Classification criteria for cervical radiculopathy: An international e-Delphi study.

Lam, KN; Heneghan, NR; Mistry, J; Ojoawo, AO; Peolsson, A; Verhagen, AP; Tampin, B; Thoomes, E; Jull, G; Scholten-Peeters, GGM; Slater, H; Moloney, N; Hall, T; Dedering, Å; Rushton, A; Falla, D

Classification criteria for cervical radiculopathy: An international e-Delphi study.

Lam, KN Heneghan, NR Mistry, J Ojoawo, AO Peolsson, A Verhagen, AP Tampin, B Thoomes, E Jull, G Scholten-Peeters, GGM Slater, H Moloney, N Hall, T Dedering, Å Rushton, A Falla, D

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Publisher:: Elsevier
Publication Type:: Journal Article
Citation:: Musculoskeletal Science and Practice, 2022, 61, (Biometrics 1977), pp. 1-12
Issue Date:: 2022-10

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Field	Value	Language
dc.contributor.author	Lam, KN
dc.contributor.author	Heneghan, NR
dc.contributor.author	Mistry, J
dc.contributor.author	Ojoawo, AO
dc.contributor.author	Peolsson, A
dc.contributor.author	Verhagen, AP
dc.contributor.author	Tampin, B
dc.contributor.author	Thoomes, E
dc.contributor.author	Jull, G
dc.contributor.author	Scholten-Peeters, GGM
dc.contributor.author	Slater, H
dc.contributor.author	Moloney, N
dc.contributor.author	Hall, T
dc.contributor.author	Dedering, Å
dc.contributor.author	Rushton, A
dc.contributor.author	Falla, D
dc.date.accessioned	2022-10-28T02:44:01Z
dc.date.available	2022-05-30
dc.date.available	2022-10-28T02:44:01Z
dc.date.issued	2022-10
dc.identifier.citation	Musculoskeletal Science and Practice, 2022, 61, (Biometrics 1977), pp. 1-12
dc.identifier.issn	2468-7812
dc.identifier.issn	2468-7812
dc.identifier.uri	http://hdl.handle.net/10453/162799
dc.description.abstract	BACKGROUND: Establishing a set of uniform classification criteria (CC) for cervical radiculopathy (CR) is required to aid future recruitment of homogenous populations to clinical trials. OBJECTIVES: To establish expert informed consensus on CC for CR. DESIGN: A pre-defined four round e-Delphi study in accordance with the guidance on Conducting and Reporting Delphi Studies. METHODS: Individuals with a background in physiotherapy who had authored two or more peer-reviewed publications on CR were invited to participate. The initial round asked opinions on CC for CR. Content analysis was performed on round one output and a list of discrete items were generated forming the round two survey. In rounds two to four, participants were asked to rate the level of importance of each item on a six-point Likert scale. Data were analysed descriptively using median, interquartile range and percentage agreement. Items reaching pre-defined consensus criteria were carried forward to the next round. Items remaining after the fourth round constituted expert consensus on CC for CR. RESULTS: Twelve participants participated with one drop out. The final round identified one inclusion CC and 12 exclusion CC. The inclusion CC that remained achieved 82% agreement and was a cluster criterion consisting of radicular pain with arm pain worse than neck pain; paraesthesia or numbness and/or weakness and/or altered reflex; MRI confirmed nerve root compression compatible with clinical findings. CONCLUSIONS: The CC identified can be used to inform eligibility criteria for future CR trials although caution should be practiced as consensus on measurement tools requires further investigation.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Elsevier
dc.relation.ispartof	Musculoskeletal Science and Practice
dc.relation.isbasedon	10.1016/j.msksp.2022.102596
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.mesh	Consensus
dc.subject.mesh	Delphi Technique
dc.subject.mesh	Humans
dc.subject.mesh	Pain
dc.subject.mesh	Radiculopathy
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Consensus
dc.subject.mesh	Delphi Technique
dc.subject.mesh	Humans
dc.subject.mesh	Pain
dc.subject.mesh	Radiculopathy
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Pain
dc.subject.mesh	Radiculopathy
dc.subject.mesh	Consensus
dc.subject.mesh	Delphi Technique
dc.subject.mesh	Surveys and Questionnaires
dc.title	Classification criteria for cervical radiculopathy: An international e-Delphi study.
dc.type	Journal Article
utslib.citation.volume	61
utslib.location.activity	Netherlands
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Graduate School of Health/GSH.Physiotherapy
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2022-10-28T02:44:00Z
pubs.issue	Biometrics 1977
pubs.publication-status	Published
pubs.volume	61
utslib.citation.issue	Biometrics 1977

Abstract:

BACKGROUND: Establishing a set of uniform classification criteria (CC) for cervical radiculopathy (CR) is required to aid future recruitment of homogenous populations to clinical trials. OBJECTIVES: To establish expert informed consensus on CC for CR. DESIGN: A pre-defined four round e-Delphi study in accordance with the guidance on Conducting and Reporting Delphi Studies. METHODS: Individuals with a background in physiotherapy who had authored two or more peer-reviewed publications on CR were invited to participate. The initial round asked opinions on CC for CR. Content analysis was performed on round one output and a list of discrete items were generated forming the round two survey. In rounds two to four, participants were asked to rate the level of importance of each item on a six-point Likert scale. Data were analysed descriptively using median, interquartile range and percentage agreement. Items reaching pre-defined consensus criteria were carried forward to the next round. Items remaining after the fourth round constituted expert consensus on CC for CR. RESULTS: Twelve participants participated with one drop out. The final round identified one inclusion CC and 12 exclusion CC. The inclusion CC that remained achieved 82% agreement and was a cluster criterion consisting of radicular pain with arm pain worse than neck pain; paraesthesia or numbness and/or weakness and/or altered reflex; MRI confirmed nerve root compression compatible with clinical findings. CONCLUSIONS: The CC identified can be used to inform eligibility criteria for future CR trials although caution should be practiced as consensus on measurement tools requires further investigation.

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http://hdl.handle.net/10453/162799