The Efficacy and Cost-Effectiveness of Cell Saver Use in Instrumented Posterior Correction and Fusion Surgery for Scoliosis in School-Aged Children and Adolescents
Posterior spinal instrumentation and fusion surgery in school-aged children and adolescents is associated with the potential for massive intraoperative blood loss, which requires significant allogeneic blood transfusion. Until now, the intraoperative use of the cell saver has been extensively adopte...
Gespeichert in:
| Veröffentlicht in: | PloS one Jg. 9; H. 4; S. e92997 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
United States
Public Library of Science
01.04.2014
Public Library of Science (PLoS) |
| Schlagworte: | |
| ISSN: | 1932-6203, 1932-6203 |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| Abstract | Posterior spinal instrumentation and fusion surgery in school-aged children and adolescents is associated with the potential for massive intraoperative blood loss, which requires significant allogeneic blood transfusion. Until now, the intraoperative use of the cell saver has been extensively adopted; however, its efficacy and cost-effectiveness have not been well established. Therefore, the aim of this study is to determine the efficacy and cost-effectiveness of intraoperative cell saver use. This study was a single-center, retrospective study of 247 school-aged and adolescent patients who underwent posterior spinal instrumentation and fusion surgery between August 2007 and June 2013. A cell saver was used intraoperatively in 67 patients and was not used in 180 patients. Matched case-control pairs were selected using a propensity score to balance potential confounders in baseline characteristics. Allogeneic red blood cell (RBC) and plasma transfusions as well as blood transfusion costs were analyzed. The propensity score matching produced 60 matched pairs. Compared to the control group, the cell saver group had significantly fewer intraoperative allogeneic RBC transfusions (P = 0.012). However, when the combined postoperative and total perioperative periods were evaluated for the use of allogeneic RBC transfusion, no significant differences were observed between the two groups (P = 0.813 and P = 0.101, respectively). With regard to the total cost of perioperative transfusion of all blood products (RBC and plasma), costs for the control group were slightly lower than those of the cell saver group, but this variance did not reach statistical significance (P = 0.095). The use of the cell saver in posterior spinal instrumentation and fusion surgery in school-aged children and adolescents was able to decrease the amount of intraoperative allogeneic RBC transfusion but failed to decrease total perioperative allogeneic RBC transfusion. Moreover, the use of the cell saver was not cost-effective. |
|---|---|
| AbstractList | Posterior spinal instrumentation and fusion surgery in school-aged children and adolescents is associated with the potential for massive intraoperative blood loss, which requires significant allogeneic blood transfusion. Until now, the intraoperative use of the cell saver has been extensively adopted; however, its efficacy and cost-effectiveness have not been well established. Therefore, the aim of this study is to determine the efficacy and cost-effectiveness of intraoperative cell saver use. This study was a single-center, retrospective study of 247 school-aged and adolescent patients who underwent posterior spinal instrumentation and fusion surgery between August 2007 and June 2013. A cell saver was used intraoperatively in 67 patients and was not used in 180 patients. Matched case-control pairs were selected using a propensity score to balance potential confounders in baseline characteristics. Allogeneic red blood cell (RBC) and plasma transfusions as well as blood transfusion costs were analyzed. The propensity score matching produced 60 matched pairs. Posterior spinal instrumentation and fusion surgery in school-aged children and adolescents is associated with the potential for massive intraoperative blood loss, which requires significant allogeneic blood transfusion. Until now, the intraoperative use of the cell saver has been extensively adopted; however, its efficacy and cost-effectiveness have not been well established. Therefore, the aim of this study is to determine the efficacy and cost-effectiveness of intraoperative cell saver use. This study was a single-center, retrospective study of 247 school-aged and adolescent patients who underwent posterior spinal instrumentation and fusion surgery between August 2007 and June 2013. A cell saver was used intraoperatively in 67 patients and was not used in 180 patients. Matched case-control pairs were selected using a propensity score to balance potential confounders in baseline characteristics. Allogeneic red blood cell (RBC) and plasma transfusions as well as blood transfusion costs were analyzed. The propensity score matching produced 60 matched pairs. Compared to the control group, the cell saver group had significantly fewer intraoperative allogeneic RBC transfusions (P = 0.012). However, when the combined postoperative and total perioperative periods were evaluated for the use of allogeneic RBC transfusion, no significant differences were observed between the two groups (P = 0.813 and P = 0.101, respectively). With regard to the total cost of perioperative transfusion of all blood products (RBC and plasma), costs for the control group were slightly lower than those of the cell saver group, but this variance did not reach statistical significance (P = 0.095). The use of the cell saver in posterior spinal instrumentation and fusion surgery in school-aged children and adolescents was able to decrease the amount of intraoperative allogeneic RBC transfusion but failed to decrease total perioperative allogeneic RBC transfusion. Moreover, the use of the cell saver was not cost-effective. Posterior spinal instrumentation and fusion surgery in school-aged children and adolescents is associated with the potential for massive intraoperative blood loss, which requires significant allogeneic blood transfusion. Until now, the intraoperative use of the cell saver has been extensively adopted; however, its efficacy and cost-effectiveness have not been well established. Therefore, the aim of this study is to determine the efficacy and cost-effectiveness of intraoperative cell saver use. This study was a single-center, retrospective study of 247 school-aged and adolescent patients who underwent posterior spinal instrumentation and fusion surgery between August 2007 and June 2013. A cell saver was used intraoperatively in 67 patients and was not used in 180 patients. Matched case-control pairs were selected using a propensity score to balance potential confounders in baseline characteristics. Allogeneic red blood cell (RBC) and plasma transfusions as well as blood transfusion costs were analyzed. The propensity score matching produced 60 matched pairs. Compared to the control group, the cell saver group had significantly fewer intraoperative allogeneic RBC transfusions (P = 0.012). However, when the combined postoperative and total perioperative periods were evaluated for the use of allogeneic RBC transfusion, no significant differences were observed between the two groups (P = 0.813 and P = 0.101, respectively). With regard to the total cost of perioperative transfusion of all blood products (RBC and plasma), costs for the control group were slightly lower than those of the cell saver group, but this variance did not reach statistical significance (P = 0.095). The use of the cell saver in posterior spinal instrumentation and fusion surgery in school-aged children and adolescents was able to decrease the amount of intraoperative allogeneic RBC transfusion but failed to decrease total perioperative allogeneic RBC transfusion. Moreover, the use of the cell saver was not cost-effective.Posterior spinal instrumentation and fusion surgery in school-aged children and adolescents is associated with the potential for massive intraoperative blood loss, which requires significant allogeneic blood transfusion. Until now, the intraoperative use of the cell saver has been extensively adopted; however, its efficacy and cost-effectiveness have not been well established. Therefore, the aim of this study is to determine the efficacy and cost-effectiveness of intraoperative cell saver use. This study was a single-center, retrospective study of 247 school-aged and adolescent patients who underwent posterior spinal instrumentation and fusion surgery between August 2007 and June 2013. A cell saver was used intraoperatively in 67 patients and was not used in 180 patients. Matched case-control pairs were selected using a propensity score to balance potential confounders in baseline characteristics. Allogeneic red blood cell (RBC) and plasma transfusions as well as blood transfusion costs were analyzed. The propensity score matching produced 60 matched pairs. Compared to the control group, the cell saver group had significantly fewer intraoperative allogeneic RBC transfusions (P = 0.012). However, when the combined postoperative and total perioperative periods were evaluated for the use of allogeneic RBC transfusion, no significant differences were observed between the two groups (P = 0.813 and P = 0.101, respectively). With regard to the total cost of perioperative transfusion of all blood products (RBC and plasma), costs for the control group were slightly lower than those of the cell saver group, but this variance did not reach statistical significance (P = 0.095). The use of the cell saver in posterior spinal instrumentation and fusion surgery in school-aged children and adolescents was able to decrease the amount of intraoperative allogeneic RBC transfusion but failed to decrease total perioperative allogeneic RBC transfusion. Moreover, the use of the cell saver was not cost-effective. |
| Audience | Academic |
| Author | Liu, Yan Wu, Ji-Gong Shi, Wen-Zhu Mi, Wei-Dong Fang, Wei-Wu Wang, Xiao-Ping Miao, Yu-Liang Ma, Hua-Song Guo, Wen-Zhi |
| AuthorAffiliation | 1 Anesthesia and Operation Center, Chinese PLA General Hospital, Beijing, P.R. China German Red Cross Blood Service Frankfurt, Germany 2 Department of Anesthesiology, Chinese PLA No. 306 Hospital, Beijing, P.R. China 3 Department of Orthopaedics and Spine Surgery, Chinese PLA No. 306 Hospital, Beijing, P.R. China 4 Department of Anesthesiology, Beijing Military General Hospital of the PLA, Beijing, P.R. China |
| AuthorAffiliation_xml | – name: German Red Cross Blood Service Frankfurt, Germany – name: 3 Department of Orthopaedics and Spine Surgery, Chinese PLA No. 306 Hospital, Beijing, P.R. China – name: 1 Anesthesia and Operation Center, Chinese PLA General Hospital, Beijing, P.R. China – name: 4 Department of Anesthesiology, Beijing Military General Hospital of the PLA, Beijing, P.R. China – name: 2 Department of Anesthesiology, Chinese PLA No. 306 Hospital, Beijing, P.R. China |
| Author_xml | – sequence: 1 givenname: Yu-Liang surname: Miao fullname: Miao, Yu-Liang – sequence: 2 givenname: Hua-Song surname: Ma fullname: Ma, Hua-Song – sequence: 3 givenname: Wen-Zhi surname: Guo fullname: Guo, Wen-Zhi – sequence: 4 givenname: Ji-Gong surname: Wu fullname: Wu, Ji-Gong – sequence: 5 givenname: Yan surname: Liu fullname: Liu, Yan – sequence: 6 givenname: Wen-Zhu surname: Shi fullname: Shi, Wen-Zhu – sequence: 7 givenname: Xiao-Ping surname: Wang fullname: Wang, Xiao-Ping – sequence: 8 givenname: Wei-Dong surname: Mi fullname: Mi, Wei-Dong – sequence: 9 givenname: Wei-Wu surname: Fang fullname: Fang, Wei-Wu |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24691056$$D View this record in MEDLINE/PubMed |
| BookMark | eNqNk99q2zAUh83oWP9sbzA2w2BsF84k2ZbtXQxCaLdAoWNpdytk-chRUaxUssPyPHvRyYkz4lLG8IXF8ff75HOQzoOTxjQQBK8xmuA4w5_uTWcbridrX54gVJCiyJ4FZ7iISUQJik-O1qfBuXP3CKVxTumL4JQktMAopWfB79slhJdSKsHFNuRNFc6MayNfAdGqDTTgXGhkOAOtwwXfgA3vHISqCeeNa223gqaFKvzuQ2CVsT5ubR81zc521bl-uehsDXYbSk8shNHKOOV6y0IsjdHRtPaS2VLpysI-OK2MBie83r0MnkuuHbwa3hfB3dXl7exbdH3zdT6bXkeCFqSNeM5BJuB7zEsoASWyylKaJAktk5QKgUooKM-JKCWARLLMBEhOJI9LkHEK8UXwdu9da-PYMF_HcIpxnuRJEXtivicqw-_Z2qoVt1tmuGK7grE147ZVQgMrSUZyHNOqLMoEI-CipLhICYG4Aix715dht65cQdV3arkeScdfGrVktdmwuMgIwcgLPgwCax46cC1bKT8wrXkDptv9N0kpIoh49N0j9OnuBqrmvgHVSOP3Fb2UTeMsTXNCSe-aPEH5p4KVEv4wSuXro8DHUcAzLfxqa945x-aLH__P3vwcs--P2CVw3S6d0V1_9twYfHM86b8jPtwCD3zeA8Ia5yxIJlTLe49vTWmGEeuv3GForL9ybLhyPpw8Ch_8_4z9AYv0MzI |
| CitedBy_id | crossref_primary_10_1007_s00586_016_4636_8 crossref_primary_10_1016_j_accpm_2017_03_003 crossref_primary_10_3171_2019_12_SPINE19920 crossref_primary_10_1177_21925682241309287 crossref_primary_10_1053_j_semss_2015_03_012 crossref_primary_10_1007_s43390_020_00207_0 crossref_primary_10_1097_BSD_0000000000000689 crossref_primary_10_1186_s12871_023_02180_3 crossref_primary_10_1016_j_hpb_2016_02_002 crossref_primary_10_1097_BRS_0000000000004743 crossref_primary_10_1016_j_wneu_2017_02_057 crossref_primary_10_1016_j_otsr_2022_103216 crossref_primary_10_1016_j_tracli_2015_05_006 crossref_primary_10_1186_s12871_021_01281_1 crossref_primary_10_1227_neu_0000000000003323 crossref_primary_10_3171_2017_10_SPINE17884 crossref_primary_10_1007_s43390_025_01098_9 crossref_primary_10_1177_2192568219837488 crossref_primary_10_1097_MD_0000000000006292 crossref_primary_10_1016_j_avsg_2024_06_027 crossref_primary_10_1097_BRS_0000000000001780 crossref_primary_10_3171_2018_4_SPINE18116 crossref_primary_10_3171_2020_7_PEDS2049 crossref_primary_10_1097_MD_0000000000003339 crossref_primary_10_2106_JBJS_RVW_16_00064 |
| Cites_doi | 10.1111/j.1537-2995.2009.02518.x 10.1097/BRS.0b013e31818047f2 10.1007/s12306-012-0203-6 10.1097/BRS.0b013e3181bdf22a 10.1097/BRS.0b013e3181d833f6 10.1097/01.BRS.0000131433.05946.4F 10.1007/s11832-007-0032-6 10.1002/sim.3150 10.1097/BRS.0b013e3181657cc1 10.1111/j.1460-9592.2010.03470.x 10.1097/BRS.0b013e3182767c8c 10.1111/j.1365-3148.2009.00929.x 10.1097/BRS.0b013e31826c63cb 10.1097/01.TA.0000022460.21283.53 10.1097/BRS.0b013e31827f044e |
| ContentType | Journal Article |
| Copyright | COPYRIGHT 2014 Public Library of Science 2014 Miao et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2014 Miao et al 2014 Miao et al |
| Copyright_xml | – notice: COPYRIGHT 2014 Public Library of Science – notice: 2014 Miao et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: 2014 Miao et al 2014 Miao et al |
| DBID | AAYXX CITATION CGR CUY CVF ECM EIF NPM IOV ISR 3V. 7QG 7QL 7QO 7RV 7SN 7SS 7T5 7TG 7TM 7U9 7X2 7X7 7XB 88E 8AO 8C1 8FD 8FE 8FG 8FH 8FI 8FJ 8FK ABJCF ABUWG AEUYN AFKRA ARAPS ATCPS AZQEC BBNVY BENPR BGLVJ BHPHI C1K CCPQU D1I DWQXO FR3 FYUFA GHDGH GNUQQ H94 HCIFZ K9. KB. KB0 KL. L6V LK8 M0K M0S M1P M7N M7P M7S NAPCQ P5Z P62 P64 PATMY PDBOC PHGZM PHGZT PIMPY PJZUB PKEHL PPXIY PQEST PQGLB PQQKQ PQUKI PRINS PTHSS PYCSY RC3 7X8 5PM DOA |
| DOI | 10.1371/journal.pone.0092997 |
| DatabaseName | CrossRef Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed Gale In Context: Opposing Viewpoints Gale In Context: Science ProQuest Central (Corporate) Animal Behavior Abstracts Bacteriology Abstracts (Microbiology B) Biotechnology Research Abstracts Nursing & Allied Health Database Ecology Abstracts Entomology Abstracts (Full archive) Immunology Abstracts Meteorological & Geoastrophysical Abstracts Nucleic Acids Abstracts Virology and AIDS Abstracts Agricultural Science Collection Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) ProQuest Pharma Collection Public Health Database Technology Research Database ProQuest SciTech Collection ProQuest Technology Collection ProQuest Natural Science Collection ProQuest Hospital Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Materials Science & Engineering Collection ProQuest Central (Alumni) ProQuest One Sustainability ProQuest Central UK/Ireland Advanced Technologies & Computer Science Collection Agricultural & Environmental Science Collection ProQuest Central Essentials Biological Science Collection ProQuest Central ProQuest Technology Collection Natural Science Collection Environmental Sciences and Pollution Management ProQuest One ProQuest Materials Science Collection ProQuest Central Engineering Research Database Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student AIDS and Cancer Research Abstracts SciTech Premium Collection ProQuest Health & Medical Complete (Alumni) Materials Science Database Nursing & Allied Health Database (Alumni Edition) Meteorological & Geoastrophysical Abstracts - Academic ProQuest Engineering Collection Biological Sciences Agricultural Science Database ProQuest Health & Medical Collection Medical Database Algology Mycology and Protozoology Abstracts (Microbiology C) Biological Science Database Engineering Database Nursing & Allied Health Premium Advanced Technologies & Aerospace Database ProQuest Advanced Technologies & Aerospace Collection Biotechnology and BioEngineering Abstracts Environmental Science Database Materials Science Collection ProQuest Central Premium ProQuest One Academic (New) ProQuest Publicly Available Content Database ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) ProQuest One Health & Nursing ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Applied & Life Sciences ProQuest One Academic (retired) ProQuest One Academic UKI Edition ProQuest Central China Engineering Collection Environmental Science Collection Genetics Abstracts MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
| DatabaseTitle | CrossRef MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) Agricultural Science Database Publicly Available Content Database ProQuest Central Student ProQuest Advanced Technologies & Aerospace Collection ProQuest Central Essentials Nucleic Acids Abstracts SciTech Premium Collection ProQuest Central China Environmental Sciences and Pollution Management ProQuest One Applied & Life Sciences ProQuest One Sustainability Health Research Premium Collection Meteorological & Geoastrophysical Abstracts Natural Science Collection Health & Medical Research Collection Biological Science Collection ProQuest Central (New) ProQuest Medical Library (Alumni) Engineering Collection Advanced Technologies & Aerospace Collection Engineering Database Virology and AIDS Abstracts ProQuest Biological Science Collection ProQuest One Academic Eastern Edition Agricultural Science Collection ProQuest Hospital Collection ProQuest Technology Collection Health Research Premium Collection (Alumni) Biological Science Database Ecology Abstracts ProQuest Hospital Collection (Alumni) Biotechnology and BioEngineering Abstracts Environmental Science Collection Entomology Abstracts Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest One Academic UKI Edition Environmental Science Database ProQuest Nursing & Allied Health Source (Alumni) Engineering Research Database ProQuest One Academic Meteorological & Geoastrophysical Abstracts - Academic ProQuest One Academic (New) Technology Collection Technology Research Database ProQuest One Academic Middle East (New) Materials Science Collection ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing ProQuest Natural Science Collection ProQuest Pharma Collection ProQuest Central ProQuest Health & Medical Research Collection Genetics Abstracts ProQuest Engineering Collection Biotechnology Research Abstracts Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Bacteriology Abstracts (Microbiology B) Algology Mycology and Protozoology Abstracts (Microbiology C) Agricultural & Environmental Science Collection AIDS and Cancer Research Abstracts Materials Science Database ProQuest Materials Science Collection ProQuest Public Health ProQuest Nursing & Allied Health Source ProQuest SciTech Collection Advanced Technologies & Aerospace Database ProQuest Medical Library Animal Behavior Abstracts Materials Science & Engineering Collection Immunology Abstracts ProQuest Central (Alumni) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE Agricultural Science Database MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: DOA name: Open Access: DOAJ - Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: PIMPY name: Publicly Available Content Database url: http://search.proquest.com/publiccontent sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Sciences (General) |
| DocumentTitleAlternate | The Efficacy and Cost-Effectiveness of Cell Saver |
| EISSN | 1932-6203 |
| ExternalDocumentID | 1511848493 oai_doaj_org_article_b2728136db9b410eacb619522e3de1f3 PMC3972210 3262952821 A375582622 24691056 10_1371_journal_pone_0092997 |
| Genre | Journal Article |
| GeographicLocations | Beijing China China |
| GeographicLocations_xml | – name: China – name: Beijing China |
| GroupedDBID | --- 123 29O 2WC 53G 5VS 7RV 7X2 7X7 7XC 88E 8AO 8C1 8CJ 8FE 8FG 8FH 8FI 8FJ A8Z AAFWJ AAUCC AAWOE AAYXX ABDBF ABIVO ABJCF ABUWG ACCTH ACGFO ACIHN ACIWK ACPRK ACUHS ADBBV ADRAZ AEAQA AENEX AEUYN AFFHD AFKRA AFPKN AFRAH AHMBA ALMA_UNASSIGNED_HOLDINGS AOIJS APEBS ARAPS ATCPS BAWUL BBNVY BCNDV BENPR BGLVJ BHPHI BKEYQ BPHCQ BVXVI BWKFM CCPQU CITATION CS3 D1I D1J D1K DIK DU5 E3Z EAP EAS EBD EMOBN ESX EX3 F5P FPL FYUFA GROUPED_DOAJ GX1 HCIFZ HH5 HMCUK HYE IAO IEA IGS IHR IHW INH INR IOV IPY ISE ISR ITC K6- KB. KQ8 L6V LK5 LK8 M0K M1P M48 M7P M7R M7S M~E NAPCQ O5R O5S OK1 OVT P2P P62 PATMY PDBOC PHGZM PHGZT PIMPY PJZUB PPXIY PQGLB PQQKQ PROAC PSQYO PTHSS PYCSY RNS RPM SV3 TR2 UKHRP WOQ WOW ~02 ~KM 3V. ALIPV BBORY CGR CUY CVF ECM EIF IPNFZ NPM PV9 RIG RZL 7QG 7QL 7QO 7SN 7SS 7T5 7TG 7TM 7U9 7XB 8FD 8FK AZQEC C1K DWQXO ESTFP FR3 GNUQQ H94 K9. KL. M7N P64 PKEHL PQEST PQUKI PRINS RC3 7X8 PUEGO 5PM AAPBV ABPTK N95 |
| ID | FETCH-LOGICAL-c692t-a8aef4e5388bebe04fd7564446b456cc0be96a82cbfeef0fb7cefa2fa3bef35e3 |
| IEDL.DBID | FPL |
| ISICitedReferencesCount | 26 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000334101100038&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1932-6203 |
| IngestDate | Sun May 07 16:28:30 EDT 2023 Fri Oct 03 12:50:38 EDT 2025 Tue Nov 04 01:51:41 EST 2025 Wed Oct 01 12:16:22 EDT 2025 Tue Oct 07 07:18:48 EDT 2025 Sat Nov 29 13:09:47 EST 2025 Sat Nov 29 10:08:35 EST 2025 Wed Nov 26 09:58:33 EST 2025 Wed Nov 26 09:39:16 EST 2025 Thu May 22 21:19:15 EDT 2025 Wed Feb 19 02:30:43 EST 2025 Sat Nov 29 02:49:26 EST 2025 Tue Nov 18 21:19:20 EST 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 4 |
| Language | English |
| License | This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. Creative Commons Attribution License |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c692t-a8aef4e5388bebe04fd7564446b456cc0be96a82cbfeef0fb7cefa2fa3bef35e3 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Conceived and designed the experiments: YLM WWF YL HSM JGW. Performed the experiments: YLM WWF WZG WZS YL. Analyzed the data: YLM WWF YL XPW WDM. Contributed reagents/materials/analysis tools: YLM WWF YL. Wrote the paper: YLM YL WDM WWF. Competing Interests: The authors have declared that no competing interests exist. |
| OpenAccessLink | http://dx.doi.org/10.1371/journal.pone.0092997 |
| PMID | 24691056 |
| PQID | 1511848493 |
| PQPubID | 1436336 |
| ParticipantIDs | plos_journals_1511848493 doaj_primary_oai_doaj_org_article_b2728136db9b410eacb619522e3de1f3 pubmedcentral_primary_oai_pubmedcentral_nih_gov_3972210 proquest_miscellaneous_1512560202 proquest_journals_1511848493 gale_infotracmisc_A375582622 gale_infotracacademiconefile_A375582622 gale_incontextgauss_ISR_A375582622 gale_incontextgauss_IOV_A375582622 gale_healthsolutions_A375582622 pubmed_primary_24691056 crossref_citationtrail_10_1371_journal_pone_0092997 crossref_primary_10_1371_journal_pone_0092997 |
| PublicationCentury | 2000 |
| PublicationDate | 2014-04-01 |
| PublicationDateYYYYMMDD | 2014-04-01 |
| PublicationDate_xml | – month: 04 year: 2014 text: 2014-04-01 day: 01 |
| PublicationDecade | 2010 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States – name: San Francisco – name: San Francisco, USA |
| PublicationTitle | PloS one |
| PublicationTitleAlternate | PLoS One |
| PublicationYear | 2014 |
| Publisher | Public Library of Science Public Library of Science (PLoS) |
| Publisher_xml | – name: Public Library of Science – name: Public Library of Science (PLoS) |
| References | RK Owens 2nd (ref8) 2013; 38 ref12 A Chanda (ref3) 2002; 96 SA Joseph Jr (ref19) 2008; 33 A Shander (ref20) 2010; 50 ref1 CA Reitman (ref15) 2004; 29 PR Gause (ref18) 2008; 33 N Yang (ref17) 2013; 17 GE Hill (ref4) 2003; 54 PC Austin (ref13) 2008; 27 CE Canan (ref9) 2013; 38 H Elgafy (ref10) 2010; 35 RE Bowen (ref5) 2010; 35 J Lavoie (ref14) 2011; 21 O Ersen (ref6) 2012; 96 JM Weiss (ref11) 2007; 1 PA Carless (ref7) 2010; 14; (4) X Yu (ref2) 2013; 38 C Savvidou (ref16) 2009; 19 |
| References_xml | – ident: ref1 – volume: 50 start-page: 753 year: 2010 ident: ref20 article-title: Activity-based costs of blood transfusions in surgical patients at four hospitals publication-title: Transfusion doi: 10.1111/j.1537-2995.2009.02518.x – volume: 33 start-page: 2310 year: 2008 ident: ref19 article-title: Blood conservation techniques in spinal deformity surgery: a retrospective review of patients refusing blood transfusion publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e31818047f2 – volume: 96 start-page: 107 year: 2012 ident: ref6 article-title: Posterior spinal fusion in adolescent idiopathic scoliosis with or without intraoperative cell salvage system: a retrospective comparison publication-title: Musculoskelet Surg doi: 10.1007/s12306-012-0203-6 – volume: 35 start-page: 246 year: 2010 ident: ref5 article-title: Efficacy of intraoperative cell salvage systems in pediatric idiopathic scoliosis patients undergoing posterior spinal fusion with segmental spinal instrumentation publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3181bdf22a – volume: 35 start-page: S47 year: 2010 ident: ref10 article-title: Blood loss in major spine surgery: are there effective measures to decrease massive hemorrhage in major spine fusion surgery publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3181d833f6 – volume: 29 start-page: 1580 year: 2004 ident: ref15 article-title: The Cell Saver in adult lumbar fusion surgery: a cost-benefit outcomes study publication-title: Spine (Phila Pa 1976) doi: 10.1097/01.BRS.0000131433.05946.4F – volume: 1 start-page: 221 year: 2007 ident: ref11 article-title: Cell Saver: is it beneficial in scoliosis surgery publication-title: J Child Orthop doi: 10.1007/s11832-007-0032-6 – volume: 27 start-page: 2037 year: 2008 ident: ref13 article-title: A critical appraisal of propensity-score matching in the medical literature between 1996 and 2003 publication-title: Stat Med doi: 10.1002/sim.3150 – volume: 33 start-page: 571 year: 2008 ident: ref18 article-title: Efficacy of intraoperative cell saver in decreasing postoperative blood transfusions in instrumented posterior lumbar fusion patients publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3181657cc1 – volume: 21 start-page: 14 year: 2011 ident: ref14 article-title: Blood transfusion risks and alternative strategies in pediatric patients publication-title: Paediatr Anaesth doi: 10.1111/j.1460-9592.2010.03470.x – volume: 38 start-page: 703 year: 2013 ident: ref9 article-title: Blood salvage produces higher total blood product costs in single-level lumbar spine surgery publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e3182767c8c – volume: 19 start-page: 202 year: 2009 ident: ref16 article-title: Efficacy and cost-effectiveness of cell saving blood autotransfusion in adult lumbar fusion publication-title: Transfus Med doi: 10.1111/j.1365-3148.2009.00929.x – volume: 96 start-page: 298 year: 2002 ident: ref3 article-title: Autotransfusion by cell saver technique in surgery of lumbar and thoracic spinal fusion with instrumentation publication-title: J Neurosurg – volume: 38 start-page: 350 year: 2013 ident: ref2 article-title: Prediction of massive blood loss in scoliosis surgery from preoperative variables publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e31826c63cb – volume: 54 start-page: 908 year: 2003 ident: ref4 article-title: Allogeneic blood transfusion increases the risk of postoperative bacterial infection: a meta-analysis publication-title: J Trauma doi: 10.1097/01.TA.0000022460.21283.53 – volume: 38 start-page: E217 year: 2013 ident: ref8 article-title: Predictive factors for the use of autologous cell saver transfusion in lumbar spinal surgery publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e31827f044e – volume: 17 start-page: 4161 year: 2013 ident: ref17 article-title: Movement intervention recovers the Cobb angle of adolescent idiopathic scoliosis publication-title: Chinese Journal of Tissue Engineering Research – volume: 14; (4) start-page: CD001888 year: 2010 ident: ref7 article-title: Cell salvage for minimising perioperative allogeneic blood transfusion publication-title: Cochrane Database Syst Rev Apr – ident: ref12 |
| SSID | ssj0053866 |
| Score | 2.2760153 |
| Snippet | Posterior spinal instrumentation and fusion surgery in school-aged children and adolescents is associated with the potential for massive intraoperative blood... |
| SourceID | plos doaj pubmedcentral proquest gale pubmed crossref |
| SourceType | Open Website Open Access Repository Aggregation Database Index Database Enrichment Source |
| StartPage | e92997 |
| SubjectTerms | Adolescent Adolescents Age Analysis Anesthesiology Bacterial infections Blood Blood transfusion Blood transfusions Care and treatment Child Children Cohort Studies Cost analysis Cost engineering Cost-Benefit Analysis Demography Diagnosis Economic aspects Effectiveness Erythrocyte Transfusion - economics Erythrocytes Hospitals Humans Instrumentation Instruments Joint surgery Medical care, Cost of Medical malpractice Medical records Medicine and Health Sciences Patients Pediatrics Perioperative Care Propensity Score Risk factors Schools Scoliosis Scoliosis - economics Scoliosis - surgery Spinal Fusion - economics Surgery Teenagers Transfusion Treatment Outcome |
| SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lj9MwELZQxYELYnltoIBBSMAhu4ntvI4LYgWXBfHS3qLYGUOkVVLVLRK_hz_KjONGDVppOSD1VI_dZGY8-Sad-czY86Q0SmUAcQ5Gx8pIiEutk7hsRSYSk-kclD9sojg7K8_Pq497R31RTdhIDzwq7liLQpSpzFtdaZUmGCc0Yn5EDSBbSK3n-UTUs0umxhiMuzjPQ6OcLNLjYJej1dDDEdEMVUTytPcg8nz9U1RerC4Gdxnk_Ltycu9RdHqL3QwYkp-M137ArkF_mx2EXer4y0Al_eoO-41ewIFYIhrzizd9y83gNvFYxBHiHB8sp9f33DXo1nzrgHc9fohZ1jN2tnxFnSDrbljj9LUPkUPvV7NbetnG3dhbzREAc4ee1Q2uc7SK8xyfMcYs_OXQNu4n7hFJ3WVfT99-efMuDscyxCavxCZuygasAtRxqdEFEmXbIkNYpXKNaMyYREOVN6Uw2gLYxOrCgG2EbaQGKzOQ99iiR0McMi4zys1VJvNCKm1ANw26S5UCZjGlyVTE5M5GtQmc5XR0xkXt_4grMHcZVV6TZetg2YjF06zVyNlxhfxrMv8kS4zb_gv0wzr4YX2VH0bsCTlPPbavTnGjPpFFlmEOJ0TEnnkJYt3oqazne7N1rn7_4ds_CH3-NBN6EYTsgOpAFxpbKfCeiM1rJrmcSWLsMLPhQ3L1nVZcnVLCqUpV4f0sd-5_-fDTaZgWpVK9HoatlyEYLRJc_f64WybNCpUjPM3yiBWzfTRT_Xyk73540nPEzUKkyYP_YauH7Abi3lCAtWQL3E_wiF03PzedWz_2keQPDMR-2g priority: 102 providerName: Directory of Open Access Journals – databaseName: Advanced Technologies & Aerospace Database dbid: P5Z link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1bb9MwFLag8MALMC5bYYBBSMCDt8SXXJ5QqVaxlzFRhiZeothxSqUqKU2LxO_hj3KO42YLmgCJ1_jYSuzvHH927O8Q8jJIjJTKWhZZo5k0wrJE64AlBVc8MEpHVrpkE_HJSXJ-np76DbfGH6vcxkQXqIva4B75YYhUWCYyFW-X3xhmjcK_qz6FxnVyA1US0DFP1ZdtJAZfjiJ_XU7E4aEfnYNlXdkDFBtKUerp0nTkVPu72DxYLurmKuL5-_nJSxPS5M7_fspdcttTUTpqsbNDrtnqHtnxzt7Q116R-s198hPARI9QbCI3P2heFXRcN2vWKh_7cEnrko7tYkGnOXgHPWssnVf02AnUOuHPgmJiYAB8vYLqKxdp68q1Ntngnh2dtle0KfBoOgWAzutm3mArrVQoG82gkbG_fe4qji70qB6Qs8nRp_F75rM7MBOlfM3yJLeltDBIiQYkBbIsYgXsTEYaSJ0xgbZplCfc6NLaMih1bGyZ8zIX2pZCWfGQDCoYyT1ChcIlvlQiioXUxuo8B9SloYXFUGKUHBKxHeTMeOlzzMCxyNz_vBiWQG2XZwiNzENjSFhXa9lKf_zF_h3ip7NF4W73oF7NMh8HMs1jnoQiKnSqZRjAtKdhCQsk2IrChqUYkmeIvqy9BduFn2wkYqVgKcj5kLxwFijeUeHpoFm-aZrs-MPnfzCafuwZvfJGZQ3dARBqb2TAN6EoWM9yv2cJIcj0ivfQV7a90mQXCIeaWx-4uvh5V4yN4om_ytYbZ4NsnAfQ-m7rbl3PchkBy1XRkMQ9R-x1fb-kmn912ulAvzkPg0d_fq3H5BYQY39Ca58MwFPsE3LTfF_Pm9VTF2R-ATTsixE priority: 102 providerName: ProQuest |
| Title | The Efficacy and Cost-Effectiveness of Cell Saver Use in Instrumented Posterior Correction and Fusion Surgery for Scoliosis in School-Aged Children and Adolescents |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/24691056 https://www.proquest.com/docview/1511848493 https://www.proquest.com/docview/1512560202 https://pubmed.ncbi.nlm.nih.gov/PMC3972210 https://doaj.org/article/b2728136db9b410eacb619522e3de1f3 http://dx.doi.org/10.1371/journal.pone.0092997 |
| Volume | 9 |
| WOSCitedRecordID | wos000334101100038&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVAON databaseName: Open Access: DOAJ - Directory of Open Access Journals customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: DOA dateStart: 20060101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals – providerCode: PRVHPJ databaseName: ROAD: Directory of Open Access Scholarly Resources customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: M~E dateStart: 20060101 isFulltext: true titleUrlDefault: https://road.issn.org providerName: ISSN International Centre – providerCode: PRVPQU databaseName: Advanced Technologies & Aerospace Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: P5Z dateStart: 20061201 isFulltext: true titleUrlDefault: https://search.proquest.com/hightechjournals providerName: ProQuest – providerCode: PRVPQU databaseName: Agricultural Science Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: M0K dateStart: 20061201 isFulltext: true titleUrlDefault: https://search.proquest.com/agriculturejournals providerName: ProQuest – providerCode: PRVPQU databaseName: AUTh Library subscriptions: ProQuest Central customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: BENPR dateStart: 20061201 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVPQU databaseName: Biological Science Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: M7P dateStart: 20061201 isFulltext: true titleUrlDefault: http://search.proquest.com/biologicalscijournals providerName: ProQuest – providerCode: PRVPQU databaseName: Engineering Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: M7S dateStart: 20061201 isFulltext: true titleUrlDefault: http://search.proquest.com providerName: ProQuest – providerCode: PRVPQU databaseName: Environmental Science Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: PATMY dateStart: 20061201 isFulltext: true titleUrlDefault: http://search.proquest.com/environmentalscience providerName: ProQuest – providerCode: PRVPQU databaseName: Health & Medical Collection customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: 7X7 dateStart: 20061201 isFulltext: true titleUrlDefault: https://search.proquest.com/healthcomplete providerName: ProQuest – providerCode: PRVPQU databaseName: Materials Science Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: KB. dateStart: 20061201 isFulltext: true titleUrlDefault: http://search.proquest.com/materialsscijournals providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Nursing and Allied Health Journals - PSU access expires 11/30/25. customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: 7RV dateStart: 20061201 isFulltext: true titleUrlDefault: https://search.proquest.com/nahs providerName: ProQuest – providerCode: PRVPQU databaseName: Public Health Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: 8C1 dateStart: 20061201 isFulltext: true titleUrlDefault: https://search.proquest.com/publichealth providerName: ProQuest – providerCode: PRVPQU databaseName: Publicly Available Content Database customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: PIMPY dateStart: 20061201 isFulltext: true titleUrlDefault: http://search.proquest.com/publiccontent providerName: ProQuest – providerCode: PRVATS databaseName: Public Library of Science (PLoS) Journals Open Access customDbUrl: eissn: 1932-6203 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0053866 issn: 1932-6203 databaseCode: FPL dateStart: 20060101 isFulltext: true titleUrlDefault: http://www.plos.org/publications/ providerName: Public Library of Science |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV1fb9MwELfYxgMvwPi3wigGIQEPKYnt2MljW7ViGhvRyqaNlyh2nFGpSqamQ-Lz8EU5O25Gpk3Ayz3EZys5353vnPPPCL31I8VYqLXHtZIeU1R7kZS-F-UkJL4KJdfMXjYhDg-j09M4uUoUr_3BpyL46GQ6uKhKPTAQQXEsNtAWoZybEq5p8nntecF2OXfH427r2Vl-LEp_64s3LxZVfVOgeb1e8o8FaPrgf1_9IbrvQk08bHRjG93R5SO07Yy5xu8d4vSHx-gXKAueGDCJTP3EWZnjcVWvvAbZ2LlDXBV4rBcLPMtA-_FxrfG8xHsWgNYCe-bYXPwLCl0tofvSetKqtKNNL82eHJ41R7AxxMl4Bgo4r-p5bUZpoEC94TkMMnany23H4RXe1BN0PJ18HX_y3O0NnuIxWXlZlOmCaZiUSIKm-KzIRQjRF-MSgjalfKljnkVEyULrwi-kULrISJFRqQsaavoUbZYguB2EaWhSeBZSLiiTSsssA62KAw3JTqRC1kN0PampctDm5oaNRWr_1wlIcRqRp2YmUjcTPeS1vS4aaI-_8I-MvrS8BpjbPoApT52dp5IIEgWU5zKWLPBhWZOQokKQq2mug4L20CujbWlzyrV1L-mQijCEVI-QHnpjOQw4R2mqf86zy7pO976c_APT7KjD9M4xFRWIA1SoOXEB32RAvzqcux1OcDGq07xjbGMtlToNTF7KIhbD9-yu7eXm5tdtsxnUVPSVurq0PCbaJj6M_qwxr1ayhHGIYkPeQ6JjeB3Rd1vK-XeLjQ7hNSGB__z2N36B7kHQ66qvdtEmWIl-ie6qH6t5veyjDXF0YuipsDQCGo2DPtoaTQ6To77ds-lbtwN0fzQAeuDvGyoSS2dAk_Ab9Ej2DpKz3wCLhfA |
| linkProvider | Public Library of Science |
| linkToHtml | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Lb9QwELZKQYILUF5dKNQgEHBIm9jO64DQsrTqqqUgtkV7C7HjLCutkmXTgvp7uPMbmXGctEEVcOmB63o82kzmG8849jeEPHUjJYSvtRNoJR2huHYiKV0nypjPXOXLQAvTbCLc34_G4_jDEvnZ3IXBY5VNTDSBOisV7pFvepgKi0jE_PX8q4Ndo_DratNCo3aLXX3yHUq26tXwLbzfZ4xtbx0MdhzbVcBRQcyOnDRKdS40AD2S8ASuyLPQh6xABBKSCaVcqeMgjZiSuda5m8tQ6TxlecqlzrmvOei9RC5DHA_xCFk4bgs8UBkE9noeD71N6w0b87LQG0huFCO11Jnlz3QJaNeC5fmsrM5LdH8_r3lmAdy-8b-Z7ia5blNt2q-xsUKWdHGLrNhgVtEXlnH75W3yA8BCt5BMI1UnNC0yOiirI6dmdrbLAS1zOtCzGR2lgH56WGk6LejQEPAaYtOMYuNjAHS5gOkLs5KUhdG2fYx7knRUX0GnUCfQEQBwWlbTCrXUVKhOfwJKBvZ2vZnYP-XbukMOL8RYd8lyAZ6zSij3cQtD-DwIuZBKyzQFVMWehmIvUr7oEd44VaIstTt2GJkl5ntlCCVebfIEXTGxrtgjTjtrXlOb_EX-DfprK4vE5OaHcjFJbJxLJAtZ5PEgk7EUngvLuoQSHZJ8zTPt5bxH1tHbk_qWbxtekz4PfR9KXcZ65ImRQHKSAk8_TdLjqkqG7z_9g9DoY0fouRXKSzAHuFB94wSeCUnPOpJrHUkIsaozvIrYbKxSJaeIgpkN5s4fftwOo1I80Vjo8tjIYLXBXNB-r4Z3a1kmAsji_aBHwg7wO6bvjhTTL4YbHsoLxjz3_p__1jq5unPwbi_ZG-7vPiDXoAiwp9HWyDKgRj8kV9S3o2m1eGQCHCWfLzos_AKauu3j |
| linkToPdf | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1Lb9NAEF6VghAXoLwaKHRBIODgxt5dvw4IhbQRUVGpSIsqLsa7XpdIkR3iBNTfw7_g1zGzXqc1qoBLD1yzs6N4PM_1zjeEPHUjJYSvtRNoJR2huHYiKV0nypjPXOXLQAszbCLc24uOjuL9FfKz6YXBa5WNTzSOOisVnpF3PUyFRSRi3s3ttYj97cHr6VcHJ0jhl9ZmnEatIrv65DuUb9Wr4Ta862eMDXYO-m8dO2HAUUHM5k4apToXGow-kvA0rsiz0IcMQQQSEgulXKnjII2YkrnWuZvLUOk8ZXnKpc65rznwvUQuh1BjYuG3739qogCwDALbqsdDr2s1Y2taFnoLgY5ihJk6EwrNxIBlXFidTsrqvKT397ubZ4Lh4Mb_LMab5LpNwWmvtpk1sqKLW2TNOrmKvrBI3C9vkx9gRHQHQTZSdULTIqP9spo7NeKzDRO0zGlfTyZ0lIJXoIeVpuOCDg0wrwE8zSgORAZDL2ewfWYiTFkYboMFnlXSUd2aTqF-oCMwzHFZjSvkUkOkOr1jYNK3XfdmY-8Uh-sOObwQYd0lqwVo0Tqh3MejDeHzIORCKi3TFKwt9jQUgZHyRYfwRsESZSHfcfLIJDHfMUMo_WqRJ6iWiVXLDnGWu6Y15Mlf6N-g7i5pEbDc_FDOjhPr_xLJQhZ5PMhkLIXnQriXULpD8q95pr2cd8gman5Sd_8u3W7S46HvQwnMWIc8MRQIWlKg3h6ni6pKhu8__gPR6EOL6LklyksQB6hQ3YkCz4RgaC3KjRYluF7VWl5HO22kUiWn1gU7G_s7f_nxchmZ4k3HQpcLQ4NVCHOB-73a1JeSZeBnoB4KOiRsOYGW6NsrxfiLwYyHsoMxz73_57-1Sa6CN0jeDfd2H5BrUBvYS2obZBWMRj8kV9S3-biaPTK-jpLPF-0VfgEO7fbW |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+efficacy+and+cost-effectiveness+of+cell+saver+use+in+instrumented+posterior+correction+and+fusion+surgery+for+scoliosis+in+school-aged+children+and+adolescents&rft.jtitle=PloS+one&rft.au=Miao%2C+Yu-Liang&rft.au=Ma%2C+Hua-Song&rft.au=Guo%2C+Wen-Zhi&rft.au=Wu%2C+Ji-Gong&rft.date=2014-04-01&rft.eissn=1932-6203&rft.volume=9&rft.issue=4&rft.spage=e92997&rft_id=info:doi/10.1371%2Fjournal.pone.0092997&rft_id=info%3Apmid%2F24691056&rft.externalDocID=24691056 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1932-6203&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1932-6203&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1932-6203&client=summon |