Secondary analysis of a James Lind Alliance priority setting partnership to facilitate knowledge translation in degenerative cervical myelopathy (DCM): insights from AO Spine RECODE-DCM
Angus G K McNair,
Benjamin Davies,
Vafa Rahimi-Movaghar,
Oliver D Mowforth,
Iwan Sadler,
Bizhan Aarabi,
Jefferson R Wilson,
Michael G Fehlings,
Brian Kwon,
Shekar Kurpad,
James S Harrop,
Ellen Sarewitz,
Carl Moritz Zipser,
Mark R N Kotter,
Peter John Hutchinson,
Toto Gronlund,
Lindsay Tetreault,
Danyal Khan,
James D Guest,
Jamie Brannigan
Affiliations
Angus G K McNair
North Bristol NHS Trust, Bristol, UK
Benjamin Davies
Department of Clinical Neurosurgery, Cambridge University, Cambridge, UK
Vafa Rahimi-Movaghar
Academic Department of Neurological Surgery, Sina Trauma and Surgery Research Center, Tehran, Iran (the Islamic Republic of)
Oliver D Mowforth
Department of Clinical Neurosurgery, University of Cambridge, Cambridge, UK
Iwan Sadler
Myelopathy.org, Cambridge, UK
Bizhan Aarabi
Division of Neurosurgery, University of Maryland, Baltimore, Maryland, USA
Jefferson R Wilson
Division of Neurosurgery and Spine Program, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
Michael G Fehlings
Division of Neurosurgery and Spine Program, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
Brian Kwon
Division of Spine Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada
Shekar Kurpad
Division of Neurosurgery, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
James S Harrop
Division of Neurosurgery, Thomas Jefferson University Hospital, Jefferson Health System, St Louis, Mississippi, USA
Ellen Sarewitz
Myelopathy.org, Cambridge, UK
Carl Moritz Zipser
Department of Neurology, University Hospital Balgrist, Zurich, Switzerland
Mark R N Kotter
Department of Clinical Neurosurgery, University of Cambridge, Cambridge, UK
Peter John Hutchinson
2 Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK
Toto Gronlund
National Institute for Health Research, University of Southampton, Southampton, UK
Lindsay Tetreault
Department of Medicine, University College Cork, Cork, Ireland
Danyal Khan
Queen Square Institute of Neurology, University College London, London, UK
James D Guest
Department of Neurosurgery and The Miami Project to Cure Paralysis, The Miller School of Medicine, University of Miami, Miami, Florida, USA
Jamie Brannigan
School of Clinical Medicine, University of Cambridge, Cambridge, UK
Objectives To explore whether a James Lind Alliance Priority Setting Partnership could provide insights on knowledge translation within the field of degenerative cervical myelopathy (DCM).Design Secondary analysis of a James Lind Alliance Priority Setting Partnership process for DCM.Participants and setting DCM stake holders, including spinal surgeons, people with myelopathy and other healthcare professionals, were surveyed internationally. Research suggestions submitted by stakeholders but considered answered were identified. Sampling characteristics of respondents were compared with the overall cohort to identify subgroups underserved by current knowledge translation.Results The survey was completed by 423 individuals from 68 different countries. A total of 22% of participants submitted research suggestions that were considered ‘answered’. There was a significant difference between responses from different stakeholder groups (p<0.005). Spinal surgeons were the group which was most likely to submit an ‘answered’ research question. Respondents from South America were also most likely to submit ‘answered’ questions, when compared with other regions. However, there was no significant difference between responses from different stakeholder regions (p=0.4).Conclusions Knowledge translation challenges exist within DCM. This practical approach to measuring knowledge translation may offer a more responsive assessment to guide interventions, complementing existing metrics.
