Impact of Multidisciplinary Spine Conferences on Surgical Planning and Perioperative Care in Elective Lumbar Spine Surgeries
| العنوان: | Impact of Multidisciplinary Spine Conferences on Surgical Planning and Perioperative Care in Elective Lumbar Spine Surgeries |
|---|---|
| المؤلفون: | Celeste Marie Lombardi, Jigar Bharat Patel, James Gregory Jolissaint, Edward John Norris, Khodadad Namiranian |
| المصدر: | Asian Spine Journal Asian Spine Journal, Vol 12, Iss 5, Pp 854-861 (2018) |
| بيانات النشر: | Asian Spine Journal (ASJ), 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | musculoskeletal diseases, medicine.medical_specialty, Health care utilization, lcsh:Medicine, Pharmacy, Surgical planning, 03 medical and health sciences, Spine surgery, 0302 clinical medicine, Multidisciplinary approach, Anesthesiology, medicine, Orthopedics and Sports Medicine, 030222 orthopedics, business.industry, General surgery, lcsh:R, Elective lumbar spine, musculoskeletal system, Low back pain, Radiological weapon, Orthopedic surgery, Clinical Study, Surgery, Neurosurgery, medicine.symptom, business, Multidisciplinary spine conferences, 030217 neurology & neurosurgery |
| الوصف: | STUDY DESIGN Pre- and post-implementation analysis. PURPOSE We examined the impact of implementing multidisciplinary spine conferences-"spine board" reviews-on the general utilization of elective lumbar spine surgeries in a tertiary medical institute. OVERVIEW OF LITERATURE A multidisciplinary approach to spine care reportedly improves the appropriate utilization of surgical spine procedures. METHODS A multidisciplinary spine board was established to review candidates selected for elective lumbar spine surgery. The board comprised representatives from orthopedic spine surgery, neurosurgery, psychology, physical therapy, radiology, pharmacy, primary care, pain management, anesthesiology, and veteran advocacy. Two similar 6-month periods were selected to study the impact of this implementation: pre-implementing (June 1, 2015 to November 30, 2015) and post-implementation (June 1, 2016 to November 30, 2016) periods. RESULTS Between March 1, 2016 and December 30, 2016, the spine board discussed 11 patients. All patients underwent clinical examinations and radiological assessments findings that warranted elective lumbar surgery. The board recommended non-surgical interventions before proceeding with the planned surgeries in all cases. In the pre-implementation period, a total of 101 elective lumbar spine surgeries were performed. In the post-implementation period, a total of 51 elective lumbar spine surgeries were performed (p |
| تدمد: | 1976-7846 1976-1902 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c19af7f15f3bedbe8df77de8f9d75630Test https://doi.org/10.31616/asj.2018.12.5.854Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....c19af7f15f3bedbe8df77de8f9d75630 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19767846 19761902 |
|---|