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Intrathecal baclofen versus selective dorsal rhizotomy for children with cerebral palsy who are nonambulant: a systematic review. 鞘内巴氯芬与选择性背根切断术治疗无行走能力的脑瘫患儿:系统性综述。
IF 2.1
Allgemeines statistisches Archiv Pub Date : 2019-10-18 Print Date: 2020-01-01 DOI: 10.3171/2019.8.PEDS19282
Benjamin Davidson, Nathan Schoen, Shaina Sedighim, Renée Haldenby, Blythe Dalziel, Sara Breitbart, Darcy Fehlings, Golda Milo-Manson, Unni G Narayanan, James M Drake, George M Ibrahim
{"title":"Intrathecal baclofen versus selective dorsal rhizotomy for children with cerebral palsy who are nonambulant: a systematic review.","authors":"Benjamin Davidson, Nathan Schoen, Shaina Sedighim, Renée Haldenby, Blythe Dalziel, Sara Breitbart, Darcy Fehlings, Golda Milo-Manson, Unni G Narayanan, James M Drake, George M Ibrahim","doi":"10.3171/2019.8.PEDS19282","DOIUrl":"10.3171/2019.8.PEDS19282","url":null,"abstract":"<p><strong>Objective: </strong>Cerebral palsy (CP) is the most common childhood physical disability. Historically, children with hypertonia who are nonambulatory (Gross Motor Function Classification System [GMFCS] level IV or V) were considered candidates for intrathecal baclofen (ITB) therapy to facilitate care and mitigate discomfort. Selective dorsal rhizotomy (SDR) was often reserved for ambulant children to improve gait. Recently, case series have suggested SDR as an alternative to ITB in selected children functioning at GMFCS level IV/V. The objective for this study was to systematically review the evidence for ITB and SDR in GMFCS level IV or V children.</p><p><strong>Methods: </strong>Medline, Embase, Web of Science, and Cochrane databases were systematically searched. Articles were screened using the following inclusion criteria: 1) peer-reviewed articles reporting outcomes after SDR or ITB; 2) outcomes reported using a quantifiable scale or standardized outcome measure; 3) patients were < 19 years old at the time of operation; 4) patients had a diagnosis of CP; 5) patients were GMFCS level IV/V or results were reported based on GMFCS status and included some GMFCS level IV/V patients; 6) article and/or abstract in English; and 7) primary indication for surgery was hypertonia. Included studies were assessed with the Risk of Bias in Non-Randomized Studies - of Interventions (ROBINS-I) tool.</p><p><strong>Results: </strong>Twenty-seven studies met inclusion criteria. The most commonly reported outcomes were spasticity (on the Mean Ashworth Scale) and gross motor function (using the Gross Motor Function Measure), although other outcomes including frequency of orthopedic procedures and complications were also reported. There is evidence from case series that suggests that both ITB and SDR can lower spasticity and improve gross motor function in this nonambulatory population. Complication rates are decidedly higher after ITB due in part to the ongoing risk of device-related complications. The heterogeneity among study design, patient selection, outcome selection, and follow-up periods was extremely high, preventing meta-analysis. There are no comparative studies, and meaningful health-related quality of life outcomes such as care and comfort are lacking. This review is limited by the high risk of bias among included studies. Studies of SDR or ITB that did not clearly describe patients as being GMFCS level IV/V or nonambulatory were excluded.</p><p><strong>Conclusions: </strong>There is a lack of evidence comparing the outcomes of ITB and SDR in the nonambulatory CP population. This could be overcome with standardized prospective studies using more robust methodology and relevant outcome measures.</p>","PeriodicalId":84131,"journal":{"name":"Allgemeines statistisches Archiv","volume":"90 1","pages":"69-77"},"PeriodicalIF":2.1,"publicationDate":"2019-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73177777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Zivot Eric and Jiahui Wang, Modeling Financial Time Series with S-PLUS Eric和王嘉辉,基于S-PLUS的金融时间序列建模
Allgemeines statistisches Archiv Pub Date : 2006-11-30 DOI: 10.1007/s10182-006-0013-y
M. Fischer
{"title":"\u0000 Zivot Eric and Jiahui Wang, Modeling Financial Time Series with S-PLUS\u0000","authors":"M. Fischer","doi":"10.1007/s10182-006-0013-y","DOIUrl":"https://doi.org/10.1007/s10182-006-0013-y","url":null,"abstract":"","PeriodicalId":84131,"journal":{"name":"Allgemeines statistisches Archiv","volume":"90 1","pages":"631-632"},"PeriodicalIF":0.0,"publicationDate":"2006-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10182-006-0013-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51986396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prekäre Einkommenslagen in Deutschland. Ein Ost-West-Vergleich 1996–2002 德国的收入情况十分严峻。这就引出了最严重的问题
Allgemeines statistisches Archiv Pub Date : 2006-11-29 DOI: 10.1007/S10182-006-0005-Y
Herbert S. Buscher, Juliane Parys
{"title":"\u0000 Prekäre Einkommenslagen in Deutschland.\u0000 Ein Ost-West-Vergleich 1996–2002\u0000","authors":"Herbert S. Buscher, Juliane Parys","doi":"10.1007/S10182-006-0005-Y","DOIUrl":"https://doi.org/10.1007/S10182-006-0005-Y","url":null,"abstract":"","PeriodicalId":84131,"journal":{"name":"Allgemeines statistisches Archiv","volume":"90 1","pages":"595-615"},"PeriodicalIF":0.0,"publicationDate":"2006-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/S10182-006-0005-Y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51986314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Der Einsatz von Missing Data Techniken in der Arbeitsmarktforschung des IAB 用于IAB在劳动市场上研究的失踪数据技术
Allgemeines statistisches Archiv Pub Date : 2006-11-29 DOI: 10.1007/S10182-006-0010-1
Susanne Rässler
{"title":"\u0000 Der Einsatz von Missing Data Techniken in der Arbeitsmarktforschung des IAB\u0000","authors":"Susanne Rässler","doi":"10.1007/S10182-006-0010-1","DOIUrl":"https://doi.org/10.1007/S10182-006-0010-1","url":null,"abstract":"","PeriodicalId":84131,"journal":{"name":"Allgemeines statistisches Archiv","volume":"90 1","pages":"527-552"},"PeriodicalIF":0.0,"publicationDate":"2006-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/S10182-006-0010-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51986367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Pascal Ardilly, Yves Tillé: Sampling Methods: Exercises and Solutions Pascal Ardilly, Yves till<s:1>:抽样方法:练习和解决方案
Allgemeines statistisches Archiv Pub Date : 2006-11-22 DOI: 10.1007/S10182-006-0008-8
G. Uebe
{"title":"\u0000 Pascal Ardilly, Yves Tillé: Sampling Methods: Exercises and Solutions\u0000","authors":"G. Uebe","doi":"10.1007/S10182-006-0008-8","DOIUrl":"https://doi.org/10.1007/S10182-006-0008-8","url":null,"abstract":"","PeriodicalId":84131,"journal":{"name":"Allgemeines statistisches Archiv","volume":"90 1","pages":"627-628"},"PeriodicalIF":0.0,"publicationDate":"2006-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/S10182-006-0008-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51986344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Schmid Friedrich, Mark Trede: Finanzmarktstatistik 斯密德,马克·特雷德:金融市场统计
Allgemeines statistisches Archiv Pub Date : 2006-11-21 DOI: 10.1007/S10182-006-0006-X
M. Fischer
{"title":"\u0000 Schmid Friedrich, Mark Trede: Finanzmarktstatistik\u0000","authors":"M. Fischer","doi":"10.1007/S10182-006-0006-X","DOIUrl":"https://doi.org/10.1007/S10182-006-0006-X","url":null,"abstract":"","PeriodicalId":84131,"journal":{"name":"Allgemeines statistisches Archiv","volume":"90 1","pages":"623-624"},"PeriodicalIF":0.0,"publicationDate":"2006-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/S10182-006-0006-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51986325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conceptual, computational and inferential benefits of the missing data perspective in applied and theoretical statistical problems 在应用和理论统计问题中缺失数据视角的概念、计算和推论的好处
Allgemeines statistisches Archiv Pub Date : 2006-11-18 DOI: 10.1007/S10182-006-0004-Z
D. Rubin
{"title":"\u0000 Conceptual, computational and inferential benefits of the missing data perspective in applied and theoretical\u0000 statistical problems\u0000","authors":"D. Rubin","doi":"10.1007/S10182-006-0004-Z","DOIUrl":"https://doi.org/10.1007/S10182-006-0004-Z","url":null,"abstract":"","PeriodicalId":84131,"journal":{"name":"Allgemeines statistisches Archiv","volume":"90 1","pages":"501-513"},"PeriodicalIF":0.0,"publicationDate":"2006-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/S10182-006-0004-Z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51986304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Missing data methods in official statistics in the United Kingdom: Some recent developments 英国官方统计中缺失的数据方法:一些最近的发展
Allgemeines statistisches Archiv Pub Date : 2006-11-16 DOI: 10.1007/S10182-006-0002-1
Gabriele B. Durrant
{"title":"\u0000 Missing data methods in official statistics in the United Kingdom: Some recent developments\u0000","authors":"Gabriele B. Durrant","doi":"10.1007/S10182-006-0002-1","DOIUrl":"https://doi.org/10.1007/S10182-006-0002-1","url":null,"abstract":"","PeriodicalId":84131,"journal":{"name":"Allgemeines statistisches Archiv","volume":"90 1","pages":"577-593"},"PeriodicalIF":0.0,"publicationDate":"2006-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/S10182-006-0002-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51986284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
The 2005 Plenary Meeting on ‘‘Missing Data and Measurement Error’’ 2005年“数据缺失与测量误差”全体会议
Allgemeines statistisches Archiv Pub Date : 2006-11-16 DOI: 10.1007/S10182-006-0011-0
U. Rendtel
{"title":"\u0000 The 2005 Plenary Meeting on ‘‘Missing Data and Measurement Error’’\u0000","authors":"U. Rendtel","doi":"10.1007/S10182-006-0011-0","DOIUrl":"https://doi.org/10.1007/S10182-006-0011-0","url":null,"abstract":"","PeriodicalId":84131,"journal":{"name":"Allgemeines statistisches Archiv","volume":"90 1","pages":"493-499"},"PeriodicalIF":0.0,"publicationDate":"2006-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/S10182-006-0011-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51986375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Fokus, Fokus, Fokus? Zur künftigen Rolle der außeruniversitären Wirtschaftsforschungsinstitute 转移?对!提到了大学以外的经济研究机构未来的作用
Allgemeines statistisches Archiv Pub Date : 2006-11-10 DOI: 10.1007/S10182-006-0012-Z
C. Schmidt
{"title":"\u0000 Fokus, Fokus, Fokus? Zur künftigen Rolle der außeruniversitären Wirtschaftsforschungsinstitute\u0000","authors":"C. Schmidt","doi":"10.1007/S10182-006-0012-Z","DOIUrl":"https://doi.org/10.1007/S10182-006-0012-Z","url":null,"abstract":"","PeriodicalId":84131,"journal":{"name":"Allgemeines statistisches Archiv","volume":"90 1","pages":"617-622"},"PeriodicalIF":0.0,"publicationDate":"2006-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/S10182-006-0012-Z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51986384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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