Evidence map›Paper›PMID 41876155›Full record

ArticleBMJ open2026

Accelerating diagnosis of degenerative cervical myelopathy through improved education: a mixed-methods study protocol from Myelopathy.org RECODE-DCM to define stakeholders, knowledge requirements and an optimal intervention strategy.

Munashe Veremu, Naomi Deakin, Rohil V Chauhan, Justin M Lantz, Georgios Toumbas, Julia Tabrah, Vishal Kumar, Carl M Zipser, Joshua Plener, Carlo Ammendolia and 21 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors.

Munashe VeremuDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0001-5138-7565
Naomi DeakinDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Rohil V ChauhanActive Living and Rehabilitation: Aotearoa New Zealand, Health and Rehabilitation Research Institute, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.ORCID http://orcid.org/0000-0002-7244-2305
Justin M LantzDivision of Biokinesiology and Physical Therapy, Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Georgios ToumbasDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Julia TabrahHounslow and Richmond Community Healthcare NHS Trust, Teddington, UK.
Vishal KumarDepartment of Orthopaedics, PGIMER, Chandigarh, India.
Carl M ZipserSpinal Cord Injury Center, Balgrist University Hospital, University of Zurich, Zürich, Switzerland.
Joshua PlenerDepartment of Anesthesiology and Pain Management, Mount Sinai Hospital, Toronto, Ontario, Canada.
Carlo AmmendoliaDepartment of Anesthesiology and Pain Management, Mount Sinai Hospital, Toronto, Ontario, Canada.
David B AndersonSchool of health sciences, The University of Sydney, Sydney, New South Wales, Australia.
Ellianne J Dos Santos RubioDepartment of Neurosurgery, Curaçao Medical Center, Willemstad, Curaçao.
Lindsay TetreaultDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.
Rahul ParnaikSt Mary's Surgery, NHS, Ely, UK.
Ricardo Rodrigues-PintoSpinal Unit (UVM), Department of Orthopaedics, Centro Hospitalar Universitário do Porto EPE, Porto, Portugal.
Otieno Martin Ong'wenKenya Association of Physiotherapists, Nairobi, Kenya.
Ellen SarewitzMyelopathy.org, Cambridge, UK.
Iwan SadlerMyelopathy.org, Cambridge, UK.
Theresa RobertsNursing education, Elsevier Inc, New York, New York, USA.
Neil LangridgeHealth Sciences University, Bournemouth, UK.
Gabrielle SwaitRoyal College of Chiropractors, Reading, UK.
Lisa Hadfield-LawIndependent Surgical Educationalist, Charlbury, UK.
Jerry Draper-RodiHealth Sciences University-London Campus, London, UK.
Lianne WoodUniversity of Exeter, Exeter, UK.
Sybil StacpooleNeurology Unit, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Mario GanauSchool of Medicine, BAU International University Batumi, Batumi, Georgia.
Shehla BaigCity St George's University of London, London, UK.ORCID http://orcid.org/0009-0004-3738-8608
Antony BatemanRoyal Derby Spine Centre, Royal Derby Hospital, Derby, UK.
Andreas K DemetriadesEdinburgh Spinal Surgery Outcomes Study Group, Department of Neurosurgery, University of Edinburgh Western General Hospital, Edinburgh, UK.ORCID http://orcid.org/0000-0002-2004-9448
Willem Cornelis Wilco PeulNeurosurgery, Leiden University Medical Center, Leiden, The Netherlands.
Benjamin DaviesDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, UK bd375@cam.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOutcomes for degenerative cervical myelopathy (DCM) patients are limited by delayed and missed diagnoses, driven in part by poor professional awareness. Despite DCM being the most common cause of adult spinal cord injury, it remains under-recognised and undertaught in clinical education. Lessons from other common pathology like stroke and acute myocardial infarction highlight the potential of education to improve early diagnosis. This study will develop a professional education strategy to improve early DCM diagnosis. It will define key audiences and identify an effective delivery method, laying the groundwork for a sustained, targeted intervention. METHODS AND ANALYSIS: The study aims to define who needs to know about DCM, what they need to know and how they can learn it. This will be carried out in three phases: phase 1-who and what: to establish the target population and to define core competencies for the educational intervention; phase 2-how: to create and review the educational intervention; phase 3-evaluation: to test whether the framework is an improvement to existing strategies. ETHICS AND DISSEMINATION: Ethical approval is in place from the University of Cambridge (HBREC.2024.24). Results from the study will be disseminated through scientific publication, conference presentation, blog posts and podcasts. PROSPERO REGISTRATION NUMBER: CRD42023461838.

Indexed as

Spinal Cord DiseasesCervical VertebraeClinical CompetenceEarly DiagnosisHealth Knowledge, Attitudes, PracticeHumansResearch DesignHealth EducationMEDICAL EDUCATION & TRAININGNEUROLOGYNEUROSURGERY

Identifiers

PMID41876155
PMCPMC13034346

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.