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A critical appraisal of the literature exploring the surgical treatment of degenerative lumbosacral stenosis in dogs

机译:探索犬退行性腰骶部狭窄手术治疗的重要评估

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Objective:?To critically appraise the literature exploring the surgical treatment of degenerative lumbosacral stenosis in dogs. Background:?Several surgical procedures to treat degenerative lumbosacral stenosis (DLSS) in the dog have been reported, however, definitive criteria for surgical technique preference are currently lacking (1). Evidentiary value and methods:?A critical appraisal tool that examined the conduct and reporting of studies on the results of surgical treatment of DLSS was designed and, after a systematic search and screening of the literature, a critical appraisal was performed in 20 papers. Results:?Results showed that 18/20 studies included did not clearly report inclusion and exclusion criteria and in 14/20 it was unclear whether consecutive inclusion of participants was applied. 19/20 studies reported age, breed, and sex of the participants, and 13/20 did not report duration and prevalence of clinical signs. In 13/20 studies, it was considered that the condition was not measured in a standard and reliable way. Objective outcome measures were used in 7/20 studies. Conclusion and application:?The results demonstrate that there is room for improvement in the conduct and reporting quality of case series so that rigorous data can be generated and analysed, to inform research design, guide clinical practice, and improve veterinary healthcare delivery.
机译:目的:令人统治评价文献探索狗的退行性腰骶狭窄的手术治疗。背景:据报道,几种治疗狗的退行性腰骶狭窄(DLS)的几种外科手术,目前缺乏直接技术偏好的最终标准(1)。证据价值和方法:设计了一项批判性评估工具,审查了对DLSS手术治疗结果的行为和报告的研究,并且在系统的搜索和筛选后,在20篇论文中进行了批判性评估。结果:结果表明,包括18/20的研究没有明确报告包含和排斥标准,14/20尚不清楚是否申请了参与者的连续纳入。 19/20研究报告了参与者的年龄,品种和性别,13/20没有报告临床迹象的持续时间和患病率。在13/20的研究中,被认为没有以标准和可靠的方式测量的情况。 7/20研究中使用了客观结果措施。结论和应用:结果表明,案例系列的行为和报告质量有所改善,以便可以生成和分析严格的数据,以告知研究设计,指导临床实践,提高兽医医疗保健交付。

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