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Adverse Events Following Cervical Disc Arthroplasty: A Systematic Review
STUDY DESIGN: Systematic review. OBJECTIVES: Cervical arthroplasty is an increasingly popular treatment of cervical radiculopathy and myelopathy. An understanding of the potential adverse events (AEs) is important to help both clinicians and patients. We sought to provide a comprehensive systematic...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5898676/ https://www.ncbi.nlm.nih.gov/pubmed/29662749 http://dx.doi.org/10.1177/2192568217720681 |
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author | Xu, Jordan C. Goel, Chandni Shriver, Michael F. Tanenbaum, Joseph E. Steinmetz, Michael P. Benzel, Edward C. Mroz, Thomas E. |
author_facet | Xu, Jordan C. Goel, Chandni Shriver, Michael F. Tanenbaum, Joseph E. Steinmetz, Michael P. Benzel, Edward C. Mroz, Thomas E. |
author_sort | Xu, Jordan C. |
collection | PubMed |
description | STUDY DESIGN: Systematic review. OBJECTIVES: Cervical arthroplasty is an increasingly popular treatment of cervical radiculopathy and myelopathy. An understanding of the potential adverse events (AEs) is important to help both clinicians and patients. We sought to provide a comprehensive systematic review of the AEs reported in all randomized controlled trials (RCTs) of cervical disc arthroplasty in an attempt to characterize the quality of reporting. METHODS: We conducted a systematic review of MEDLINE and Web of Science for RCTs of cervical disc arthroplasty reporting AEs. We reported the most frequently mentioned AEs, including dysphagia/dysphonia, vascular compromise, dural injury, and infections. We recorded the presence of industry funding and scored the quality of collection methods and reporting of AEs. RESULTS: Of the 3734 identified articles, 29 articles met full inclusion criteria. The quality of AE reporting varied significantly between studies, and a combined meta-analysis was not feasible. The 29 articles covered separate 19 RCTs. Eight studies were US Food and Drug Administration (FDA) investigational device exemption (IDE) trials. Rates were recorded for the following AEs: dysphagia/dysphonia (range = 1.3% to 27.2%), vascular compromise (range = 1.1% to 2.4%), cervical wound infection (range = 1.2% to 22.5%), and cerebrospinal fluid leak (range = 0.8% to 7.1%). CONCLUSIONS: There is a lack of consistency in reporting of AEs among RCTs of cervical arthroplasty. FDA IDE trials scored better in AE event reporting compared to other studies. Standardized definitions for AEs and standardized data collection methodology are needed to improve future studies. |
format | Online Article Text |
id | pubmed-5898676 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-58986762018-04-16 Adverse Events Following Cervical Disc Arthroplasty: A Systematic Review Xu, Jordan C. Goel, Chandni Shriver, Michael F. Tanenbaum, Joseph E. Steinmetz, Michael P. Benzel, Edward C. Mroz, Thomas E. Global Spine J Review Articles STUDY DESIGN: Systematic review. OBJECTIVES: Cervical arthroplasty is an increasingly popular treatment of cervical radiculopathy and myelopathy. An understanding of the potential adverse events (AEs) is important to help both clinicians and patients. We sought to provide a comprehensive systematic review of the AEs reported in all randomized controlled trials (RCTs) of cervical disc arthroplasty in an attempt to characterize the quality of reporting. METHODS: We conducted a systematic review of MEDLINE and Web of Science for RCTs of cervical disc arthroplasty reporting AEs. We reported the most frequently mentioned AEs, including dysphagia/dysphonia, vascular compromise, dural injury, and infections. We recorded the presence of industry funding and scored the quality of collection methods and reporting of AEs. RESULTS: Of the 3734 identified articles, 29 articles met full inclusion criteria. The quality of AE reporting varied significantly between studies, and a combined meta-analysis was not feasible. The 29 articles covered separate 19 RCTs. Eight studies were US Food and Drug Administration (FDA) investigational device exemption (IDE) trials. Rates were recorded for the following AEs: dysphagia/dysphonia (range = 1.3% to 27.2%), vascular compromise (range = 1.1% to 2.4%), cervical wound infection (range = 1.2% to 22.5%), and cerebrospinal fluid leak (range = 0.8% to 7.1%). CONCLUSIONS: There is a lack of consistency in reporting of AEs among RCTs of cervical arthroplasty. FDA IDE trials scored better in AE event reporting compared to other studies. Standardized definitions for AEs and standardized data collection methodology are needed to improve future studies. SAGE Publications 2017-08-15 2018-04 /pmc/articles/PMC5898676/ /pubmed/29662749 http://dx.doi.org/10.1177/2192568217720681 Text en © The Author(s) 2017 http://creativecommons.org/licenses/by-nc-nd/4.0/ 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). |
spellingShingle | Review Articles Xu, Jordan C. Goel, Chandni Shriver, Michael F. Tanenbaum, Joseph E. Steinmetz, Michael P. Benzel, Edward C. Mroz, Thomas E. Adverse Events Following Cervical Disc Arthroplasty: A Systematic Review |
title | Adverse Events Following Cervical Disc Arthroplasty: A Systematic Review |
title_full | Adverse Events Following Cervical Disc Arthroplasty: A Systematic Review |
title_fullStr | Adverse Events Following Cervical Disc Arthroplasty: A Systematic Review |
title_full_unstemmed | Adverse Events Following Cervical Disc Arthroplasty: A Systematic Review |
title_short | Adverse Events Following Cervical Disc Arthroplasty: A Systematic Review |
title_sort | adverse events following cervical disc arthroplasty: a systematic review |
topic | Review Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5898676/ https://www.ncbi.nlm.nih.gov/pubmed/29662749 http://dx.doi.org/10.1177/2192568217720681 |
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