Diagnostic tests in the clinical diagnosis of lumbar spinal stenosis: Consensus and Results of an International Delphi S
- PDF / 1,471,028 Bytes
- 10 Pages / 595.276 x 790.866 pts Page_size
- 101 Downloads / 169 Views
ORIGINAL ARTICLE
Diagnostic tests in the clinical diagnosis of lumbar spinal stenosis: Consensus and Results of an International Delphi Study Christy Tomkins‑Lane1 · Markus Melloh2 · Arnold Wong3 Received: 15 October 2019 / Accepted: 27 May 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020
Abstract Purpose Reach a consensus on which diagnostic tests are most important in confirming the clinical diagnosis of lumbar spinal stenosis (LSS). Methods Phase 1: 22 members of the International Taskforce on the Diagnosis and Management of LSS confirmed 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 defined final list of 10 items. Round 3: Survey was distributed internationally, followed by Taskforce consensus. Results Totally, 432 clinicians from 28 different countries participated. Certainty of the diagnosis was 60% after selecting the first test and significant change in certainty ceasing after eight items at 90.8% certainty (p
Data Loading...
