A Hospital-Based Standardized Spine Care Pathway: Report of a Multidisciplinary, Evidence-Based Process

Paskowski, Ian; Schneider, Michael J.; Stevans, Joel M.; Ventura, John M.; Justice, Blake D.

doi:10.1016/j.jmpt.2010.12.004

Cited by 37 publications

(59 citation statements)

References 14 publications

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“…Paskowski et al 26 recently described a hospital-based multidisciplinary spine care pathway. All patients were screened for red fl ags and provided with reassurance and evidence-based self-care advice.…”

Section: How Does the Ssp Compare With Other Published Lbp Pathways?mentioning

confidence: 99%

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A Systematic Review of Clinical Pathways for Lower Back Pain and Introduction of the Saskatchewan Spine Pathway

Fourney

Dettori

Hall

et al. 2011

Spine

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Section: How Does the Ssp Compare With Other Published Lbp Pathways?mentioning

confidence: 99%

“…The SSP is designed not just for a hospital-based practice as Paskowski et al 26 describe, but for an entire health care system. The SSP is being implemented in a politically and geographically distinct region with a single publicly funded universal health care system.…”

Section: How Does the Ssp Compare With Other Published Lbp Pathways?mentioning

confidence: 99%

A Systematic Review of Clinical Pathways for Lower Back Pain and Introduction of the Saskatchewan Spine Pathway

Fourney

Dettori

Hall

et al. 2011

Spine

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“…Emerging evidence is showing that this classification system approach can be utilized in a hospital system to triage patients through multidisciplinary care pathways likely to improve outcome and reduce costs (Paskowski et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal myths

Liebenson¹

2012

Journal of Bodywork and Movement Therapies

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“…1,2 In light of a high potential for chronicity, 3,4 negative impact on productivity, 5 inappropriate health care utilization 6,7 and inefficiencies in care delivery, LBP is increasingly the target of studies to reduce its burden on the health care system. 8,9 In Canada, the traditional referral process from a primary care provider to a spine surgeon has many regional barriers and inefficiencies. 10,11 The majority of surgeons report wait times from primary care referral to consultation for nonurgent spinal conditions in excess of 6 months despite a substantial proportion closing their practices to new referrals or screening them.…”

mentioning

confidence: 99%

Improving spine surgical access, appropriateness and efficiency in metropolitan, urban and rural settings

Zarrabian

Bidos

Fanti

et al. 2017

cjs

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RESEARCH • RECHERCHEImproving spine surgical access, appropriateness and efficiency in metropolitan, urban and rural settings Background: The Inter-professional Spine Assessment and Education Clinics (ISAEC) were developed to improve primary care assessment, education and management of patients with persistent or recurrent low back pain-related symptoms. This study aims to determine the effect of ISAEC on access for surgical assessment, referral appropriateness and efficiency for patients meeting a priori referral criteria in rural, urban and metropolitan settings. Methods:We conducted a retrospective review of prospective data from networked ISAEC clinics in Thunder Bay, Hamilton and Toronto, Ontario. For patients meeting surgical referral criteria, wait times for surgical assessment, surgical referral-related magnetic resonance imaging (MRI) scans and appropriateness of referral were recorded. Results:Overall 422 patients, representing 10% of all ISAEC patients in the study period, were referred for surgical assessment. The average wait times for surgical assessment were 5.4, 4.3 and 2.2 weeks at the metropolitan, urban and rural centres, respectively. Referral MRI usage for the group decreased by 31%. Of the patients referred for formal surgical assessment, 80% had leg-dominant pain and 96% were deemed appropriate surgical referrals. Conclusion:Contrary to geographic concentration of health care resources in metropolitan settings, the greatest decrease in wait times was achieved in the rural setting. A networked, shared-cared model of care for patients with low back pain-related symptoms significantly improved access for surgical assessment despite varying geographic practice settings and barriers. The greatest reductions were noted in the rural setting. In addition, significant improvements in referral appropriateness and efficiency were achieved compared with historical reports across all sites. [ISAEC]) ont été mises sur pied pour améliorer les soins primaires d'évaluation, d'éducation et de prise en charge des patients atteints de symptômes persistants ou récurrents de lombalgie. Cette étude a pour but d'évaluer l'effet des ISAEC sur l'accès à une évaluation chirurgicale et sur la pertinence et l'efficacité de la référence des patients en milieux ruraux, urbains et métropolitains répondant a priori aux critères de référence. Contexte : Les cliniques interprofessionnelles d'évaluation de la colonne vertébrale et d'éducation (Inter-professional Spine Assessment and Education ClinicsMéthodes : Nous avons mené une étude rétrospective de données prospectives issues de cliniques du réseau des ISAEC situées à Thunder Bay, à Hamilton et à Toronto, en Ontario. Nous avons retenu pour l'étude les patients répondant aux critères de référence en chirurgie; pour chacun de ces patients, nous avons consigné le temps d'attente pour obtenir une évaluation chirurgicale, les images obtenues par résonance magnétique (IRM) aux fins de référence et la pertinence de la référence.Résultats : Au total, 422 patients, soit 10 % des ...

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A Hospital-Based Standardized Spine Care Pathway: Report of a Multidisciplinary, Evidence-Based Process

Cited by 37 publications

References 14 publications

A Systematic Review of Clinical Pathways for Lower Back Pain and Introduction of the Saskatchewan Spine Pathway

A Systematic Review of Clinical Pathways for Lower Back Pain and Introduction of the Saskatchewan Spine Pathway

Musculoskeletal myths

Improving spine surgical access, appropriateness and efficiency in metropolitan, urban and rural settings

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