| Methylprednisolone for acute spinal cord injury: 5-year practice reversal. | |
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MedLine Citation:
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PMID: 18380276 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To re-evaluate practice patterns for methylprednisolone (MP) administration in patients with acute spinal cord injury (SCI) within the spinal surgery community across Canada five years after the publication of practice recommendations. METHODS: Canadian orthopedic and neurological spine surgeons were surveyed at their respective annual meetings about their practice of steroid administration for acute SCI by means of a questionnaire comprised of the same seven questions posed five years ago plus an additional question related to change of view. RESULTS: Forty-two surgeons and twenty-one residents directly involved in the acute management of SCI completed the questionnaire. Seventy-six percent of spinal surgeons do not prescribe MP for SCI in sharp contrast to 76% who prescribed it five years ago. Of the 24% who use steroids, the NASCIS II dosing regimen is most commonly followed. One third of physicians continue to administer MP because of fear of litigation. CONCLUSIONS: Over a five year period there has been a complete reversal in practice patterns of MP administration for SCI, along with an increased familiarity of the published literature. Attendance at meetings, participation in local group discussions, and peer-reviewed publications appear effective in altering practice preferences arising from peer pressure and even fear of litigation. |
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Authors:
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R John Hurlbert; Mark G Hamilton |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiques Volume: 35 ISSN: 0317-1671 ISO Abbreviation: Can J Neurol Sci Publication Date: 2008 Mar |
Date Detail:
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Created Date: 2008-04-02 Completed Date: 2008-04-28 Revised Date: 2011-01-12 |
Medline Journal Info:
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Nlm Unique ID: 0415227 Medline TA: Can J Neurol Sci Country: Canada |
Other Details:
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Languages: eng Pagination: 41-5 Citation Subset: IM |
Affiliation:
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University of Calgary Spine Program and Division of Neurosurgery, University of Calgary, Calgary, Alberta, Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Inflammatory Agents
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therapeutic use* Canada Drug Utilization Health Care Surveys Humans Methylprednisolone / therapeutic use* Neurosurgery / trends Orthopedics / trends Questionnaires Spinal Cord Injuries / drug therapy* |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents; 83-43-2/Methylprednisolone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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