Scoping Review with Topic Modeling on the Diagnostic Criteria for Degenerative Cervical Myelopathy.
Global Spine J
; 14(7): 2155-2169, 2024 Sep.
Article
em En
| MEDLINE
| ID: mdl-38442295
ABSTRACT
STUDY DESIGN:
This study is a scoping review.OBJECTIVE:
There is a broad variability in the definition of degenerative cervical myelopathy (DCM) and no standardized set of diagnostic criteria to date.METHODS:
We interrogated the Myelopathy.org database, a hand-indexed database of primary clinical studies conducted exclusively on DCM in humans between 2005-2021. The DCM inclusion criteria used in these studies were inputted into 3 topic modeling algorithms Hierarchical Dirichlet Process (HDP), Latent Dirichlet Allocation (LDA), and BERtopic. The emerging topics were subjected to manual labeling and interpretation.RESULTS:
Of 1676 reports, 120 papers (7.16%) had well-defined inclusion criteria and were subjected to topic modeling. Four topics emerged from the HDP model disturbance from extremity weakness and motor signs; fine-motor and sensory disturbance of upper extremity; a combination of imaging and clinical findings is required for the diagnosis; and "reinforcing" (or modifying) factors that can aid in the diagnosis in borderline cases. The LDA model showed the following topics disturbance to the patient is required for the diagnosis; reinforcing factors can aid in the diagnosis in borderline cases; clinical findings from the extremities; and a combination of imaging and clinical findings is required for the diagnosis. BERTopic identified the following topics imaging abnormality, typical clinical features, range of objective criteria, and presence of clinical findings.CONCLUSIONS:
This review provides quantifiable data that only a minority of past studies in DCM provided meaningful inclusion criteria. The items and patterns found here are very useful for the development of diagnostic criteria for DCM.
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MEDLINE
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En
Ano de publicação:
2024
Tipo de documento:
Article