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The Effect of a Multidisciplinary Spine Clinic on Time to Care in Patients with Chronic Back and/or Leg Pain: A Propensity Score-Matched Analysis

Chronic back and leg pain are leading causes of disability worldwide. The purpose of this study was to compare the care in a unidisciplinary (USC) versus multidisciplinary (MSC) spine clinic, where patients are evaluated by different specialists during the same office visit. Adult patients presentin...

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Autores principales: Naidu, Ishan, Ryvlin, Jessica, Videlefsky, Devin, Qin, Jiyue, Mowrey, Wenzhu B., Choi, Jong H., Citron, Chloe, Gary, James, Benton, Joshua A., Weiss, Brandon T., Longo, Michael, Matmati, Nabil N., De la Garza Ramos, Rafael, Krystal, Jonathan, Echt, Murray, Gelfand, Yaroslav, Cezayirli, Phillip, Yassari, Neeky, Wang, Benjamin, Castro-Rivas, Erida, Headlam, Mark, Udemba, Adaobi, Williams, Lavinia, Gitkind, Andrew I., Yassari, Reza, Yanamadala, Vijay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9103560/
https://www.ncbi.nlm.nih.gov/pubmed/35566709
http://dx.doi.org/10.3390/jcm11092583
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author Naidu, Ishan
Ryvlin, Jessica
Videlefsky, Devin
Qin, Jiyue
Mowrey, Wenzhu B.
Choi, Jong H.
Citron, Chloe
Gary, James
Benton, Joshua A.
Weiss, Brandon T.
Longo, Michael
Matmati, Nabil N.
De la Garza Ramos, Rafael
Krystal, Jonathan
Echt, Murray
Gelfand, Yaroslav
Cezayirli, Phillip
Yassari, Neeky
Wang, Benjamin
Castro-Rivas, Erida
Headlam, Mark
Udemba, Adaobi
Williams, Lavinia
Gitkind, Andrew I.
Yassari, Reza
Yanamadala, Vijay
author_facet Naidu, Ishan
Ryvlin, Jessica
Videlefsky, Devin
Qin, Jiyue
Mowrey, Wenzhu B.
Choi, Jong H.
Citron, Chloe
Gary, James
Benton, Joshua A.
Weiss, Brandon T.
Longo, Michael
Matmati, Nabil N.
De la Garza Ramos, Rafael
Krystal, Jonathan
Echt, Murray
Gelfand, Yaroslav
Cezayirli, Phillip
Yassari, Neeky
Wang, Benjamin
Castro-Rivas, Erida
Headlam, Mark
Udemba, Adaobi
Williams, Lavinia
Gitkind, Andrew I.
Yassari, Reza
Yanamadala, Vijay
author_sort Naidu, Ishan
collection PubMed
description Chronic back and leg pain are leading causes of disability worldwide. The purpose of this study was to compare the care in a unidisciplinary (USC) versus multidisciplinary (MSC) spine clinic, where patients are evaluated by different specialists during the same office visit. Adult patients presenting with a chief complaint of back and/or leg pain between June 2018 and July 2019 were assessed for eligibility. The main outcome measures included the first treatment recommendations, the time to treatment order, and the time to treatment occurrence. A 1:1 propensity score-matched analysis was performed on 874 patients (437 in each group). For all patients, the most common recommendation was physical therapy (41.4%), followed by injection (14.6%), and surgery (9.7%). Patients seen in the MSC were more likely to be recommended injection (p < 0.001) and less likely to be recommended surgery as first treatment (p = 0.001). They also had significantly shorter times to the injection order (log-rank test, p = 0.004) and the injection occurrence (log-rank test, p < 0.001). In this study, more efficient care for patients with back and/or leg pain was delivered in the MSC setting, which was evidenced by the shorter times to the injection order and occurrence. The impact of the MSC approach on patient satisfaction and health-related quality-of-life outcome measures warrants further investigation.
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spelling pubmed-91035602022-05-14 The Effect of a Multidisciplinary Spine Clinic on Time to Care in Patients with Chronic Back and/or Leg Pain: A Propensity Score-Matched Analysis Naidu, Ishan Ryvlin, Jessica Videlefsky, Devin Qin, Jiyue Mowrey, Wenzhu B. Choi, Jong H. Citron, Chloe Gary, James Benton, Joshua A. Weiss, Brandon T. Longo, Michael Matmati, Nabil N. De la Garza Ramos, Rafael Krystal, Jonathan Echt, Murray Gelfand, Yaroslav Cezayirli, Phillip Yassari, Neeky Wang, Benjamin Castro-Rivas, Erida Headlam, Mark Udemba, Adaobi Williams, Lavinia Gitkind, Andrew I. Yassari, Reza Yanamadala, Vijay J Clin Med Article Chronic back and leg pain are leading causes of disability worldwide. The purpose of this study was to compare the care in a unidisciplinary (USC) versus multidisciplinary (MSC) spine clinic, where patients are evaluated by different specialists during the same office visit. Adult patients presenting with a chief complaint of back and/or leg pain between June 2018 and July 2019 were assessed for eligibility. The main outcome measures included the first treatment recommendations, the time to treatment order, and the time to treatment occurrence. A 1:1 propensity score-matched analysis was performed on 874 patients (437 in each group). For all patients, the most common recommendation was physical therapy (41.4%), followed by injection (14.6%), and surgery (9.7%). Patients seen in the MSC were more likely to be recommended injection (p < 0.001) and less likely to be recommended surgery as first treatment (p = 0.001). They also had significantly shorter times to the injection order (log-rank test, p = 0.004) and the injection occurrence (log-rank test, p < 0.001). In this study, more efficient care for patients with back and/or leg pain was delivered in the MSC setting, which was evidenced by the shorter times to the injection order and occurrence. The impact of the MSC approach on patient satisfaction and health-related quality-of-life outcome measures warrants further investigation. MDPI 2022-05-05 /pmc/articles/PMC9103560/ /pubmed/35566709 http://dx.doi.org/10.3390/jcm11092583 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Naidu, Ishan
Ryvlin, Jessica
Videlefsky, Devin
Qin, Jiyue
Mowrey, Wenzhu B.
Choi, Jong H.
Citron, Chloe
Gary, James
Benton, Joshua A.
Weiss, Brandon T.
Longo, Michael
Matmati, Nabil N.
De la Garza Ramos, Rafael
Krystal, Jonathan
Echt, Murray
Gelfand, Yaroslav
Cezayirli, Phillip
Yassari, Neeky
Wang, Benjamin
Castro-Rivas, Erida
Headlam, Mark
Udemba, Adaobi
Williams, Lavinia
Gitkind, Andrew I.
Yassari, Reza
Yanamadala, Vijay
The Effect of a Multidisciplinary Spine Clinic on Time to Care in Patients with Chronic Back and/or Leg Pain: A Propensity Score-Matched Analysis
title The Effect of a Multidisciplinary Spine Clinic on Time to Care in Patients with Chronic Back and/or Leg Pain: A Propensity Score-Matched Analysis
title_full The Effect of a Multidisciplinary Spine Clinic on Time to Care in Patients with Chronic Back and/or Leg Pain: A Propensity Score-Matched Analysis
title_fullStr The Effect of a Multidisciplinary Spine Clinic on Time to Care in Patients with Chronic Back and/or Leg Pain: A Propensity Score-Matched Analysis
title_full_unstemmed The Effect of a Multidisciplinary Spine Clinic on Time to Care in Patients with Chronic Back and/or Leg Pain: A Propensity Score-Matched Analysis
title_short The Effect of a Multidisciplinary Spine Clinic on Time to Care in Patients with Chronic Back and/or Leg Pain: A Propensity Score-Matched Analysis
title_sort effect of a multidisciplinary spine clinic on time to care in patients with chronic back and/or leg pain: a propensity score-matched analysis
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9103560/
https://www.ncbi.nlm.nih.gov/pubmed/35566709
http://dx.doi.org/10.3390/jcm11092583
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