Department of Neurosurgery, Stanford University, Stanford, CA, USA.
Acta Neurochir (Wien). 2024 May 23;166(1):227. doi: 10.1007/s00701-024-06109-8.
As a first step towards developing a core outcome set (COS) for sciatic neuropathy, the goal of the current study was to perform a systematic review of the literature to identify outcome measures that have been previously reported in studies on sciatic neuropathy.
A systematic review of the literature from 2000-2024 was performed utilizing PubMed and Medical Subject Headings (MeSH). Identified articles were screened according to study inclusion/exclusion criteria. Outcome measures reported in each included study were recorded and categorized into motor, sensory, pain, patient-reported outcomes, electrodiagnostic outcomes, imaging outcomes, and composite outcomes. Descriptive statistics were performed.
A total of 1586 articles were initially identified, and 31 articles met criteria for inclusion and underwent analysis. The most common outcome domain was pain. A pain outcome was reported in 17 (63%) studies. A motor outcome was reported in 10 (37%) studies; 6 (22%) reported a sensory outcome; 1 (4%) reported a composite outcome; 4 (15%) reported an electrodiagnostic outcome; 5 (19%) reported a patient-reported outcome; 3 (11%) reported an imaging outcome. Across the included studies, 21 unique outcomes were reported.
We have identified the outcome measures that have previously been utilized in studies on sciatic neuropathy. Previously used outcome measures fell into seven domains: motor outcomes, sensory outcomes, pain outcomes, patient-reported outcomes, electrodiagnostic outcomes, imaging outcomes, and composite outcomes. Pain outcomes were most commonly used across the included studies.
作为制定坐骨神经病变核心结局集(COS)的第一步,本研究的目的是对文献进行系统回顾,以确定先前在坐骨神经病变研究中报告过的结局测量指标。
利用 PubMed 和医学主题词(MeSH)对 2000 年至 2024 年的文献进行系统回顾。根据研究纳入/排除标准筛选确定的文章。记录每个纳入研究中报告的结局测量指标,并将其分为运动、感觉、疼痛、患者报告的结局、电诊断结局、影像学结局和综合结局。进行描述性统计分析。
最初共确定了 1586 篇文章,有 31 篇文章符合纳入标准并进行了分析。最常见的结局领域是疼痛。17 项(63%)研究报告了疼痛结局。10 项(37%)研究报告了运动结局;6 项(22%)报告了感觉结局;1 项(4%)报告了综合结局;4 项(15%)报告了电诊断结局;5 项(19%)报告了患者报告的结局;3 项(11%)报告了影像学结局。在纳入的研究中,共报告了 21 种独特的结局。
我们已经确定了先前在坐骨神经病变研究中使用过的结局测量指标。先前使用的结局测量指标分为七个领域:运动结局、感觉结局、疼痛结局、患者报告的结局、电诊断结局、影像学结局和综合结局。在纳入的研究中,疼痛结局最常用。