Guidelines for the management of degenerative cervical myelopathy and acute spinal cord injury: development process and methodology

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dc.contributor.author Tetreault, Lindsay A.
dc.contributor.author Skelly, Andrea C.
dc.contributor.author Dettori, Joseph R.
dc.contributor.author Wilson, Jefferson R.
dc.contributor.author Martin, Allan R.
dc.contributor.author Fehlings, Michael G.
dc.date.accessioned 2018-03-09T12:55:07Z
dc.date.available 2018-03-09T12:55:07Z
dc.date.issued 2017
dc.identifier.citation Tetreault, L. A., Skelly, A. C., Dettori, J. R., Wilson, J. R., Martin, A. R. and Fehlings, M. G. (2017) 'Guidelines for the management of degenerative cervical myelopathy and acute spinal cord injury: development process and methodology', Global Spine Journal, 7(3S), pp. 8-20. doi: 10.1177/2192568217701715 en
dc.identifier.volume 7
dc.identifier.issued 3S
dc.identifier.startpage 8
dc.identifier.endpage 20
dc.identifier.issn 2192-5682
dc.identifier.issn 2192-5690
dc.identifier.uri http://hdl.handle.net/10468/5617
dc.identifier.doi 10.1177/2192568217701715
dc.description.abstract The Institute of Medicine defines clinical practice guidelines as “statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options.” Guidelines help clinicians implement best evidence into practice and encourage informed shared decision making with patients. Guidelines are intended to enhance the quality of patient care by discouraging ineffective and potentially harmful interventions and standardizing practice. Standards for the development and appraisal of guidelines, such as those proposed by the Institute of Medicine and other organizations, help assure guideline quality and credibility. Primary standards include establishing transparency, managing conflicts of interest, forming a multidisciplinary guideline development group, conducting methodologically sound systematic reviews, developing evidence-based recommendations, balancing risks and harms, and rating the strength of recommendations based on the confidence in the evidence. Furthermore, the guideline document must be appraised internally and externally and updated when new evidence arises. The Grading of Recommendation, Assessment, Development and Evaluation process helps appraise the existing body of evidence as well as provide an interactive framework for weighing the benefits and harms of treatment options and translating evidence to recommendations. This article summarizes the methodology used to develop clinical practice guidelines for the management of degenerative cervical myelopathy and acute spinal cord injury. en
dc.description.sponsorship American Association of Neurological Surgeons/Congress of Neurological Surgeons (Section on Neurotrauma and Critical Care); Krembil Foundation (Postdoctoral Fellowship Award). en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher Sage Publications en
dc.relation.uri http://journals.sagepub.com/doi/10.1177/2192568217701715
dc.rights © 2017, the Authors. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/ ) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). en
dc.rights.uri http://www.creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject Spinal cord injury en
dc.subject Guidelines en
dc.subject Methodology en
dc.subject Guideline development en
dc.subject Degenerative cervical myelopathy en
dc.subject Cervical spondylotic myelopathy en
dc.title Guidelines for the management of degenerative cervical myelopathy and acute spinal cord injury: development process and methodology en
dc.type Article (peer-reviewed) en
dc.internal.authorcontactother Lindsay A. Tetreault, Medicine, University College Cork, Cork, Ireland. +353-21-490-3000 Email: 116100017@umail.ucc.ie en
dc.internal.availability Full text available en
dc.description.version Published Version en
dc.contributor.funder AOSpine
dc.contributor.funder Cervical Spine Research Society
dc.contributor.funder American Association of Neurological Surgeons
dc.contributor.funder Congress of Neurological Surgeons
dc.contributor.funder Gerald and Tootsie Halbert Chair in Neural Repair and Regeneration
dc.contributor.funder DeZwirek Family Foundation
dc.contributor.funder Krembil Foundation
dc.description.status Peer reviewed en
dc.identifier.journaltitle Global Spine Journal en


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© 2017, the Authors. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/ ) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). Except where otherwise noted, this item's license is described as © 2017, the Authors. This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/ ) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
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