المؤلفون: Khodadad Namiranian, Edward John Norris, James Gregory Jolissaint, Jigar Bharat Patel, Celeste Marie Lombardi

المصدر: Asian Spine Journal, Vol 12, Iss 5, Pp 854-861 (2018)

مصطلحات موضوعية: Spine surgery, Multidisciplinary spine conferences, Elective lumbar spine, Health care utilization, Medicine

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

وصف الملف: electronic resource

العلاقة: http://www.asianspinejournal.org/upload/pdf/asj-2018-12-5-854.pdfTest; https://doaj.org/toc/1976-1902Test; https://doaj.org/toc/1976-7846Test

الوصول الحر: https://doaj.org/article/c73cb81a141b413eb93386dc668730b9Test

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)

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

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c19af7f15f3bedbe8df77de8f9d75630Test
https://doi.org/10.31616/asj.2018.12.5.854Test

المؤلفون: Namiranian, Khodadad, Norris, Edward John, Jolissaint, James Gregory, Patel, Jigar Bharat, Lombardi, Celeste Marie

المصدر: Asian Spine Journal; Oct2018, Vol. 12 Issue 5, p854-861, 8p

مصطلحات موضوعية: LUMBAR pain, SPINAL surgery, SURGICAL complications, ANESTHESIOLOGY, PAIN management

مستخلص: 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 <0.05). The surgical plan for elective lumbar spine surgery in the post-implementation period was not directly influenced by the review of spine board because none of the cases were discussed in the conferences; however, the care occurred at a hospital where the spine board was implemented. There was no significant change in the number of cervical spine surgeries performed (66 preimplementation vs. 56 post-implementation). The average surgery duration was 52 minutes shorter in the post-implementation period compared with that in the pre-implementation period (p <0.05). Conclusions: Implementation of a multidisciplinary spine board was concurrent with an overall decrease in the utilization of lumbar spine surgeries for elective cases of low back pain in a tertiary medical center. [ABSTRACT FROM AUTHOR]

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