Next Article in Journal
Outcomes of a Standardized, High-Caloric, Inpatient Re-Alimentation Treatment Protocol in 120 Severely Malnourished Adolescents with Anorexia Nervosa
Next Article in Special Issue
Can We Make Spine Surgery Safer and Better?
Previous Article in Journal
Preoperative TAVR Planning: How to Do It
Previous Article in Special Issue
Is the Use of Intraoperative 3D Navigation for Thoracolumbar Spine Surgery a Risk Factor for Post-Operative Infection?
 
 
Article

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

1
Spine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA
2
Department of Epidemiology and Public Health, Albert Einstein College of Medicine, New York, NY 10461, USA
3
Department of Neurological Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA
4
School of Medicine, Quinnipiac University, North Haven, CT 06518, USA
5
Department of Orthopaedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA
6
Department of Rehabilitation Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA
7
Hartford HealthCare, Westport, CT 06880, USA
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Academic Editor: Jo Nijs
J. Clin. Med. 2022, 11(9), 2583; https://doi.org/10.3390/jcm11092583
Received: 29 March 2022 / Revised: 27 April 2022 / Accepted: 29 April 2022 / Published: 5 May 2022
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. View Full-Text
Keywords: multidisciplinary; spine clinic; chronic back pain; leg pain; injections multidisciplinary; spine clinic; chronic back pain; leg pain; injections
Show Figures

Figure 1

MDPI and ACS Style

Naidu, I.; Ryvlin, J.; Videlefsky, D.; Qin, J.; Mowrey, W.B.; Choi, J.H.; Citron, C.; Gary, J.; Benton, J.A.; Weiss, B.T.; Longo, M.; Matmati, N.N.; De la Garza Ramos, R.; Krystal, J.; Echt, M.; Gelfand, Y.; Cezayirli, P.; Yassari, N.; Wang, B.; Castro-Rivas, E.; Headlam, M.; Udemba, A.; Williams, L.; Gitkind, A.I.; Yassari, R.; Yanamadala, V. 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. J. Clin. Med. 2022, 11, 2583. https://doi.org/10.3390/jcm11092583

AMA Style

Naidu I, Ryvlin J, Videlefsky D, Qin J, Mowrey WB, Choi JH, Citron C, Gary J, Benton JA, Weiss BT, Longo M, Matmati NN, De la Garza Ramos R, Krystal J, Echt M, Gelfand Y, Cezayirli P, Yassari N, Wang B, Castro-Rivas E, Headlam M, Udemba A, Williams L, Gitkind AI, Yassari R, Yanamadala V. 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. Journal of Clinical Medicine. 2022; 11(9):2583. https://doi.org/10.3390/jcm11092583

Chicago/Turabian Style

Naidu, Ishan, Jessica Ryvlin, Devin Videlefsky, Jiyue Qin, Wenzhu B. Mowrey, Jong H. Choi, Chloe Citron, James Gary, Joshua A. Benton, Brandon T. Weiss, Michael Longo, Nabil N. Matmati, Rafael De la Garza Ramos, Jonathan Krystal, Murray Echt, Yaroslav Gelfand, Phillip Cezayirli, Neeky Yassari, Benjamin Wang, Erida Castro-Rivas, Mark Headlam, Adaobi Udemba, Lavinia Williams, Andrew I. Gitkind, Reza Yassari, and Vijay Yanamadala. 2022. "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" Journal of Clinical Medicine 11, no. 9: 2583. https://doi.org/10.3390/jcm11092583

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop