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引言与方法:颈椎退行性疾病的外科治疗指南

Introduction and methodology: guidelines for the surgical management of cervical degenerative disease.

作者信息

Matz Paul G, Anderson Paul A, Kaiser Michael G, Holly Langston T, Groff Michael W, Heary Robert F, Mummaneni Praveen V, Ryken Timothy C, Choudhri Tanvir F, Vresilovic Edward J, Resnick Daniel K

机构信息

Division of Neurological Surgery, University of Alabama, Birmingham, Alabama, USA.

出版信息

J Neurosurg Spine. 2009 Aug;11(2):101-3. doi: 10.3171/2009.1.SPINE08712.

DOI:10.3171/2009.1.SPINE08712
PMID:19769488
Abstract

In March 2006, the Joint Section on Disorders of the Spine and Peripheral Nerves of the American Association of Neurological Surgeons and Congress of Neurological Surgeons compiled an expert group to perform an evidence-based review of the clinical literature on management of cervical degenerative spine disease. This process culminated in the formation of the Guidelines for the Surgical Management of Cervical Degenerative Disease. The purpose of the Guidelines was to address questions regarding the therapy, diagnosis, and prognosis of cervical degenerative disease using an evidence-based approach. Development of an evidence-based review and recommendations is a multitiered process. Typical guideline development consists of 5 processes: 1) collection and selection of the evidence; 2) assessment of the quality and strength of the evidence; 3) analysis of the evidentiary data; 4) formulation of recommendations; and 5) guideline validation. This manuscript details the methodology in compiling the Guidelines for the Surgical Management of Cervical Degenerative Disease.

摘要

2006年3月,美国神经外科医师协会和神经外科医师大会脊柱与周围神经疾病联合分会组建了一个专家组,对颈椎退行性疾病治疗的临床文献进行循证综述。这一过程最终形成了《颈椎退行性疾病外科治疗指南》。该指南的目的是采用循证方法解决有关颈椎退行性疾病的治疗、诊断和预后问题。循证综述和建议的制定是一个多层次的过程。典型的指南制定包括5个过程:1)证据的收集与选择;2)证据质量和强度的评估;3)证据数据的分析;4)建议的制定;5)指南验证。本文详细介绍了《颈椎退行性疾病外科治疗指南》的编制方法。

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