Epidemiology, tumour characteristics, treatment and outcomes associated with spinal nerve sheath tumours: a systematic review protocol

Introduction Nerve sheath tumours arise from both the central and peripheral nervous systems. In particular, cases of spinal or paraspinal origins are scarce and poorly covered in the literature. This systematic review aims to summarise the body of evidence regarding spinal nerve sheath tumours and...

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Main Authors: Erik Edström, Adrian Elmi-Terander, Victor Gabriel El-Hajj, Maria Gharios, Omar Ali Mahdi, Aman Singh, Adnan Fatfat
Format: Article
Language:English
Published: BMJ Publishing Group 2024-10-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/14/10/e083011.full
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author Erik Edström
Adrian Elmi-Terander
Victor Gabriel El-Hajj
Maria Gharios
Omar Ali Mahdi
Aman Singh
Adnan Fatfat
author_facet Erik Edström
Adrian Elmi-Terander
Victor Gabriel El-Hajj
Maria Gharios
Omar Ali Mahdi
Aman Singh
Adnan Fatfat
author_sort Erik Edström
collection DOAJ
description Introduction Nerve sheath tumours arise from both the central and peripheral nervous systems. In particular, cases of spinal or paraspinal origins are scarce and poorly covered in the literature. This systematic review aims to summarise the body of evidence regarding spinal nerve sheath tumours and assess its quality, to provide the current knowledge on epidemiology, tumour characteristics, diagnostics, treatment strategies and outcomes.Methods and analysis Databases including PubMed, Web of Science and Embase will be searched using keywords such as “spinal”, “nerve sheath”, “neurofibroma”, “schwannoma”, “neurinoma” and “neurilemoma”. The search will be limited to studies published no earlier than 2000 without language restrictions. Case reports, editorials, letters and reviews will be excluded. Reference lists of identified studies will be searched to find possible additional relevant records. Identified studies will be screened for inclusion, by one reviewer at first and then two independent ones in the next step to increase the external validity. The Rayyan platform will be used for the screening and inclusion process. Data extraction within several predetermined areas of interest will proceed. Subjects of interest include epidemiology, histopathology, radiological diagnostics, surgery, complications, non-surgical treatment alternatives, disease outcomes and predictors of outcome, and recurrence rates. On satisfactory amount of homogenous data, a meta-analysis of key outcomes such as recurrence risk or postoperative neurological improvement will be performed. This systematic review will primarily serve as a reference guide to aid in diagnosis and treatment of patients with spinal schwannomas, while also spotlighting the knowledge gaps in the literature to help guide future research initiatives.Ethics and dissemination Ethics approval is not required for the protocol or review as both are based on existing publications. For dissemination, the final manuscript will be submitted to a peer-reviewed journal.
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spelling doaj-art-66d4a2568ea04c72bdd668a63d4bf3192025-08-20T03:11:54ZengBMJ Publishing GroupBMJ Open2044-60552024-10-01141010.1136/bmjopen-2023-083011Epidemiology, tumour characteristics, treatment and outcomes associated with spinal nerve sheath tumours: a systematic review protocolErik Edström0Adrian Elmi-Terander1Victor Gabriel El-Hajj2Maria Gharios3Omar Ali Mahdi4Aman Singh5Adnan Fatfat61 Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden1 Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden1 Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden1 Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden1 Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden1 Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden1 Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, SwedenIntroduction Nerve sheath tumours arise from both the central and peripheral nervous systems. In particular, cases of spinal or paraspinal origins are scarce and poorly covered in the literature. This systematic review aims to summarise the body of evidence regarding spinal nerve sheath tumours and assess its quality, to provide the current knowledge on epidemiology, tumour characteristics, diagnostics, treatment strategies and outcomes.Methods and analysis Databases including PubMed, Web of Science and Embase will be searched using keywords such as “spinal”, “nerve sheath”, “neurofibroma”, “schwannoma”, “neurinoma” and “neurilemoma”. The search will be limited to studies published no earlier than 2000 without language restrictions. Case reports, editorials, letters and reviews will be excluded. Reference lists of identified studies will be searched to find possible additional relevant records. Identified studies will be screened for inclusion, by one reviewer at first and then two independent ones in the next step to increase the external validity. The Rayyan platform will be used for the screening and inclusion process. Data extraction within several predetermined areas of interest will proceed. Subjects of interest include epidemiology, histopathology, radiological diagnostics, surgery, complications, non-surgical treatment alternatives, disease outcomes and predictors of outcome, and recurrence rates. On satisfactory amount of homogenous data, a meta-analysis of key outcomes such as recurrence risk or postoperative neurological improvement will be performed. This systematic review will primarily serve as a reference guide to aid in diagnosis and treatment of patients with spinal schwannomas, while also spotlighting the knowledge gaps in the literature to help guide future research initiatives.Ethics and dissemination Ethics approval is not required for the protocol or review as both are based on existing publications. For dissemination, the final manuscript will be submitted to a peer-reviewed journal.https://bmjopen.bmj.com/content/14/10/e083011.full
spellingShingle Erik Edström
Adrian Elmi-Terander
Victor Gabriel El-Hajj
Maria Gharios
Omar Ali Mahdi
Aman Singh
Adnan Fatfat
Epidemiology, tumour characteristics, treatment and outcomes associated with spinal nerve sheath tumours: a systematic review protocol
BMJ Open
title Epidemiology, tumour characteristics, treatment and outcomes associated with spinal nerve sheath tumours: a systematic review protocol
title_full Epidemiology, tumour characteristics, treatment and outcomes associated with spinal nerve sheath tumours: a systematic review protocol
title_fullStr Epidemiology, tumour characteristics, treatment and outcomes associated with spinal nerve sheath tumours: a systematic review protocol
title_full_unstemmed Epidemiology, tumour characteristics, treatment and outcomes associated with spinal nerve sheath tumours: a systematic review protocol
title_short Epidemiology, tumour characteristics, treatment and outcomes associated with spinal nerve sheath tumours: a systematic review protocol
title_sort epidemiology tumour characteristics treatment and outcomes associated with spinal nerve sheath tumours a systematic review protocol
url https://bmjopen.bmj.com/content/14/10/e083011.full
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