Practice Advisory: utility of surgical decompression for treatment of diabetic neuropathy: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology

Surgical decompression at the site of anatomic narrowing has been promoted as an alternative treatment for patients with symptomatic diabetic neuropathy. Systematic review of the literature revealed only Class IV studies concerning the utility of this therapeutic approach. Given the current evidence...

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Published inNeurology Vol. 66; no. 12; p. 1805
Main Authors Chaudhry, Vinay, Stevens, James C, Kincaid, John, So, Yuen T
Format Journal Article
LanguageEnglish
Published United States 27.06.2006
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Abstract Surgical decompression at the site of anatomic narrowing has been promoted as an alternative treatment for patients with symptomatic diabetic neuropathy. Systematic review of the literature revealed only Class IV studies concerning the utility of this therapeutic approach. Given the current evidence available, this treatment alternative should be considered unproven (Level U). Prospective randomized controlled trials with standard definitions and outcome measures are necessary to determine the value of this therapeutic intervention.
AbstractList Surgical decompression at the site of anatomic narrowing has been promoted as an alternative treatment for patients with symptomatic diabetic neuropathy. Systematic review of the literature revealed only Class IV studies concerning the utility of this therapeutic approach. Given the current evidence available, this treatment alternative should be considered unproven (Level U). Prospective randomized controlled trials with standard definitions and outcome measures are necessary to determine the value of this therapeutic intervention.
Author Chaudhry, Vinay
Stevens, James C
Kincaid, John
So, Yuen T
AuthorAffiliation Johns Hopkins Outpatient Center, Baltimore, MD, USA
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References 17339597 - Neurology. 2007 Mar 6;68(10):796; author reply 796
17342814 - Neurology. 2007 Mar 6;68(10):796; author reply 796
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StartPage 1805
SubjectTerms Clinical Trials as Topic - statistics & numerical data
Decompression, Surgical - statistics & numerical data
Diabetic Neuropathies - epidemiology
Diabetic Neuropathies - surgery
Evidence-Based Medicine - statistics & numerical data
Humans
Practice Guidelines as Topic
Practice Patterns, Physicians' - standards
Treatment Outcome
United States - epidemiology
Title Practice Advisory: utility of surgical decompression for treatment of diabetic neuropathy: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology
URI https://www.ncbi.nlm.nih.gov/pubmed/16801641
Volume 66
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