Development and audit of a care pathway for the management of patients with suspected malignant spinal cord compression

Pease, Nikki; Harris, Roy; Finlay, Ilora

doi:10.1016/s0031-9406(03)00006-3

Cited by 16 publications

(45 citation statements)

References 6 publications

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“…The articles included were published in a variety of journals; 7 of the 13 articles were published in the SCI journal 20,21,23,26,[28][29][30] and the remainder were published in rehabilitation (n ¼ 3) 18,19,22 or other types (n ¼ 3) (for example, Implementation Science). 24,25,27 An overview of the 10 studies is provided in Table 1. The studies were conducted primarily in the United States (n ¼ 5) 20,21,23,[26][27][28] and within the acute phase of care (n ¼ 4).…”

Section: Resultsmentioning

confidence: 99%

“…The studies were conducted primarily in the United States (n ¼ 5) 20,21,23,[26][27][28] and within the acute phase of care (n ¼ 4). 21,25,26,29 Most studies used a pre-post design (n ¼ 8) [21][22][23][24][25][26]28,29 that resulted in level 4 evidence. The Downs and Black score ranged between 3 and 19, with a median rating of 12.…”

Section: Resultsmentioning

confidence: 99%

“…The majority of 13 articles were classified as 'poor' with a rating of p14. [18][19][20][21][22][23][24][25]27,29 There were two articles considered to be 'fair' , 26,28 but none were considered 'good' or 'excellent' .…”

Section: Resultsmentioning

confidence: 99%

“…The interventions all targeted clinician behavior and are classified into three categories based on the overall goal of the KT intervention; seven studies developed and implemented a patient care protocol that was not a current standard of care at their site, 18,19,21,[23][24][25][26]29 two studies included a KT intervention to provide Table 5. Number of participants enrolled is the number at the beginning of the study.…”

Section: Resultsmentioning

confidence: 99%

“…A higher score reflects a more thorough reporting of results and more rigorous study methodology. Downs and Black score ranges were grouped into the following four quality levels according to the range suggested by Samoocha et al: 17 excellent (26-28), good (20)(21)(22)(23)(24)(25), fair (15)(16)(17)(18)(19) and poor (p14). Consensus among the raters was obtained when there Figure 1 Flow diagram of studies selected and included.…”

Section: Study Quality Ratingmentioning

confidence: 99%

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Knowledge translation and implementation in spinal cord injury: a systematic review

et al. 2014

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,5 and the SCIRE Research TeamObjective: To conduct a systematic review examining the effectiveness of knowledge translation (KT) interventions in changing clinical practice and patient outcomes. Methods: MEDLINE/PubMed, CINAHL, EMBASE and PsycINFO were searched for studies published from January 1980 to July 2012 that reported and evaluated an implemented KT intervention in spinal cord injury (SCI) care. We reviewed and summarized results from studies that documented the implemented KT intervention, its impact on changing clinician behavior and patient outcomes as well as the facilitators and barriers encountered during the implementation. Results: A total of 13 articles featuring 10 studies were selected and abstracted from 4650 identified articles. KT interventions included developing and implementing patient care protocols, providing clinician education and incorporating outcome measures into clinical practice. The methods (or drivers) to facilitate the implementation included organizing training sessions for clinical staff, introducing computerized reminders and involving organizational leaders. The methodological quality of studies was mostly poor. Only 3 out of 10 studies evaluated the success of the implementation using statistical analyses, and all 3 reported significant behavior change. Out of the 10 studies, 6 evaluated the effect of the implementation on patient outcomes using statistical analyses, with 4 reporting significant improvements. The commonly cited facilitators and barriers were communication and resources, respectively. Conclusion: The field of KT in SCI is in its infancy with only a few relevant publications. However, there is some evidence that KT interventions may change clinician behavior and improve patient outcomes. Future studies should ensure rigorous study methods are used to evaluate KT interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Study Quality Ratingmentioning

confidence: 99%

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Knowledge translation and implementation in spinal cord injury: a systematic review

et al. 2014

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Patient positioning and braces for pain relief and spinal stability in metastatic cord compression in adults

Cox

Grant²,

Kennedy

et al. 2009

Cochrane Database of Systematic Reviews

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This systematic review protocol forms part of research that has been funded by _____________________________. The protocol document was originally hosted by _______________________________________ and made publicly available at ____________________________________________________________________________________. This work is made freely available under open access. The first version of this protocol was originally made available on ________________________________________. This version of the protocol was originally made available on ____________________________________________. In total, there have been ____________ known revisions of the protocol. This protocol is distributed under a CC ____________ license.

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Patient positioning (mobilisation) and bracing for pain relief and spinal stability in metastatic spinal cord compression in adults

Lee

Cox

Grant

et al. 2012

Cochrane Database of Systematic Reviews

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Development and audit of a care pathway for the management of patients with suspected malignant spinal cord compression

Cited by 16 publications

References 6 publications

Knowledge translation and implementation in spinal cord injury: a systematic review

Knowledge translation and implementation in spinal cord injury: a systematic review

Patient positioning and braces for pain relief and spinal stability in metastatic cord compression in adults

Patient positioning (mobilisation) and bracing for pain relief and spinal stability in metastatic spinal cord compression in adults

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