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Development of multidisciplinary, evidenced-based protocol recommendations and implementation strategies for anterior lumbar interbody fusion surgery following a literature review
The anterior lumbar interbody fusion (ALIF) procedure involves several surgical specialties, including general, vascular, and spinal surgery due to its unique approach and anatomy involved. It also carries its own set of complications that differentiate it from posterior lumbar fusion surgeries. The...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681460/ https://www.ncbi.nlm.nih.gov/pubmed/38013300 http://dx.doi.org/10.1097/MD.0000000000036142 |
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author | Meyrat, Richard Vivian, Elaina Sridhar, Archana Gulden, R. Heath Bruce, Sue Martinez, Amber Montgomery, Lisa Reed, Donald N. Rappa, Peter J. Makanbhai, Hetendra Raney, Kenneth Belisle, Jennifer Castellanos, Stacey Cwikla, Judy Elzey, Kristin Wilck, Kristen Nicolosi, Fallon Sabat, Michael E. Shoup, Chris Graham, Randall B. Katzen, Stephen Mitchell, Bartley Oh, Michael C. Patel, Nimesh |
author_facet | Meyrat, Richard Vivian, Elaina Sridhar, Archana Gulden, R. Heath Bruce, Sue Martinez, Amber Montgomery, Lisa Reed, Donald N. Rappa, Peter J. Makanbhai, Hetendra Raney, Kenneth Belisle, Jennifer Castellanos, Stacey Cwikla, Judy Elzey, Kristin Wilck, Kristen Nicolosi, Fallon Sabat, Michael E. Shoup, Chris Graham, Randall B. Katzen, Stephen Mitchell, Bartley Oh, Michael C. Patel, Nimesh |
author_sort | Meyrat, Richard |
collection | PubMed |
description | The anterior lumbar interbody fusion (ALIF) procedure involves several surgical specialties, including general, vascular, and spinal surgery due to its unique approach and anatomy involved. It also carries its own set of complications that differentiate it from posterior lumbar fusion surgeries. The demonstrated benefits of treatment guidelines, such as Enhanced Recovery after Surgery in other surgical procedures, and the lack of current recommendations regarding the anterior approach, underscores the need to develop protocols that specifically address the complexities of ALIF. We aimed to create an evidence-based protocol for pre-, intra-, and postoperative care of ALIF patients and implementation strategies for our health system. A 12-member multidisciplinary workgroup convened to develop an evidence-based treatment protocol for ALIF using a Delphi consensus methodology and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system for rating the quality of evidence and strength of protocol recommendations. The quality of evidence, strength of the recommendation and specific implementation strategies for Methodist Health System for each recommendation were described. The literature search resulted in 295 articles that were included in the development of protocol recommendations. No disagreements remained once the authors reviewed the final GRADE assessment of the quality of evidence and strength of the recommendations. Ultimately, there were 39 protocol recommendations, with 16 appropriate preoperative protocol recommendations (out of 17 proposed), 9 appropriate intraoperative recommendations, and 14 appropriate postoperative recommendations. This novel set of evidence-based recommendations is designed to optimize the patient’s ALIF experience from the preoperative to the postoperative period. |
format | Online Article Text |
id | pubmed-10681460 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-106814602023-11-24 Development of multidisciplinary, evidenced-based protocol recommendations and implementation strategies for anterior lumbar interbody fusion surgery following a literature review Meyrat, Richard Vivian, Elaina Sridhar, Archana Gulden, R. Heath Bruce, Sue Martinez, Amber Montgomery, Lisa Reed, Donald N. Rappa, Peter J. Makanbhai, Hetendra Raney, Kenneth Belisle, Jennifer Castellanos, Stacey Cwikla, Judy Elzey, Kristin Wilck, Kristen Nicolosi, Fallon Sabat, Michael E. Shoup, Chris Graham, Randall B. Katzen, Stephen Mitchell, Bartley Oh, Michael C. Patel, Nimesh Medicine (Baltimore) 7100 The anterior lumbar interbody fusion (ALIF) procedure involves several surgical specialties, including general, vascular, and spinal surgery due to its unique approach and anatomy involved. It also carries its own set of complications that differentiate it from posterior lumbar fusion surgeries. The demonstrated benefits of treatment guidelines, such as Enhanced Recovery after Surgery in other surgical procedures, and the lack of current recommendations regarding the anterior approach, underscores the need to develop protocols that specifically address the complexities of ALIF. We aimed to create an evidence-based protocol for pre-, intra-, and postoperative care of ALIF patients and implementation strategies for our health system. A 12-member multidisciplinary workgroup convened to develop an evidence-based treatment protocol for ALIF using a Delphi consensus methodology and the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system for rating the quality of evidence and strength of protocol recommendations. The quality of evidence, strength of the recommendation and specific implementation strategies for Methodist Health System for each recommendation were described. The literature search resulted in 295 articles that were included in the development of protocol recommendations. No disagreements remained once the authors reviewed the final GRADE assessment of the quality of evidence and strength of the recommendations. Ultimately, there were 39 protocol recommendations, with 16 appropriate preoperative protocol recommendations (out of 17 proposed), 9 appropriate intraoperative recommendations, and 14 appropriate postoperative recommendations. This novel set of evidence-based recommendations is designed to optimize the patient’s ALIF experience from the preoperative to the postoperative period. Lippincott Williams & Wilkins 2023-11-24 /pmc/articles/PMC10681460/ /pubmed/38013300 http://dx.doi.org/10.1097/MD.0000000000036142 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 7100 Meyrat, Richard Vivian, Elaina Sridhar, Archana Gulden, R. Heath Bruce, Sue Martinez, Amber Montgomery, Lisa Reed, Donald N. Rappa, Peter J. Makanbhai, Hetendra Raney, Kenneth Belisle, Jennifer Castellanos, Stacey Cwikla, Judy Elzey, Kristin Wilck, Kristen Nicolosi, Fallon Sabat, Michael E. Shoup, Chris Graham, Randall B. Katzen, Stephen Mitchell, Bartley Oh, Michael C. Patel, Nimesh Development of multidisciplinary, evidenced-based protocol recommendations and implementation strategies for anterior lumbar interbody fusion surgery following a literature review |
title | Development of multidisciplinary, evidenced-based protocol recommendations and implementation strategies for anterior lumbar interbody fusion surgery following a literature review |
title_full | Development of multidisciplinary, evidenced-based protocol recommendations and implementation strategies for anterior lumbar interbody fusion surgery following a literature review |
title_fullStr | Development of multidisciplinary, evidenced-based protocol recommendations and implementation strategies for anterior lumbar interbody fusion surgery following a literature review |
title_full_unstemmed | Development of multidisciplinary, evidenced-based protocol recommendations and implementation strategies for anterior lumbar interbody fusion surgery following a literature review |
title_short | Development of multidisciplinary, evidenced-based protocol recommendations and implementation strategies for anterior lumbar interbody fusion surgery following a literature review |
title_sort | development of multidisciplinary, evidenced-based protocol recommendations and implementation strategies for anterior lumbar interbody fusion surgery following a literature review |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681460/ https://www.ncbi.nlm.nih.gov/pubmed/38013300 http://dx.doi.org/10.1097/MD.0000000000036142 |
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