A Multidisciplinary Spine Surgical Indications Conference Leads to Alterations in Surgical Plans in a Significant Number of Cases
| Autor: | Woojin Cho, Merritt D. Kinon, Mark Headlam, Erida Castro-Rivas, Andrew I. Gitkind, Wenzhu B. Mowrey, Adaobi Udemba, Yaroslav Gelfand, Lavinia Williams, Rafael De la Garza Ramos, Brandon Weiss, Jonathan Krystal, Joshua A. Benton, Vijay Yanamadala, Reza Yassari |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Interdisciplinary Studies Surgical planning 03 medical and health sciences 0302 clinical medicine Spine surgery Interquartile range Multidisciplinary approach medicine Humans Orthopedics and Sports Medicine Aged Surgeons 030222 orthopedics business.industry Research General surgery Treatment options Evidence-based medicine Congresses as Topic Middle Aged Spine Patient management Surgical Procedures Operative Female Absolute Change Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Spine. 46:E48-E55 |
| ISSN: | 1528-1159 0362-2436 |
| DOI: | 10.1097/brs.0000000000003715 |
| Popis: | STUDY DESIGN Case series. OBJECTIVE To evaluate the impact of a multidisciplinary spine surgery indications conference (MSSIC) on surgical planning for elective spine surgeries. SUMMARY OF BACKGROUND DATA Identifying methods for pairing the proper patient with the optimal intervention is of the utmost importance for improving spine care and patient outcomes. Prior studies have evaluated the utility of multidisciplinary spine conferences for patient management, but none have evaluated the impact of a MSSIC on surgical planning and decision making. METHODS We implemented a mandatory weekly MSSIC with all spine surgeons at our institution. Each elective spine surgery in the upcoming week is presented. Subsequently, a group consensus decision is achieved regarding the best treatment option based on the expertise and opinions of the participating surgeons. We reviewed cases presented at the MSSIC from September 2019 to December 2019. We compared the surgeon's initial proposed surgery for a patient with the conference attendees' consensus decision on the best treatment and measured compliance rates with the group's recommended treatment. RESULTS The conference reviewed 100 patients scheduled for elective spine surgery at our indications conference during the study period. Surgical plans were recommended for alteration in 19 cases (19%) with the proportion statistically significant from zero indicated by a binomial test (P |
| Databáze: | OpenAIRE |
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