TY - JOUR
T1 - Core outcomes in nerve surgery
T2 - development of a core outcome set for common peroneal (fibular) neuropathy
AU - Core Outcomes in Nerve Surgery (COINS) Consortium
AU - Wilson, Thomas J.
AU - Ali, Zarina S.
AU - Davis, Gavin A.
AU - Dengler, Nora F.
AU - Desai, Ketan
AU - Garozzo, Debora
AU - Guedes, Fernando
AU - Jack, Megan M.
AU - Jacques, Line G.
AU - Kretschmer, Thomas
AU - Mahan, Mark A.
AU - Midha, Rajiv
AU - Pondaag, Willem
AU - Puffer, Ross C.
AU - Rasulic, Lukas
AU - Ray, Wilson Z.
AU - Rizk, Elias
AU - Rodriguez-Aceves, Carlos A.
AU - Shapira, Yuval
AU - Smith, Brandon W.
AU - Socolovsky, Mariano
AU - Spinner, Robert J.
AU - Zager, Eric L.
N1 - Publisher Copyright:
©AANS 2025.
PY - 2025/2
Y1 - 2025/2
N2 - OBJECTIVE Common peroneal (fibular) neuropathy is the most common mononeuropathy of the lower extremity. Despite this, there are surprisingly few studies on the topic, and a knowledge gap remains in the literature. As one attempts to address this knowledge gap, a core outcome set (COS) is needed to guide the planning phases of future studies to allow synthesis and comparability of these studies. The objective of this study was to develop the COS–common peroneal neuropathy (CoPe) using a modified Delphi approach. METHODS A 5-stage approach was used to develop the COS-CoPe: 1) stage 1, consortium development; 2) stage 2, a literature review to identify potential outcome measures; 3) stage 3, a Delphi survey to develop consensus on outcomes for inclusion; 4) stage 4, a Delphi survey to develop definitions; and 5) stage 5, a consensus meeting to finalize COS and definitions. The study followed the COS–STAndards for Development (COS-STAD) recommendations. RESULTS The Core Outcomes in Nerve Surgery (COINS) Consortium comprised 23 participants, all neurological surgeons, representing 13 countries. The final COS-CoPe consisted of 31 data points/outcomes covering domains of demographics, diagnostics, patient-reported outcomes, motor/sensory outcomes, and complications. Appropriate instruments, methods of testing, and definitions were set. The consensus minimum duration of follow-up was 12 months. The consensus optimal time points for assessment were preoperatively and 3, 6, 12, and 24 months postoperatively. CONCLUSIONS The COINS Consortium developed a consensus COS and provided definitions, methods of implementation, and time points for assessment. The COS-CoPe should serve as a minimum set of data that should be collected in all future neurosurgical studies on common peroneal neuropathy. Incorporation of this COS should help improve consistency in reporting, data synthesis, and comparability, and should minimize outcome reporting bias.
AB - OBJECTIVE Common peroneal (fibular) neuropathy is the most common mononeuropathy of the lower extremity. Despite this, there are surprisingly few studies on the topic, and a knowledge gap remains in the literature. As one attempts to address this knowledge gap, a core outcome set (COS) is needed to guide the planning phases of future studies to allow synthesis and comparability of these studies. The objective of this study was to develop the COS–common peroneal neuropathy (CoPe) using a modified Delphi approach. METHODS A 5-stage approach was used to develop the COS-CoPe: 1) stage 1, consortium development; 2) stage 2, a literature review to identify potential outcome measures; 3) stage 3, a Delphi survey to develop consensus on outcomes for inclusion; 4) stage 4, a Delphi survey to develop definitions; and 5) stage 5, a consensus meeting to finalize COS and definitions. The study followed the COS–STAndards for Development (COS-STAD) recommendations. RESULTS The Core Outcomes in Nerve Surgery (COINS) Consortium comprised 23 participants, all neurological surgeons, representing 13 countries. The final COS-CoPe consisted of 31 data points/outcomes covering domains of demographics, diagnostics, patient-reported outcomes, motor/sensory outcomes, and complications. Appropriate instruments, methods of testing, and definitions were set. The consensus minimum duration of follow-up was 12 months. The consensus optimal time points for assessment were preoperatively and 3, 6, 12, and 24 months postoperatively. CONCLUSIONS The COINS Consortium developed a consensus COS and provided definitions, methods of implementation, and time points for assessment. The COS-CoPe should serve as a minimum set of data that should be collected in all future neurosurgical studies on common peroneal neuropathy. Incorporation of this COS should help improve consistency in reporting, data synthesis, and comparability, and should minimize outcome reporting bias.
KW - common fibular nerve
KW - common fibular neuropathy
KW - common peroneal nerve
KW - common peroneal neuropathy
KW - core outcome set
KW - lower extremity
KW - peripheral nerve
UR - https://www.scopus.com/pages/publications/85217041519
U2 - 10.3171/2024.5.JNS24614
DO - 10.3171/2024.5.JNS24614
M3 - Article
C2 - 39151186
AN - SCOPUS:85217041519
SN - 0022-3085
VL - 142
SP - 538
EP - 546
JO - Journal of neurosurgery
JF - Journal of neurosurgery
IS - 2
ER -