Neuroanesthesia & neurocritical care

Ambulatory Care vs Overnight Hospitalization After Anterior Surgery for Cervical Radiculopathy: The FACADE Randomized Clinical Trial

JAMA Netw OpenPublished Randomised controlled trial

Primary result · NDIResult — go to the resultMean difference 1.1 percentage points 95% CI −4.6 to 6.8

Authors' conclusion

In this RCT comparing functional outcomes of ambulatory care vs overnight hospital surveillance after ACDF, ambulatory care resulted in noninferior functional outcomes.

Study context

Population
Patients aged 18 to 62 years undergoing 1-level or 2-level anterior cervical decompression and fusion (ACDF) for cervical radiculopathy, 3 tertiary neurosurgical centres in Finland94 (90%) completed
Participants
105 patients
Comparison
Ambulatory care vs overnight hospital surveillance after ACDF
  • Ambulatory caren = 52
  • Overnight hospital surveillancen = 53reference
Primary endpoint
Neck Disability Index (NDI) (noninferiority margin 17.3 percentage points)
Follow-up
6 months
Methodological detailsparallel group, noninferiority, multicentre
  • Parallel group
  • Noninferiority
  • Multicentre

Primary result

NDI

Mean difference

1.1 percentage points

95% CI −4.6 to 6.8

By group

Ambulatory care vs Overnight hospital surveillance
mean difference 1.1 percentage points (95% CI −4.6 to 6.8)

Non-inferiority margin 17.3 as printed, not drawn

As reported in the abstract

Original publication

Ambulatory Care vs Overnight Hospitalization After Anterior Surgery for Cervical Radiculopathy: The FACADE Randomized Clinical Trial. JAMA Netw Open. Published 4 November 2024. doi:10.1001/jamanetworkopen.2024.47459

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