RE-CODE DCM (
Publication/Presentation Date
5-1-2019
Abstract
STUDY DESIGN: Mixed-method consensus process.
OBJECTIVES: Degenerative cervical myelopathy (DCM) is a common and disabling condition that arises when mechanical stress damages the spinal cord as a result of degenerative changes in the surrounding spinal structures. RECODE-DCM (
METHODS: This requires a multi-stakeholder partnership and multiple parallel consensus development processes. It will be conducted via 4 phases, adhering to the guidance set out by the COMET (Core Outcomes in Effectiveness Trials) and JLA (James Lind Alliance) initiatives. Phase 1 will consist of preliminary work to inform online Delphi processes (Phase 2) and a consensus meeting (Phase 3). Following the findings of the consensus meeting, a synthesis of relevant measurement instruments will be compiled and assessed as per the COSMIN (Consensus-based Standards for the Selection of Health Measurement Instruments) criteria, to allow recommendations to be made on how to measure agreed data points. Phase 4 will monitor and promote the use of eventual recommendations.
CONCLUSIONS: RECODE-DCM sets out to establish for the first time an index term, minimum dataset, and research priorities together. Our aim is to reduce waste of health care resources in the future by using patient priorities to inform the scope of future DCM research activities. The consistent use of a standard dataset in DCM clinical studies, audit, and clinical surveillance will facilitate pooled analysis of future data and, ultimately, a deeper understanding of DCM.
Volume
9
Issue
1 Suppl
First Page
65
Last Page
65
ISSN
2192-5682
Published In/Presented At
Davies, B. M., Khan, D. Z., Mowforth, O. D., McNair, A. G. K., Gronlund, T., Kolias, A. G., Tetreault, L., Starkey, M. L., Sadler, I., Sarewitz, E., Houlton, D., Carter, J., Kalsi-Ryan, S., Aarabi, B., Kwon, B. K., Kurpad, S. N., Harrop, J., Wilson, J. R., Grossman, R., Curt, A., … Kotter, M. R. N. (2019). RE-CODE DCM (REsearch Objectives and Common Data Elements for Degenerative Cervical Myelopathy): A Consensus Process to Improve Research Efficiency in DCM, Through Establishment of a Standardized Dataset for Clinical Research and the Definition of the Research Priorities. Global spine journal, 9(1 Suppl), 65S–76S. https://doi.org/10.1177/2192568219832855
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
31157148
Department(s)
Administration and Leadership
Document Type
Article