دورية أكاديمية
Posterior cervical foraminotomy versus anterior cervical discectomy for Cervical Brachialgia: the FORVAD RCT.
| العنوان: | Posterior cervical foraminotomy versus anterior cervical discectomy for Cervical Brachialgia: the FORVAD RCT. |
|---|---|
| المؤلفون: | Thomson, S, Ainsworth, G, Selvanathan, S, Kelly, R, Collier, H, Mujica-Mota, R, Talbot, R, Brown, ST, Croft, J, Rousseau, N, Higham, R, Al-Tamimi, Y, Buxton, N, Carleton-Bland, N, Gledhill, M, Halstead, V, Hutchinson, P, Meacock, J, Mukerji, N, Pal, D, Vargas-Palacios, A, Prasad, A, Wilby, M, Stocken, D |
| بيانات النشر: | NIHR Journals Library |
| سنة النشر: | 2023 |
| المجموعة: | Leeds Beckett University Repository |
| الوصف: | BACKGROUND: Posterior cervical foraminotomy and anterior cervical discectomy are routinely used operations to treat cervical brachialgia, although definitive evidence supporting superiority of either is lacking. OBJECTIVE: The primary objective was to investigate whether or not posterior cervical foraminotomy is superior to anterior cervical discectomy in improving clinical outcome. DESIGN: This was a Phase III, unblinded, prospective, United Kingdom multicentre, parallel-group, individually randomised controlled superiority trial comparing posterior cervical foraminotomy with anterior cervical discectomy. A rapid qualitative study was conducted during the close-down phase, involving remote semistructured interviews with trial participants and health-care professionals. SETTING: National Health Service trusts. PARTICIPANTS: Patients with symptomatic unilateral cervical brachialgia for at least 6 weeks. INTERVENTIONS: Participants were randomised to receive posterior cervical foraminotomy or anterior cervical discectomy. Allocation was not blinded to participants, medical staff or trial staff. Health-care use from providing the initial surgical intervention to hospital discharge was measured and valued using national cost data. MAIN OUTCOME MEASURES: The primary outcome measure was clinical outcome, as measured by patient-reported Neck Disability Index score 52 weeks post operation. Secondary outcome measures included complications, reoperations and restricted American Spinal Injury Association score over 6 weeks post operation, and patient-reported Eating Assessment Tool-10 items, Glasgow-Edinburgh Throat Scale, Voice Handicap Index-10 items, PainDETECT and Numerical Rating Scales for neck and upper-limb pain over 52 weeks post operation. RESULTS: The target recruitment was 252 participants. Owing to slow accrual, the trial closed after randomising 23 participants from 11 hospitals. The qualitative substudy found that there was support and enthusiasm for the posterior cervical FORaminotomy Versus Anterior ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | text |
| اللغة: | English |
| العلاقة: | https://eprints.leedsbeckett.ac.uk/id/eprint/10173/1/PosteriorCervicalForaminotomyVersusAnteriorCervicalDiscectomyForCervicalBrachialgiaTheForvadRctPV-HALSTEAD.pdfTest; Thomson, S and Ainsworth, G and Selvanathan, S and Kelly, R and Collier, H and Mujica-Mota, R and Talbot, R and Brown, ST and Croft, J and Rousseau, N and Higham, R and Al-Tamimi, Y and Buxton, N and Carleton-Bland, N and Gledhill, M and Halstead, V and Hutchinson, P and Meacock, J and Mukerji, N and Pal, D and Vargas-Palacios, A and Prasad, A and Wilby, M and Stocken, D (2023) Posterior cervical foraminotomy versus anterior cervical discectomy for Cervical Brachialgia: the FORVAD RCT. Health Technology Assessment, 27 (21). pp. 1-228. ISSN 1366-5278 DOI: https://doi.org/10.3310/OTOH7720Test |
| الإتاحة: | https://doi.org/10.3310/OTOH7720Test https://eprints.leedsbeckett.ac.uk/id/eprint/10173Test/ https://eprints.leedsbeckett.ac.uk/id/eprint/10173/1/PosteriorCervicalForaminotomyVersusAnteriorCervicalDiscectomyForCervicalBrachialgiaTheForvadRctPV-HALSTEAD.pdfTest |
| حقوق: | cc_by_4 |
| رقم الانضمام: | edsbas.9AB94B0 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |