Percutaneous vertebroplasty as treatment of malignant vertebral lesions: a systematic review and GRADE evaluation resulting in a Danish national clinical guideline
Eur. spine j
; 29: 1573-1579, 20200430.
Artigo
em Inglês
| BIGG - guias GRADE
| ID: biblio-1291837
Biblioteca responsável:
BR1.1
ABSTRACT
To summarize the recommendations from the national clinical guideline published by the Danish Health Authority, regarding cemental augmentation as treatment for painful vertebral lesions, in patients with malignant disease. A multidisciplinary working group formulated recommendations based on the GRADE approach. Two of the questions were based on randomized studies and one on professional consensus. The guideline recommends cemental augmentation for painful vertebral lesions in patients with malignant diagnosis, either hematological or non-hematological. Fracture of the posterior wall is not a contradiction to cemental augmentation, but care should always be taken while injecting the cement, to decrease the risk of cemental leaks into the spinal canal. The recommendations are based on low-to-moderate quality of evidence or professional consensus as well as patient preferences and positive and harmful effects of the intervention. The working group recommends more randomized studies on patients with different malignant diseases and painful vertebral lesions comparing percutaneous vertebroplasty/kyphoplasty and conservative treatment to confirm the conclusion in this guideline. These slides can be retrieved under Electronic Supplementary Material.
Texto completo:
Disponível
Coleções:
Bases de dados temática
Base de dados:
BIGG - guias GRADE
Assunto principal:
Fraturas da Coluna Vertebral
/
Cifoplastia
/
Manejo da Dor
Tipo de estudo:
Ensaio clínico controlado
/
Estudo diagnóstico
/
Estudo de avaliação
/
Guia de prática clínica
/
Revisão sistemática
Idioma:
Inglês
Revista:
Eur. spine j
Ano de publicação:
2020
Tipo de documento:
Artigo
Instituição/País de afiliação:
Aarhus University Hospital/DK
/
Capio CFR/DK
/
Copenhagen University Hospital/DK
/
Lillebaelt Hospital/DK
/
Odense University Hospital/DK
/
University of Southern Denmark/DK