014;19(Suppl 2):44\u201360.\n10.1080\/10810730.2014.93493625315583"},{"issue":"7","key":"b31","series-title":"Global Spine J","doi-asserted-by":"publisher","first-page":"929","DOI":"10.1177\/2192568219886595","article-title":"Correlating psychological comorbidities and outcomes after spine surgery","volume":"10","author":"Jackson KL","year":"2020","unstructured":"Jackson KL, \nRumley J, \nGriffith M, \nAgochukwu U, \nDeVine J\n. \nCorrelating psychological comorbidities and outcomes after spine surgery. \nGlobal Spine J. \n2020;\n10(\n7):\n929\u2013\n939.\n10.1177\/219256821988659532905726"},{"issue":"1","key":"b32","series-title":"Sci Rep","doi-asserted-by":"publisher","first-page":"13415","DOI":"10.1038\/s41598-020-70437-9","article-title":"Psychological predictors of quality of life after anterior cervical discectomy and fusion for degenerative cervical spine disease","volume":"10","author":"Wagner A","year":"2020","unstructured":"Wagner A, \nShiban Y, \nZeller L, \nAftahy K, \nLange N, \nMotov S, \n\n \nPsychological predictors of quality of life after anterior cervical discectomy and fusion for degenerative cervical spine disease. \nSci Rep. \n2020;\n10(\n1):\n13415.\n3277014310.1038\/s41598-020-70437-9"}],"container-title":["Journal of Neurosurgery: Spine"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/36\/4\/article-p568.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/36\/4\/article-p568.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-spine\/36\/4\/article-p568.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,28]],"date-time":"2025-06-28T01:00:35Z","timestamp":1751072435000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-spine\/36\/4\/article-p568.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,1]]},"references-count":32,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3171\/2021.7.spine21590","relation":{},"ISSN":["1547-5654"],"issn-type":[{"value":"1547-5654","type":"print"}],"subject":[],"published":{"date-parts":[[2022,4,1]]}}}