Spine endoscopic surgery establishment for disc disease (Neurocore-SENSED): an open and decentralized consensus
Year: 2025
Type: article
Abstract: Introduction: Endoscopic spine surgery (ESS) has evolved considerably, yet there remains a lack of consensus on patient selection, technical specifications, and outcome reporting. This heterogeneity hinders collaborative efforts to establish comprehensive evidence-based practices. Research question: To develop core outcome sets (COS) and reporting guidelines for ESS for disc disease through an international consensus. Material and methods: We established a multidisciplinary, international expert panel through literature review and peer-to-peer recruitment. Between January and April 2025, we employed a three-round modified Delphi technique. Items spanned three domains: patient characteristics, practices and outcomes. Propositions endorsed by ≥ 75 % of participants were classified as 'strong' and included in the COS. Those with 50-75 % were reconsidered in the subsequent round, requiring ≥66 % for inclusion as 'moderate'. Results: The panel consisted of 77 spine surgeons from Europe (61 %), Asia (14 %), and North America (13 %), with 58 completing all three rounds. Of 183 items (165 initially provided, 18 participant add-ons), agreement was reached on 99 items (82 strongly and 17 moderately). Key consensus elements included demographics, comorbidities, clinical complaints, imaging findings, surgical indications, technical parameters, and outcome measures such as pain scores, functional outcomes, and complications. Discussion and conclusion: We established the Neurocore-SENSED framework, comprising COS and reporting guidelines for ESS for disc disease. This consensus addresses fundamental heterogeneity in ESS research, complementing existing nomenclature and indication-specific guidelines. By enhancing consistency, comparability, and quality of ESS research, this framework aims to accelerate the development of evidence-based practices that optimize patient outcomes in this rapidly advancing field.
Source: Brain and Spine
Authors: Mejdeddine Al Barajraji, Sami Barrit, Adam Boukind, Albert E. Telfeian, Javier Quillo-Olvera, Mehdi Afathi, Frank Hassel, Peter B. Derman, Maxime Challali, Alexandre Simonin, Antoine Devalckeneer, Ryoji Tominaga, Jean-Charles Le Huec, Xavier A. Santander, Stefan Motov, Richard Assaker, Thibault Remacle, Khaled Radjouane, Brenda Bueno, Katsuhiko Ishibashi, Mohamed Dehmani, Mohamed Arnaout, Raed Abohussein, Kern Singh, Gregory Kesteloot, Mehmet Zileli, Puneet Bansal, Osama Kashlan, Martin Caudron, Maximo De Zavalia, Hisco Robjin, Fah Bouare, Ricky Rasschaert, Nicolas Gil Guevara, Nikhil Jain, Matthieu Vassal, Nikolaos Haliasos, Abdulhamid Ciçek, M.D. Henri d’Astrog, Maxime Challali, Arnaud Lomdard, Grish Datar, Peter Van Daele, Hieu Kim Huynh, Dieter Thijs, Leonardo Tariciotti, Jean Destandau, Frederic Jacquot, Hadrien Giorgi, Marcelo Amato, Loïc de Nijs, Triantafullos Bouras, Constantine Constantoyannis, Alfonso Garcia, Marta Garvayo, Francois Gerardy, Boulos Ghannam, Herve Monka Lekuya, Krzystof Suszynski, Dimitri Vanhauwaert, Martin Dupuy, Karim Chirani, Stephanie Nunes Da Paz, Vincent Bex
Institutions: University of Mons, Centre Hospitalier Universitaire de Tivoli, Centre hospitalier régional de la Citadelle, University of California, San Francisco, Aix-Marseille Université, Institut de Neurosciences des Systèmes, University of California, Berkeley, Washington University in St. Louis, Brown University, Texas Back Institute, Hôpital de Sion, Centre Hospitalier Universitaire de Lille, Polyclinique Bordeaux Nord Aquitaine, Kantonsspital St. Gallen, Hôpital Roger Salengro
Language: English
Subfield: Pathology and Forensic Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,950
OpenAlex ID: W4414625717