Core outcomes in nerve surgery: development of a core outcome set for common peroneal (fibular) neuropathy.

IF 3.5 2区医学 Q1 CLINICAL NEUROLOGY

Journal of neurosurgery Pub Date : 2024-08-16 DOI:10.3171/2024.5.JNS24614

Thomas J Wilson, Zarina S Ali, Gavin A Davis, Nora F Dengler, Ketan Desai, Debora Garozzo, Fernando Guedes, Megan M Jack, Line G Jacques, Thomas Kretschmer, Mark A Mahan, Rajiv Midha, Willem Pondaag, Ross C Puffer, Lukas Rasulic, Wilson Z Ray, Elias Rizk, Carlos A Rodriguez-Aceves, Yuval Shapira, Brandon W Smith, Mariano Socolovsky, Robert J Spinner, Eric L Zager

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引用次数: 0

Abstract

Objective: Common peroneal (fibular) neuropathy is the most common mononeuropathy of the lower extremity. Despite this, there are surprisingly few studies on the topic, and a knowledge gap remains in the literature. As one attempts to address this knowledge gap, a core outcome set (COS) is needed to guide the planning phases of future studies to allow synthesis and comparability of these studies. The objective of this study was to develop the COS-common peroneal neuropathy (CoPe) using a modified Delphi approach.

Methods: A 5-stage approach was used to develop the COS-CoPe: 1) stage 1, consortium development; 2) stage 2, a literature review to identify potential outcome measures; 3) stage 3, a Delphi survey to develop consensus on outcomes for inclusion; 4) stage 4, a Delphi survey to develop definitions; and 5) stage 5, a consensus meeting to finalize COS and definitions. The study followed the COS-STAndards for Development (COS-STAD) recommendations.

Results: The Core Outcomes in Nerve Surgery (COINS) Consortium comprised 23 participants, all neurological surgeons, representing 13 countries. The final COS-CoPe consisted of 31 data points/outcomes covering domains of demographics, diagnostics, patient-reported outcomes, motor/sensory outcomes, and complications. Appropriate instruments, methods of testing, and definitions were set. The consensus minimum duration of follow-up was 12 months. The consensus optimal time points for assessment were preoperatively and 3, 6, 12, and 24 months postoperatively.

Conclusions: The COINS Consortium developed a consensus COS and provided definitions, methods of implementation, and time points for assessment. The COS-CoPe should serve as a minimum set of data that should be collected in all future neurosurgical studies on common peroneal neuropathy. Incorporation of this COS should help improve consistency in reporting, data synthesis, and comparability, and should minimize outcome reporting bias.

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神经外科核心成果：腓总神经病变核心成果集的开发。

目的：腓总神经病是下肢最常见的单神经病：腓总神经病是下肢最常见的单神经病。尽管如此，有关该主题的研究却少得令人吃惊，文献中仍然存在知识空白。为了填补这一知识空白，我们需要一个核心结果集（COS）来指导未来研究的规划阶段，以便对这些研究进行综合和比较。本研究的目的是采用改良的德尔菲法制定 COS--常见腓总神经病（CoPe）：方法：采用 5 个阶段的方法来开发 COS-CoPe：1) 第 1 阶段，联合开发；2) 第 2 阶段，文献综述，确定潜在的结果测量指标；3) 第 3 阶段，德尔菲调查，就纳入的结果达成共识；4) 第 4 阶段，德尔菲调查，制定定义；5) 第 5 阶段，共识会议，最终确定 COS 和定义。该研究遵循了 COS-STA 标准发展（COS-STAD）的建议：神经外科核心结果（COINS）联盟由 23 名参与者组成，他们都是神经外科医生，代表 13 个国家。最终的 COS-CoPe 包括 31 个数据点/结果，涵盖人口统计学、诊断学、患者报告结果、运动/感觉结果和并发症等领域。制定了适当的工具、检测方法和定义。一致同意最短随访时间为 12 个月。一致同意的最佳评估时间点为术前、术后 3、6、12 和 24 个月：COINS 联合会制定了共识 COS，并提供了定义、实施方法和评估时间点。COS-CoPe应作为今后所有有关腓总神经病变的神经外科研究应收集的最低数据集。纳入该 COS 应有助于提高报告、数据综合和可比性的一致性，并应最大限度地减少结果报告的偏差。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of neurosurgery 医学-临床神经学

CiteScore

7.20

自引率

7.30%

发文量

1003

审稿时长

1 months

期刊介绍： The Journal of Neurosurgery, Journal of Neurosurgery: Spine, Journal of Neurosurgery: Pediatrics, and Neurosurgical Focus are devoted to the publication of original works relating primarily to neurosurgery, including studies in clinical neurophysiology, organic neurology, ophthalmology, radiology, pathology, and molecular biology. The Editors and Editorial Boards encourage submission of clinical and laboratory studies. Other manuscripts accepted for review include technical notes on instruments or equipment that are innovative or useful to clinicians and researchers in the field of neuroscience; papers describing unusual cases; manuscripts on historical persons or events related to neurosurgery; and in Neurosurgical Focus, occasional reviews. Letters to the Editor commenting on articles recently published in the Journal of Neurosurgery, Journal of Neurosurgery: Spine, and Journal of Neurosurgery: Pediatrics are welcome.