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退行性颈脊髓病研究核心测量集的制定:研究方案(AO 脊柱 RECODE-DCM CMS)。

Development of a core measurement set for research in degenerative cervical myelopathy: a study protocol (AO Spine RECODE-DCM CMS).

机构信息

Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK

School of Medical Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.

出版信息

BMJ Open. 2022 Jun 9;12(6):e060436. doi: 10.1136/bmjopen-2021-060436.


DOI:10.1136/bmjopen-2021-060436
PMID:35680260
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9185555/
Abstract

INTRODUCTION: Progress in degenerative cervical myelopathy (DCM) is hindered by inconsistent measurement and reporting. This impedes data aggregation and outcome comparison across studies. This limitation can be reversed by developing a core measurement set (CMS) for DCM research. Previously, the AO Spine Research Objectives and Common Data Elements for DCM (AO Spine RECODE-DCM) defined 'what' should be measured in DCM: the next step of this initiative is to determine 'how' to measure these features. This protocol outlines the steps necessary for the development of a CMS for DCM research and audit. METHODS AND ANALYSIS: The CMS will be developed in accordance with the guidance developed by the Core Outcome Measures in Effectiveness Trials and the Consensus-based Standards for the selection of health Measurement Instruments. The process involves five phases. In phase 1, the steering committee agreed on the constructs to be measured by sourcing consensus definitions from patients, professionals and the literature. In phases 2 and 3, systematic reviews were conducted to identify tools for each construct and aggregate their evidence. Constructs with and without tools were identified, and scoping reviews were conducted for constructs without tools. Evidence on measurement properties, as well as on timing of assessments, are currently being aggregated. These will be presented in phase 4: a consensus meeting where a multi-disciplinary panel of experts will select the instruments that will form the CMS. Following selection, guidance on the implementation of the CMS will be developed and disseminated (phase 5). A preliminary CMS review scheduled at 4 years from release. ETHICS AND DISSEMINATION: Ethical approval was obtained from the University of Cambridge (HBREC2019.14). Dissemination strategies will include peer-reviewed scientific publications; conference presentations; podcasts; the identification of AO Spine RECODE-DCM ambassadors; and engagement with relevant journals, funders and the DCM community.

摘要

简介:退行性颈脊髓病(DCM)的研究进展受到测量和报告方法不一致的阻碍。这阻碍了研究间的数据汇总和结果比较。通过开发 DCM 研究的核心测量集(CMS)可以克服这一局限性。此前,AO 脊柱研究目标和 DCM 常见数据元素(AO Spine RECODE-DCM)定义了 DCM 中“应该”测量的内容:该倡议的下一步是确定“如何”测量这些特征。本方案概述了开发 DCM 研究和审核 CMS 所需的步骤。

方法与分析:CMS 将根据有效性试验的核心结局测量和健康测量仪器选择的共识标准制定的指南进行开发。该过程包括五个阶段。在第 1 阶段,指导委员会通过从患者、专业人员和文献中获取共识定义,就应测量的结构达成一致意见。在第 2 期和第 3 期,进行了系统综述,以确定每个结构的工具,并汇总其证据。确定了有工具和无工具的结构,并对无工具的结构进行了范围综述。目前正在汇总关于测量特性以及评估时间的证据。这些将在第 4 阶段展示:一个多学科专家小组将在共识会议上选择构成 CMS 的工具。选择后,将制定并发布有关 CMS 实施的指南(第 5 阶段)。发布后 4 年计划进行初步 CMS 审查。

伦理与传播:已获得剑桥大学的伦理批准(HBREC2019.14)。传播策略将包括同行评议的科学出版物;会议演讲;播客;AO 脊柱 RECODE-DCM 大使的确定;以及与相关期刊、资助者和 DCM 社区的合作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/675c/9185555/400c0f01fb9d/bmjopen-2021-060436f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/675c/9185555/fd2439b7204e/bmjopen-2021-060436f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/675c/9185555/400c0f01fb9d/bmjopen-2021-060436f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/675c/9185555/fd2439b7204e/bmjopen-2021-060436f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/675c/9185555/400c0f01fb9d/bmjopen-2021-060436f02.jpg

相似文献

[1]
Development of a core measurement set for research in degenerative cervical myelopathy: a study protocol (AO Spine RECODE-DCM CMS).

BMJ Open. 2022-6-9

[2]
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[3]
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[6]
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[10]
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引用本文的文献

[1]
A minimum data set-Core outcome set, core data elements, and core measurement set-For degenerative cervical myelopathy research (AO Spine RECODE DCM): A consensus study.

PLoS Med. 2024-8

[2]
Brain MRI changes in degenerative cervical myelopathy: a systematic review.

EBioMedicine. 2024-1

[3]
Toward Shared Decision-Making in Degenerative Cervical Myelopathy: Protocol for a Mixed Methods Study.

JMIR Res Protoc. 2023-10-9

[4]
Analysis of outcome reporting in common peroneal neuropathy studies: a systematic review of the literature.

Acta Neurochir (Wien). 2023-9

[5]
The mA demethylase ALKBH5-mediated upregulation of DDIT4-AS1 maintains pancreatic cancer stemness and suppresses chemosensitivity by activating the mTOR pathway.

Mol Cancer. 2022-9-2

[6]
Clinical outcome measures and their evidence base in degenerative cervical myelopathy: a systematic review to inform a core measurement set (AO Spine RECODE-DCM).

BMJ Open. 2022-1-19

本文引用的文献

[1]
Developing Peri-Operative Rehabilitation in Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 6]: An Unexplored Opportunity?

Global Spine J. 2022-2

[2]
Improving Awareness Could Transform Outcomes in Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 1].

Global Spine J. 2022-2

[3]
Optimizing the Application of Surgery for Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 10].

Global Spine J. 2022-2

[4]
AO Spine RECODE-DCM: Why Prioritize Research in Degenerative Cervical Myelopathy?

Global Spine J. 2022-2

[5]
James Lind Alliance Priority Setting Partnership for Degenerative Cervical Myelopathy [AO Spine RECODE-DCM]: An Overview of the Methodology Used to Process and Short-List Research Uncertainties.

Global Spine J. 2022-2

[6]
Establishing the Socio-Economic Impact of Degenerative Cervical Myelopathy Is Fundamental to Improving Outcomes [AO Spine RECODE-DCM Research Priority Number 8].

Global Spine J. 2022-2

[7]
Establishing Diagnostic Criteria for Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 3].

Global Spine J. 2022-2

[8]
A New Framework for Investigating the Biological Basis of Degenerative Cervical Myelopathy [AO Spine RECODE-DCM Research Priority Number 5]: Mechanical Stress, Vulnerability and Time.

Global Spine J. 2022-2

[9]
The AO Spine RECODE-DCM International Collaborative-Establishing the Foundations for Accelerated and Patient-Centered Innovation.

Global Spine J. 2022-2

[10]
Degenerative Cervical Myelopathy: Development and Natural History [AO Spine RECODE-DCM Research Priority Number 2].

Global Spine J. 2022-2

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