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The Frequency of Symptoms in Patients With a Diagnosis of Degenerative Cervical Myelopathy: Results of a Scoping Review

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dc.contributor.authorJiang, Zhilin
dc.contributor.authorDavies, Benjamin
dc.contributor.authorZipser, Carl
dc.contributor.authorMargetis, Konstantinos
dc.contributor.authorMartin, Allan
dc.contributor.authorMatsoukas, Stavros
dc.contributor.authorZipser-Mohammadzada, Freschta
dc.contributor.authorKheram, Najmeh
dc.contributor.authorBoraschi, Andrea
dc.contributor.authorZakin, Elina
dc.contributor.authorRighteous, Oke
dc.contributor.authorFehlings, Michael
dc.contributor.authorWilson, Jamie
dc.contributor.authorYurac, Ratko
dc.contributor.authorE Cook, Chad
dc.contributor.authorMilligan, Jamie
dc.contributor.authorTabrah, Julia
dc.contributor.authorWiddop, Shirley
dc.contributor.authorWood, Lianne
dc.contributor.authorRoberts, Elizabeth
dc.contributor.authorRujeedawa, Tanzil
dc.contributor.authorTetreault, Lindsay
dc.contributor.authorAO Spine RECODE-DCM Diagnostic Criteria Incubator
dc.date.accessioned2024-04-18T16:43:25Z
dc.date.available2024-04-18T16:43:25Z
dc.date.issued2023
dc.description.abstractStudy design: Delayed diagnosis of degenerative cervical myelopathy (DCM) is associated with reduced quality of life and greater disability. Developing diagnostic criteria for DCM has been identified as a top research priority. Objectives: This scoping review aims to address the following questions: What is the diagnostic accuracy and frequency of clinical symptoms in patients with DCM? Methods: A scoping review was conducted using a database of all primary DCM studies published between 2005 and 2020. Studies were included if they (i) assessed the diagnostic accuracy of a symptom using an appropriate control group or (ii) reported the frequency of a symptom in a cohort of DCM patients. Results: This review identified three studies that discussed the diagnostic accuracy of various symptoms and included a control group. An additional 58 reported on the frequency of symptoms in a cohort of patients with DCM. The most frequent and sensitive symptoms in DCM include unspecified paresthesias (86%), hand numbness (82%) and hand paresthesias (79%). Neck and/or shoulder pain was present in 51% of patients with DCM, whereas a minority had back (19%) or lower extremity pain (10%). Bladder dysfunction was uncommon (38%) although more frequent than bowel (23%) and sexual impairment (4%). Gait impairment is also commonly seen in patients with DCM (72%). Conclusion: Patients with DCM present with many different symptoms, most commonly sensorimotor impairment of the upper extremities, pain, bladder dysfunction and gait disturbance. If patients present with a combination of these symptoms, further neuroimaging is indicated to confirm the diagnosis of DCM.
dc.description.versionPublicada
dc.identifier.citationJiang Z, Davies B, Zipser C, Margetis K, Martin A, Matsoukas S, Zipser-Mohammadzada F, Kheram N, Boraschi A, Zakin E, Obadaseraye OR, Fehlings MG, Wilson J, Yurac R, Cook CE, Milligan J, Tabrah J, Widdop S, Wood L, Roberts EA, Rujeedawa T, Tetreault L; AO Spine RECODE-DCM Diagnostic Criteria Incubator. The Frequency of Symptoms in Patients With a Diagnosis of Degenerative Cervical Myelopathy: Results of a Scoping Review. Global Spine J. 2023 Nov 2:21925682231210468. doi: 10.1177/21925682231210468
dc.identifier.doihttps://doi.org/10.1177/21925682231210468
dc.identifier.urihttps://hdl.handle.net/11447/8648
dc.language.isoen
dc.subjectCervical
dc.subjectDegenerative disc disease
dc.subjectMyelopathy
dc.titleThe Frequency of Symptoms in Patients With a Diagnosis of Degenerative Cervical Myelopathy: Results of a Scoping Review
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceGlobal spine journal
dspace.entity.typePublication
relation.isAuthorOfPublication631830b2-9e94-4f76-bf44-70d266274dbc
relation.isAuthorOfPublication.latestForDiscovery631830b2-9e94-4f76-bf44-70d266274dbc

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