关键词: Clinical research Common peroneal nerve Common peroneal neuropathy Core outcome set Fibular tunnel syndrome Peripheral nerve

Mesh : Humans Peroneal Neuropathies / diagnosis surgery Lower Extremity Neurosurgical Procedures Pain Patient Reported Outcome Measures

来  源:   DOI:10.1007/s00701-023-05744-x

Abstract:
There is a strong need for the development of core outcome sets (COS) across nerve surgery to allow for improved data synthesis, meta-analyses, and reporting consistency. Development of a core outcome set typically starts with assessing the literature for previously reported outcome measures. Common peroneal neuropathy (CPN) is the most common compressive mononeuropathy of the lower extremity and can result in pain, motor, and sensory deficits. A COS for COmmon PEroneal neuropathy (COS-COPE) is needed to improve future study design and comparison and synthesis of data. The goal of the current study was to assess the literature for outcomes reported in studies on CPN as the first step in the development of a COS.
A systematic review of the literature from 2000 to 2023 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, composite foot/ankle score, electrodiagnostics, function/disability patient-reported outcome (PRO), psychological, or other outcomes. Descriptive statistics were performed.
A total of 31 articles met criteria for inclusion. A motor outcome was reported in 26 (83.9%) studies; 12 (38.7%) reported a sensory outcome; 8 (25.8%) reported a pain outcome; 4 (12.9%) reported a composite foot/ankle score; 3 (9.7%) reported electrodiagnostics; 1 (3.2%) reported a function/disability PRO; 1 (3.2%) reported a psychological outcome; 2 (6.5%) reported an imaging outcome; 3 (9.7%) reported other outcomes. Across the studies, 29 distinct outcome measures were reported.
The outcomes reported in studies on CPN are varied and inconsistent. It is likely that a combination of motor, sensory, pain, and functional outcomes will be needed in a COS to best study CPN. These data will serve as a baseline for the ultimate development of the COS-COPE.
摘要:
背景:强烈需要在整个神经外科中开发核心结果集(COS),以改善数据合成,荟萃分析,报告的一致性。核心结果集的开发通常从评估先前报告的结果度量的文献开始。常见腓骨神经病(CPN)是下肢最常见的压缩性单神经病,可导致疼痛,电机,和感官缺陷。需要COS用于COmmonPEr-neual神经病(COS-COPE),以改善未来的研究设计,比较和数据综合。当前研究的目标是评估CPN研究中报告的结果的文献,这是开发COS的第一步。
方法:使用PubMed和医学主题词(MeSH)对2000年至2023年的文献进行了系统回顾。根据研究纳入/排除标准筛选鉴定的文章。记录每个纳入研究中报告的结果指标,并将其分类为运动,感官,疼痛,复合足部/踝关节评分,电诊断,功能/残疾患者报告结果(PRO),心理,或其他结果。进行描述性统计。
结果:共有31篇文章符合纳入标准。26项(83.9%)研究报告了运动结果;12项(38.7%)报告了感觉结果;8项(25.8%)报告了疼痛结果;4项(12.9%)报告了复合足踝评分;3项(9.7%)报告了电诊断;1项(3.2%)报告了功能/残疾PRO;1项(3.2%)报告了心理结果;2项(6.5%)报告了影像学结果;3项(9.7%)在整个研究中,报告了29种不同的结果指标。
结论:关于CPN的研究报告的结果各不相同且不一致。很可能是马达的组合,感官,疼痛,为了最好地研究CPN,在COS中需要功能结果。这些数据将作为COS-COPE最终发展的基线。
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