Neuroanesthesia & neurocritical care
Ambulatory Care vs Overnight Hospitalization After Anterior Surgery for Cervical Radiculopathy: The FACADE Randomized Clinical Trial
Primary result · NDIResult — go to the resultMean difference 1.1 percentage points 95% CI −4.6 to 6.8Authors' 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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