Evidence map›Paper›PMID 31601597›Full record

Observational studyBMJ open2019

Recovery priorities in degenerative cervical myelopathy: a cross-sectional survey of an international, online community of patients.

Benjamin Davies, Oliver Mowforth, Iwan Sadler, Bizhan Aarabi, Brian Kwon, Shekar Kurpad, James S Harrop, Jefferson R Wilson, Robert Grossman, Michael G Fehlings and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 6 institutions in 2 countries.

Benjamin DaviesDivision of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Oliver MowforthDivision of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.ORCID 0000-0001-6788-745X
Iwan SadlerMyelopathy.org, Cambridge, UK.
Bizhan AarabiDivision of Neurosurgery, University of Maryland, Baltimore, Maryland, USA.
Brian KwonDepartment of Orthopaedics, University of British Columbia, Vancouver, UK.
Shekar KurpadDepartment of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
James S HarropDepartment of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Jefferson R WilsonDepartment of Neurosurgery, Toronto Western Hospital, Toronto, UK.
Robert GrossmanDepartment of Neurosurgery, Houston Methodist Hospital, Houston, Texas, USA.
Michael G FehlingsDepartment of Neurosurgery, Toronto Western Hospital, Toronto, UK.
Mark KotterDivision of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK mrk25@cam.ac.uk.
University of Cambridge · GBMedical College of Wisconsin · USMethodist Hospital · USMyeloma UK · GBThomas Jefferson University Hospital · USUniversity of Maryland, Baltimore · US

Funding

Medical Research CouncilWellcome Trust
6 · The paper itself

Abstract

objectivesTo establish the recovery priorities of individuals suffering with degenerative cervical myelopathy (DCM).

designA cross-sectional, observational study.

settingPatients from across the world with a diagnosis of DCM accessed the survey over an 18-month period on Myelopathy.org, an international myelopathy charity.

participants481 individuals suffering from DCM completed the online survey fully.

main outcome measuresFunctional recovery domains were established through qualitative interviews and a consensus process. Individuals were asked about their disease characteristics, including limb pain (Visual Analogue Scale) and functional disability (patient-derived version of the modified Japanese Orthopaedic Association score). Individuals ranked recovery domains (arm and hand function, walking, upper body/trunk function, sexual function, elimination of pain, sensation and bladder/bowel function) in order of priority. Priorities were analysed as the modal first priority and mean ranking. The influence of demographics on selection was analysed, with significance

resultsOf 659 survey responses obtained, 481 were complete. Overall, pain was the most popular recovery priority (39.9%) of respondents, followed by walking (20.2%), sensation (11.9%) and arm and hand function (11.5%). Sexual function (5.7%), bladder and bowel (3.7%) and trunk function (3.5%) were chosen less frequently. When considering the average ranking of symptoms, while pain remained the priority (2.6±2.0), this was closely followed by walking (2.9±1.7) and arm/hand function (3.0±1.4). Sensation ranked lower (4.3±2.1). With respect to disease characteristics, overall pain remained the recovery priority, with the exception of patients with greater walking impairment (

conclusionsThis is the first study investigating patient priorities in DCM. The patient priorities reported provide an important framework for future research and will help to ensure that it is aligned with patient needs.

Indexed as

Cervical VertebraeCross-Sectional StudiesFemaleHealth PrioritiesHumansMaleMiddle AgedRecovery of FunctionSpinal Cord DiseasesSurveys and QuestionnairesTreatment Outcomecervicaldegenerationdisabilitydisc herniationmyelopathyossification posterior longitudinal ligamentpatient and public involvementpriority settingquestionnairerecoveryresearch wastagespondylosisspondyloticstenosis

Identifiers

PMID31601597
PMCPMC6797315
OpenAlexW2979826578

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.