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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...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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. |
format | Online Article Text |
id | pubmed-9103560 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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