Full metadata record
DC FieldValueLanguage
dc.contributor.authorTomkins-Lane, Christy-
dc.contributor.authorMelloh, Markus-
dc.contributor.authorWong, Arnold-
dc.date.accessioned2021-01-07T13:08:30Z-
dc.date.available2021-01-07T13:08:30Z-
dc.date.issued2020-
dc.identifier.issn0940-6719de_CH
dc.identifier.issn1432-0932de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/21179-
dc.description.abstractPurpose: Reach a consensus on which diagnostic tests are most important in confrming the clinical diagnosis of lumbar spinal stenosis (LSS). Methods: Phase 1: 22 members of the International Taskforce on the Diagnosis and Management of LSS confrmed 35 diagnostic items. An on-line survey was developed that allows experts to express the logical order in which they consider the diagnostic tests, and the level of certainty ascertained from each test. Phase 2, Round 1: Survey distributed to members of the International Society for the Study of the Lumbar Spine. Round 2: Meeting of 15 members of Taskforce defned fnal list of 10 items. Round 3: Survey was distributed internationally, followed by Taskforce consensus. Results: Totally, 432 clinicians from 28 diferent countries participated. Certainty of the diagnosis was 60% after selecting the frst test and signifcant change in certainty ceasing after eight items at 90.8% certainty (p<0.05). The most frequently selected tests included MRI/CT scan, neurological examination and walking test with gait observation. The diagnostic test selected most frequently as the frst test was neurological examination. Conclusions: This is the frst study to reach an international consensus on which diagnostic tests should be used in the clinical diagnosis of LSS. The fnal recommendation includes three core diagnostic items: neurological examination, MRI/CT and walking test with gait observation. The Taskforce also recommends 3 ‘rule out’ tests: foot pulses/ABI, hip examination and test for cervical myelopathy. If applied, this core set of diagnostic tests can standardize outcomes and improve clinical care of LSS globally.de_CH
dc.language.isoende_CH
dc.publisherSpringerde_CH
dc.relation.ispartofEuropean Spine Journalde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectConsensusde_CH
dc.subjectDiagnosisde_CH
dc.subjectLumbar stenosisde_CH
dc.subjectMRIde_CH
dc.subjectNeurologicde_CH
dc.subject.ddc616.7: Krankheiten des Bewegungsapparates und Orthopädiede_CH
dc.titleDiagnostic tests in the clinical diagnosis of lumbar spinal stenosis : consensus and results of an international Delphi studyde_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Public Health (IPH)de_CH
dc.identifier.doi10.1007/s00586-020-06481-wde_CH
dc.identifier.pmid32519030de_CH
zhaw.funding.euNode_CH
zhaw.issue9de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end2197de_CH
zhaw.pages.start2188de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume29de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
Appears in collections:Publikationen Gesundheit

Files in This Item:
There are no files associated with this item.
Show simple item record
Tomkins-Lane, C., Melloh, M., & Wong, A. (2020). Diagnostic tests in the clinical diagnosis of lumbar spinal stenosis : consensus and results of an international Delphi study. European Spine Journal, 29(9), 2188–2197. https://doi.org/10.1007/s00586-020-06481-w
Tomkins-Lane, C., Melloh, M. and Wong, A. (2020) ‘Diagnostic tests in the clinical diagnosis of lumbar spinal stenosis : consensus and results of an international Delphi study’, European Spine Journal, 29(9), pp. 2188–2197. Available at: https://doi.org/10.1007/s00586-020-06481-w.
C. Tomkins-Lane, M. Melloh, and A. Wong, “Diagnostic tests in the clinical diagnosis of lumbar spinal stenosis : consensus and results of an international Delphi study,” European Spine Journal, vol. 29, no. 9, pp. 2188–2197, 2020, doi: 10.1007/s00586-020-06481-w.
TOMKINS-LANE, Christy, Markus MELLOH und Arnold WONG, 2020. Diagnostic tests in the clinical diagnosis of lumbar spinal stenosis : consensus and results of an international Delphi study. European Spine Journal. 2020. Bd. 29, Nr. 9, S. 2188–2197. DOI 10.1007/s00586-020-06481-w
Tomkins-Lane, Christy, Markus Melloh, and Arnold Wong. 2020. “Diagnostic Tests in the Clinical Diagnosis of Lumbar Spinal Stenosis : Consensus and Results of an International Delphi Study.” European Spine Journal 29 (9): 2188–97. https://doi.org/10.1007/s00586-020-06481-w.
Tomkins-Lane, Christy, et al. “Diagnostic Tests in the Clinical Diagnosis of Lumbar Spinal Stenosis : Consensus and Results of an International Delphi Study.” European Spine Journal, vol. 29, no. 9, 2020, pp. 2188–97, https://doi.org/10.1007/s00586-020-06481-w.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.