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Core outcomes in nerve surgery: development of a core outcome set for common peroneal (fibular) neuropathy

作者:Thomas J. Wilson, Zarina S. Ali, Gavin A Davis, Nora F. Dengler, Ketan Desai, Debora Garozzo, Fernando Guedes, Megan M. Jack, Line Jacques, Thomas Kretschmer, Mark A. Mahan, Rajiv Midha, Willem Pondaag, Ross C. Puffer, Lukas Rasulić, Wilson Z. Ray, Elias Rizk, Carlos Alberto Rodríguez-Aceves, Yuval Shapira, Brandon W. Smith, Mariano Socolovsky, Robert J. Spinner, Eric L. Zager · 发表于:Journal of neurosurgery · 年份:2024 · DOI:10.3171/2024.5.jns24614 · 被引用次数:5 · 研究领域:Peripheral Nerve Disorders、Orthopedic Surgery and Rehabilitation、Foot and Ankle Surgery

OBJECTIVE: Common peroneal (fibular) neuropathy is the most common mononeuropathy of the lower extremity. Despite this, there are surprisingly few studies on the topic, and a knowledge gap remains in the literature. As one attempts to address this knowledge gap, a core outcome set (COS) is needed to guide the planning phases of future studies to allow synthesis and comparability of these studies. The objective of this study was to develop the COS-common peroneal neuropathy (CoPe) using a modified Delphi approach. METHODS: A 5-stage approach was used to develop the COS-CoPe: 1) stage 1, consortium development; 2) stage 2, a literature review to identify potential outcome measures; 3) stage 3, a Delphi survey to develop consensus on outcomes for inclusion; 4) stage 4, a Delphi survey to develop definitions; and 5) stage 5, a consensus meeting to finalize COS and definitions. The study followed the COS-STAndards for Development (COS-STAD) recommendations. RESULTS: The Core Outcomes in Nerve Surgery (COINS) Consortium comprised 23 participants, all neurological surgeons, representing 13 countries. The final COS-CoPe consisted of 31 data points/outcomes covering domains of demographics, diagnostics, patient-reported outcomes, motor/sensory outcomes, and complications. Appropriate instruments, methods of testing, and definitions were set. The consensus minimum duration of follow-up was 12 months. The consensus optimal time points for assessment were preoperatively and 3, 6, 12, and...