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

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dc.contributor.authorTetreault, Lindsay A.
dc.contributor.authorSkelly, Andrea C.
dc.contributor.authorDettori, Joseph R.
dc.contributor.authorWilson, Jefferson R.
dc.contributor.authorMartin, Allan R.
dc.contributor.authorFehlings, Michael G.
dc.contributor.funderAOSpine
dc.contributor.funderCervical Spine Research Society
dc.contributor.funderAmerican Association of Neurological Surgeons
dc.contributor.funderCongress of Neurological Surgeons
dc.contributor.funderGerald and Tootsie Halbert Chair in Neural Repair and Regeneration
dc.contributor.funderDeZwirek Family Foundation
dc.contributor.funderKrembil Foundation
dc.date.accessioned2018-03-09T12:55:07Z
dc.date.available2018-03-09T12:55:07Z
dc.date.issued2017
dc.description.abstractThe 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.sponsorshipAmerican Association of Neurological Surgeons/Congress of Neurological Surgeons (Section on Neurotrauma and Critical Care); Krembil Foundation (Postdoctoral Fellowship Award).en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationTetreault, 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: 10.1177/2192568217701715en
dc.identifier.doi10.1177/2192568217701715
dc.identifier.endpage20
dc.identifier.issn2192-5682
dc.identifier.issn2192-5690
dc.identifier.issued3S
dc.identifier.journaltitleGlobal Spine Journalen
dc.identifier.startpage8
dc.identifier.urihttps://hdl.handle.net/10468/5617
dc.identifier.volume7
dc.language.isoenen
dc.publisherSage Publicationsen
dc.relation.urihttp://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.urihttp://www.creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectSpinal cord injuryen
dc.subjectGuidelinesen
dc.subjectMethodologyen
dc.subjectGuideline developmenten
dc.subjectDegenerative cervical myelopathyen
dc.subjectCervical spondylotic myelopathyen
dc.titleGuidelines for the management of degenerative cervical myelopathy and acute spinal cord injury: development process and methodologyen
dc.typeArticle (peer-reviewed)en
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