Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, 175 N. Medical Drive East, Salt Lake City, UT, 84132, USA.
School of Medicine, University of Utah, Salt Lake City, UT, USA.
Childs Nerv Syst. 2021 Oct;37(10):2993-3001. doi: 10.1007/s00381-021-05331-4. Epub 2021 Aug 17.
The purpose of this study was to assess the quality of articles utilizing large administrative databases to answer questions related to pediatric spinal neurosurgery by quantifying their adherence to standard reporting guidelines.
A systematic literature search was conducted with search terms including "pediatric" and "neurosurgery," associated neurosurgical diagnoses, and the names of known databases. Study abstracts were reviewed to identify clinical studies involving pediatric populations, spine-related pathology or procedures, and large administrative databases. Included studies were graded using the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) criteria.
A total of 28 papers of the initial 1496 identified met inclusion criteria. These papers involved 10 databases and had a mean study period of 11.46 ± 12.27 years. The subjects of these research papers were undergoing treatment of scoliosis (n = 5), spinal cord injury (n = 5), spinal cord tumors (n = 9), and spine surgery in general (n = 9). The mean STROBE score was 19.41 ± 2.02 (out of 22).
Large administrative databases are commonly used within pediatric spine-related neurosurgical research to cover a broad spectrum of research questions and study topics. The heterogeneity of research to this point encourages the continued use of large databases to better understand treatment and diagnostic trends, perioperative and long-term outcomes, and rare pathologies within pediatric spinal neurosurgery.
本研究旨在评估利用大型行政数据库回答与小儿脊柱神经外科相关问题的文章质量，通过量化其对标准报告指南的遵循程度来实现这一目标。
采用包括“儿科”和“神经外科”、相关神经外科诊断以及已知数据库名称在内的系统文献检索，进行了文献检索。对研究摘要进行了回顾，以确定涉及小儿人群、脊柱相关病理或手术以及大型行政数据库的临床研究。使用《流行病学观察性研究报告的强化标准》（STROBE）标准对纳入的研究进行评分。
最初确定的 1496 篇论文中，共有 28 篇符合纳入标准。这些论文涉及 10 个数据库，平均研究时间为 11.46 ± 12.27 年。这些研究论文的研究对象分别为脊柱侧凸（n = 5）、脊髓损伤（n = 5）、脊髓肿瘤（n = 9）和脊柱手术一般情况（n = 9）。STROBE 评分平均为 19.41 ± 2.02（总分 22 分）。
大型行政数据库在小儿脊柱神经外科相关研究中被广泛应用，以涵盖广泛的研究问题和研究主题。到目前为止，研究的异质性鼓励继续使用大型数据库，以更好地了解小儿脊柱神经外科的治疗和诊断趋势、围手术期和长期结果以及罕见病理。
