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Development of a self-administered questionnaire to screen patients for cervical myelopathy
BACKGROUND: In primary care, it is often difficult to diagnose cervical myelopathy. However, a delay in treatment could cause irreversible aftereffects. With a brief and effective self-administered questionnaire for cervical myelopathy, cervical myelopathy may be screened more easily and oversight m...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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BioMed Central
2010
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3002898/ https://www.ncbi.nlm.nih.gov/pubmed/21092213 http://dx.doi.org/10.1186/1471-2474-11-268 |
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author | Kobayashi, Hiroshi Kikuchi, Shin-ichi Otani, Koji Sekiguchi, Miho Sekiguchi, Yasufumi Konno, Shin-ichi |
author_facet | Kobayashi, Hiroshi Kikuchi, Shin-ichi Otani, Koji Sekiguchi, Miho Sekiguchi, Yasufumi Konno, Shin-ichi |
author_sort | Kobayashi, Hiroshi |
collection | PubMed |
description | BACKGROUND: In primary care, it is often difficult to diagnose cervical myelopathy. However, a delay in treatment could cause irreversible aftereffects. With a brief and effective self-administered questionnaire for cervical myelopathy, cervical myelopathy may be screened more easily and oversight may be avoided. As there is presently no screening tool for cervical myelopathy, the aim of this study was to develop a self-administered questionnaire for the screening of cervical myelopathy. METHODS: A case-control study was performed with the following two groups at our university hospital from February 2006 to September 2008. Sixty-two patients (48 men, 14 women) with cervical myelopathy who underwent operative treatment were included in the myelopathy group. In the control group, 49 patients (20 men, 29 women) with symptoms that could be distinguished from those of cervical myelopathy, such as numbness, pain in the upper extremities, and manual clumsiness, were included. The underlying conditions were diagnosed as carpal tunnel syndrome, cubital tunnel syndrome, thoracic outlet syndrome, tarsal tunnel syndrome, diabetes mellitus neuropathy, cervical radiculopathy, and neuralgic amyotrophy. Twenty items for a questionnaire in this study were chosen from the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire, which is a new self-administered questionnaire, as an outcome measure for patients with cervical myelopathy. Data were analyzed by univariate analysis using the chi-square test and by multiple logistic regression analysis. According to the resulting odds ratio, β-coefficients, and p value, items were chosen and assigned a score. RESULTS: Eight items were chosen by univariate and multiple logistic regression analyses and assigned a score. The Hosmer-Lemeshow statistic showed p = 0.805. The area under the receiver operation characteristic curve was 0.86. The developed questionnaire had a sensitivity of 93.5% and a specificity of 67.3%. CONCLUSIONS: We successfully developed a simple self-administered questionnaire to screen for cervical myelopathy. |
format | Text |
id | pubmed-3002898 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2010 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-30028982010-12-17 Development of a self-administered questionnaire to screen patients for cervical myelopathy Kobayashi, Hiroshi Kikuchi, Shin-ichi Otani, Koji Sekiguchi, Miho Sekiguchi, Yasufumi Konno, Shin-ichi BMC Musculoskelet Disord Research Article BACKGROUND: In primary care, it is often difficult to diagnose cervical myelopathy. However, a delay in treatment could cause irreversible aftereffects. With a brief and effective self-administered questionnaire for cervical myelopathy, cervical myelopathy may be screened more easily and oversight may be avoided. As there is presently no screening tool for cervical myelopathy, the aim of this study was to develop a self-administered questionnaire for the screening of cervical myelopathy. METHODS: A case-control study was performed with the following two groups at our university hospital from February 2006 to September 2008. Sixty-two patients (48 men, 14 women) with cervical myelopathy who underwent operative treatment were included in the myelopathy group. In the control group, 49 patients (20 men, 29 women) with symptoms that could be distinguished from those of cervical myelopathy, such as numbness, pain in the upper extremities, and manual clumsiness, were included. The underlying conditions were diagnosed as carpal tunnel syndrome, cubital tunnel syndrome, thoracic outlet syndrome, tarsal tunnel syndrome, diabetes mellitus neuropathy, cervical radiculopathy, and neuralgic amyotrophy. Twenty items for a questionnaire in this study were chosen from the Japanese Orthopaedic Association Cervical Myelopathy Evaluation Questionnaire, which is a new self-administered questionnaire, as an outcome measure for patients with cervical myelopathy. Data were analyzed by univariate analysis using the chi-square test and by multiple logistic regression analysis. According to the resulting odds ratio, β-coefficients, and p value, items were chosen and assigned a score. RESULTS: Eight items were chosen by univariate and multiple logistic regression analyses and assigned a score. The Hosmer-Lemeshow statistic showed p = 0.805. The area under the receiver operation characteristic curve was 0.86. The developed questionnaire had a sensitivity of 93.5% and a specificity of 67.3%. CONCLUSIONS: We successfully developed a simple self-administered questionnaire to screen for cervical myelopathy. BioMed Central 2010-11-22 /pmc/articles/PMC3002898/ /pubmed/21092213 http://dx.doi.org/10.1186/1471-2474-11-268 Text en Copyright ©2010 Kobayashi et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Kobayashi, Hiroshi Kikuchi, Shin-ichi Otani, Koji Sekiguchi, Miho Sekiguchi, Yasufumi Konno, Shin-ichi Development of a self-administered questionnaire to screen patients for cervical myelopathy |
title | Development of a self-administered questionnaire to screen patients for cervical myelopathy |
title_full | Development of a self-administered questionnaire to screen patients for cervical myelopathy |
title_fullStr | Development of a self-administered questionnaire to screen patients for cervical myelopathy |
title_full_unstemmed | Development of a self-administered questionnaire to screen patients for cervical myelopathy |
title_short | Development of a self-administered questionnaire to screen patients for cervical myelopathy |
title_sort | development of a self-administered questionnaire to screen patients for cervical myelopathy |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3002898/ https://www.ncbi.nlm.nih.gov/pubmed/21092213 http://dx.doi.org/10.1186/1471-2474-11-268 |
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