The quality of reports on cervical arterial dissection following cervical spinal manipulation.

<h4>Background</h4>Cervical artery dissection (CAD) and stroke are serious harms that are sometimes associated with cervical spinal manipulation therapy (cSMT). Because of the relative rarity of these adverse events, studying them prospectively is challenging. As a result, systematic rev...

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Autores principales:	Shari Wynd, Michael Westaway, Sunita Vohra, Greg Kawchuk
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2013
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/935e6d6a143747e09b411a1f0b61f952
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spelling	oai:doaj.org-article:935e6d6a143747e09b411a1f0b61f9522021-11-18T07:52:40ZThe quality of reports on cervical arterial dissection following cervical spinal manipulation.1932-620310.1371/journal.pone.0059170https://doaj.org/article/935e6d6a143747e09b411a1f0b61f9522013-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/23527121/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Cervical artery dissection (CAD) and stroke are serious harms that are sometimes associated with cervical spinal manipulation therapy (cSMT). Because of the relative rarity of these adverse events, studying them prospectively is challenging. As a result, systematic review of reports describing these events offers an important opportunity to better understand the relation between adverse events and cSMT. Of note, the quality of the case report literature in this area has not yet been assessed.<h4>Purpose</h4>1) To systematically collect and synthesize available reports of CAD that have been associated with cSMT in the literature and 2) assess the quality of these reports.<h4>Methods</h4>A systematic review of the literature was conducted using several databases. All clinical study designs involving CADs associated with cSMT were eligible for inclusion. Included studies were screened by two independent reviewers for the presence/absence of 11 factors considered to be important in understanding the relation between CAD and cSMT.<h4>Results</h4>Overall, 43 articles reported 901 cases of CAD and 707 incidents of stroke reported to be associated with cSMT. The most common type of stroke reported was ischemic stroke (92%). Time-to-onset of symptoms was reported most frequently (95%). No single case included all 11 factors.<h4>Conclusions</h4>This study has demonstrated that the literature infrequently reports useful data toward understanding the association between cSMT, CADs and stroke. Improving the quality, completeness, and consistency of reporting adverse events may improve our understanding of this important relation.Shari WyndMichael WestawaySunita VohraGreg KawchukPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 8, Iss 3, p e59170 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Shari Wynd Michael Westaway Sunita Vohra Greg Kawchuk The quality of reports on cervical arterial dissection following cervical spinal manipulation.
description	<h4>Background</h4>Cervical artery dissection (CAD) and stroke are serious harms that are sometimes associated with cervical spinal manipulation therapy (cSMT). Because of the relative rarity of these adverse events, studying them prospectively is challenging. As a result, systematic review of reports describing these events offers an important opportunity to better understand the relation between adverse events and cSMT. Of note, the quality of the case report literature in this area has not yet been assessed.<h4>Purpose</h4>1) To systematically collect and synthesize available reports of CAD that have been associated with cSMT in the literature and 2) assess the quality of these reports.<h4>Methods</h4>A systematic review of the literature was conducted using several databases. All clinical study designs involving CADs associated with cSMT were eligible for inclusion. Included studies were screened by two independent reviewers for the presence/absence of 11 factors considered to be important in understanding the relation between CAD and cSMT.<h4>Results</h4>Overall, 43 articles reported 901 cases of CAD and 707 incidents of stroke reported to be associated with cSMT. The most common type of stroke reported was ischemic stroke (92%). Time-to-onset of symptoms was reported most frequently (95%). No single case included all 11 factors.<h4>Conclusions</h4>This study has demonstrated that the literature infrequently reports useful data toward understanding the association between cSMT, CADs and stroke. Improving the quality, completeness, and consistency of reporting adverse events may improve our understanding of this important relation.
format	article
author	Shari Wynd Michael Westaway Sunita Vohra Greg Kawchuk
author_facet	Shari Wynd Michael Westaway Sunita Vohra Greg Kawchuk
author_sort	Shari Wynd
title	The quality of reports on cervical arterial dissection following cervical spinal manipulation.
title_short	The quality of reports on cervical arterial dissection following cervical spinal manipulation.
title_full	The quality of reports on cervical arterial dissection following cervical spinal manipulation.
title_fullStr	The quality of reports on cervical arterial dissection following cervical spinal manipulation.
title_full_unstemmed	The quality of reports on cervical arterial dissection following cervical spinal manipulation.
title_sort	quality of reports on cervical arterial dissection following cervical spinal manipulation.
publisher	Public Library of Science (PLoS)
publishDate	2013
url	https://doaj.org/article/935e6d6a143747e09b411a1f0b61f952
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The quality of reports on cervical arterial dissection following cervical spinal manipulation.

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