Evidence map›Paper›PMID 35174734›Full record

ArticleGlobal spine journal2022

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

Benjamin M Davies, Oliver Mowforth, Helen Wood, Zahabiya Karimi, Iwan Sadler, Lindsay Tetreault, Jamie Milligan, Jamie R F Wilson, Sukhvinder Kalsi-Ryan, Julio C Furlan and 18 more

Open access · goldAbstract read
In one paragraph

Article in Global spine journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
10.0field-weighted citation impact, top 1% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

  1. Pooled it
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  11. Understanding degenerative cervical myelopathy in musculoskeletal practice.The Journal of manual & manipulative therapy · 2025
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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

28 authors at 19 institutions in 8 countries.

Benjamin M DaviesMyelopathy.org, International Charity for Degenerative Cervical Myelopathy, Cambridge, UK.ORCID https://orcid.org/0000-0003-0591-5069
Oliver MowforthMyelopathy.org, International Charity for Degenerative Cervical Myelopathy, Cambridge, UK.ORCID https://orcid.org/0000-0001-6788-745X
Helen WoodMyelopathy.org, International Charity for Degenerative Cervical Myelopathy, Cambridge, UK.
Zahabiya KarimiMyelopathy.org, International Charity for Degenerative Cervical Myelopathy, Cambridge, UK.
Iwan SadlerMyelopathy.org, International Charity for Degenerative Cervical Myelopathy, Cambridge, UK.
Lindsay TetreaultDepartment of Neurology, Langone Health, Graduate Medical Education, 5894New York University, New York, NY, USA.
Jamie MilliganDepartment of Family Medicine, 152996McMaster University, Hamilton, ON, Canada.
Jamie R F WilsonDepartment of Neurosurgery, 12284University of Nebraska Medical Center, Omaha, NE, USA.
Sukhvinder Kalsi-RyanKITE Research Institute, 7961University Health Network, Toronto, ON, Canada.
Julio C FurlanKITE Research Institute, 7961University Health Network, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-2038-0018
Yoshiharu KawaguchiDepartment of Orthopaedic Surgery, 34823University of Toyama, Toyama, Japan.ORCID https://orcid.org/0000-0001-7710-6012
Manabu ItoDepartment of Orthopaedic Surgery, National Hospital Organization Hokkaido Medical Center, Sapporo, Japan.
Carl Moritz ZipserUniversity Spine Center, 31031Balgrist University Hospital, Zurich, Switzerland.
Timothy F BoergerDepartment of Neurosurgery, 5506Medical College of Wisconsin, Wauwatosa, WI, USA.ORCID https://orcid.org/0000-0003-1587-3704
Alexander R VaccaroDepartment of Orthopaedic Surgery, 387400Rothman Orthopaedic Institute, Thomas Jefferson University, Philadelphia, PA, USA.
Rory K J MurphyDepartment of Neurosurgery, St. Joseph's Hospital and Medical Center, 115467Barrow Neurological Institute, Phoenix, AZ, USA.
Mike Hutton159028Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Ricardo Rodrigues-PintoDepartment of Orthopaedics, Spinal Unit (UVM), 112085Centro Hospitalar Universitário Do Porto - Hospital de Santo António, Porto, Portugal.ORCID https://orcid.org/0000-0002-6903-348X
Paul A KoljonenDepartment of Orthopaedics and Traumatology, Li Ka Shing Faculty of Medicine, 25809The University of Hong Kong, Hong Kong, China.ORCID https://orcid.org/0000-0002-9250-653X
James S HarropDepartment of Neurological Surgery, 6559Thomas Jefferson University, Philadelphia, PA, USA.
Bizhan AarabiDepartment of Neurosurgery, 1479University of Maryland School of Medicine, Baltimore, MD, USA.
Vafa Rahimi-MovagharDepartment of Neurosurgery, Sina Trauma and Surgery Research Center, 48439Tehran University of Medical Sciences, Tehran, Iran.
Shekar N KurpadDepartment of Neurosurgery, 5506Medical College of Wisconsin, Wauwatosa, WI, USA.
James D GuestDepartment of Neurosurgery and The Miami Project to Cure Paralysis, The Miller School of Medicine, 12235University of Miami, Miami, FL, USA.
Jefferson R WilsonDepartment of Surgery, Division of Neurosurgery, 7938University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0001-5965-0305
Brian K KwonDepartment of Orthopedics, Vancouver Spine Surgery Institute, The University of British Columbia, Vancouver, BC, Canada.
Mark R N KotterMyelopathy.org, International Charity for Degenerative Cervical Myelopathy, Cambridge, UK.
Michael G FehlingsDepartment of Surgery, Division of Neurosurgery, 7938University of Toronto, Toronto, ON, Canada.ORCID https://orcid.org/0000-0002-5722-6364
Center for International Environmental Law · USUniversity of Cambridge · GBUniversity of Toronto · CAMedical College of Wisconsin · USThomas Jefferson University · USUniversity Health Network · CABarrow Neurological Institute · USMcMaster University · CANational Hospital Organization Hokkaido Medical Center · JPNYU Langone Health · USRoyal Devon & Exeter NHS Foundation Trust · GBSina Hospital · IRUniversidade do Porto · PTUniversitätsklinik Balgrist · CHUniversity of British Columbia · CAUniversity of Hong Kong · HKUniversity of Maryland, Baltimore · USUniversity of Miami · USUniversity of Toyama · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

designLiterature Review (Narrative).

objectiveTo introduce the number one research priority for Degenerative Cervical Myelopathy (DCM): Raising Awareness.

methodsRaising awareness has been recognized by AO Spine RECODE-DCM as the number one research priority. This article reviews the evidence that awareness is low, the potential drivers, and why this must be addressed. Case studies of success from other diseases are also reviewed, drawing potential parallels and opportunities for DCM.

resultsDCM may affect as many as 1 in 50 adults, yet few will receive a diagnosis and those that do will wait many years for it. This leads to poorer outcomes from surgery and greater disability. DCM is rarely featured in healthcare professional training programs and has received relatively little research funding (<2% of Amyotrophic Lateral Sclerosis or Multiple Sclerosis over the last 25 years). The transformation of stroke and acute coronary syndrome services, from a position of best supportive care with occasional surgery over 50 years ago, to avoidable disability today, represents transferable examples of success and potential opportunities for DCM. Central to this is raising awareness.

conclusionDespite the devastating burden on the patient, recognition across research, clinical practice, and healthcare policy are limited. DCM represents a significant unmet need that must become an international public health priority.

Indexed as

cervicaldegenerative cervical myelopathydisabilitydisc herniationmyelopathyossification posterior longitudinal ligamentpolicyprioritizationresearch prioritizationreviewspondylosisspondyloticstenosis

Identifiers

PMID35174734
PMCPMC8859708
OpenAlexW4212958927

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.