| Autor: |
Bogaert, L., Thys, T., Depreitere, B., Wambeke, P., Dankaerts, W., Brumagne, S., Moke, L., Schelfaut, S., Jacobs, K., Spriet, A., Peers, K., Janssens, L., Swinnen, T. W. |
| Předmět: |
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| Zdroj: |
Pain Practice; 2022 Supplement, Vol. 22, p54-55, 2p |
| Abstrakt: |
Introduction: Paucity of evidence on good practices in the rehabilitation of patients requiring single-and double level lumbar fusion surgery (LFS), leads to uncertainty and extensive variability in current rehabilitation regimes. Therefore, this study aims to formulate consensus statements on the optimal rehabilitation of LFS, representing the viewpoints of Belgian and Dutch experts on spinal surgery and rehabilitation. Methods: A modified Delphi study consisted of a 3-round online Delphi questionnaire, followed by an in-person consensus meeting. In each round, experts could suggest new items, and received feedback for reconsidered statements. The threshold for consensus agreement was set at =75%. Afterwards, perspectives of nine patients that underwent LFS were solicited through a questionnaire and patient focus group. Results: A total of 31 experts participated in the first online round, of which 27 (87%) completed all online rounds, and 17 (55%) attended the in-person consensus meeting. Consensus was reached on 122 statements relating to the pre-, peri-and postoperative rehabilitation of LFS, including the importance of uniform communication, patient-specific education and specific physiotherapeutic interventions. Patient perspective on optimal rehabilitation was gained from nine patients. Discussion: The final compilation of 122 consensus statements is a solid base for developing and implementing a novel and much-needed rehabilitation pathway for LFS. Benchmarking this consensus against patient perspectives helps understanding patient expectations and potential barriers for implementation. Process evaluation: These results represent the consensus established by Belgian and Dutch experts. Future research should consider transfer this consensus to other regions, including non-European countries. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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