Lumbar spinal fusion patients’ demands to the primary health sector: evaluation of three rehabilitation protocols. A prospective randomized study

Autor: Soegaard, Rikke, Christensen, Finn B, Lauerberg, Ida, Lauersen, Ida, Bünger, Cody E
Jazyk: angličtina
Rok vydání: 2005
Předmět:
Male
Activities of daily living
Patient Acceptance of Health Care/statistics & numerical data
medicine.medical_treatment
Cost-Benefit Analysis
Denmark
Physical fitness
Primary Health Care/economics
law.invention
Randomized controlled trial
law
Activities of Daily Living
Intervertebral Disk Displacement
Orthopedics and Sports Medicine
Prospective Studies
Prospective cohort study
Intervertebral Disc
health care economics and organizations
Rehabilitation
Lumbar Vertebrae
Intervertebral Disk
Middle Aged
Exercise Therapy
Treatment Outcome
Intervertebral Disc/pathology
Original Article
Female
Intervertebral Disc Displacement
Needs Assessment
Adult
Physical Fitness/psychology
medicine.medical_specialty
Randomization
Exercise Therapy/economics
Rehabilitation Centers/economics
Activities of Daily Living/psychology
Rehabilitation Centers
Physical Therapy Modalities/economics
Lumbar Vertebrae/pathology
Social support
medicine
Humans
Physical Therapy Modalities
Intervertebral Disc Displacement/rehabilitation
Primary Health Care
business.industry
Spinal Fusion/economics
Social Support
Patient Acceptance of Health Care
Regimen
Spinal Fusion
Physical Fitness
Physical therapy
Surgery
business
Follow-Up Studies
Zdroj: Soegaard, R, Christensen, F B, Lauerberg, I, Lauersen, I & Bünger, C E 2006, ' Lumbar spinal fusion patients' demands to the primary health sector: evaluation of three rehabilitation protocols : A prospective randomized study ', European Spine Journal, vol. 15, no. 5, pp. 648-656 . https://doi.org/10.1007/s00586-005-0884-8
Soegaard, R, Christensen, F B, Lauerberg, I, Lauersen, I & Bünger, C E 2006, ' Lumbar spinal fusion patients' demands to the primary health sector : evaluation of three rehabilitation protocols. A prospective randomized study ', European Spine Journal, vol. 15, no. 5, pp. 648-56 . https://doi.org/10.1007/s00586-005-0884-8
Popis: Udgivelsesdato: 2006-May Very few studies have investigated the effects or costs of rehabilitation regimens following lumbar spinal fusion. The effectiveness of in-hospital rehabilitation regimens has substantial impact on patients' demands in the primary health care sector. The aim of this study was to investigate patient-articulated demands to the primary health care sector following lumbar spinal fusion and three different in-hospital rehabilitation regimens in a prospective, randomized study with a 2-year follow-up. Ninety patients were randomized 3 months post lumbar spinal fusion to either a 'video' group (one-time oral instruction by a physiotherapist and patients were then issued a video for home exercise), or a 'café' group (video regimen with the addition of three café meetings with other fusion-operated patients) or a 'training' group (exercise therapy; physiotherapist-guided; two times a week for 8 weeks). Register data of service utilization in the primary health care sector were collected from the time of randomization through 24 months postsurgery. Costs of in-hospital protocols were estimated and the service utilization in the primary health care sector and its cost were analyzed. A significant difference (P=0.023) in number of contacts was found among groups at 2-year follow-up. Within the periods of 3-6 months and 7-12 months postoperatively, the experimental groups required less than half the amount of care within the primary health care sector as compared to the video group (P=0.001 and P=0.008). The incremental costs of the café regimen respectively, the training regimen were compensated by cost savings in the primary health care sector, at ratios of 4.70 (95% CI 4.64; 4.77) and 1.70 (95% CI 1.68; 1.72). This study concludes that a low-cost biopsychosocial rehabilitation regimen significantly reduces service utilization in the primary health care sector as compared to the usual regimen and a training exercise regimen. The results stress the importance of a cognitive element of coping in a rehabilitation program.
Databáze: OpenAIRE
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