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Full-Endoscopic Transforaminal Approach for Lumbar Discectomy
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Evidence-based development of a post-surgical lumbar discectomy leaflet intervention: a Delphi consensus study.

P C Goodwin1, C C Wright2, C Allan3

  • 1Department of Health Professions, Manchester Metropolitan University, Manchester, UK.

BMJ Open
|March 13, 2015
PubMed
Summary
This summary is machine-generated.

A new patient leaflet for lumbar discectomy recovery was created using expert and patient input. This free resource provides essential postoperative information to support patients after spinal surgery.

Keywords:
REHABILITATION MEDICINE

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Area of Science:

  • Spinal surgery outcomes
  • Patient education materials
  • Health information standards

Background:

  • Postoperative information for lumbar discectomy patients is crucial for recovery.
  • Existing resources may not meet National Health Service (NHS) Information Standards.
  • Expert and patient consensus is vital for effective health communication.

Purpose of the Study:

  • To develop free, expert-informed postoperative information for lumbar discectomy patients.
  • To ensure the developed patient information satisfies UK National Health Service Information Standards.
  • To create a patient-centered resource for lumbar discectomy recovery.

Main Methods:

  • A mixed-methods approach was employed, integrating the Delphi technique with focus groups.
  • Data was gathered from five UK spinal centres involving 23 physiotherapists, 11 patients, and 17 spinal surgeons.
  • Three rounds of questionnaires and clinician/patient focus groups were conducted to achieve consensus.

Main Results:

  • High response rates were achieved across the Delphi technique rounds (85%, 26%, 35%).
  • Consensus on leaflet sections was reached in round 1, with content finalisation in round 3.
  • Focus groups provided valuable input for refining the patient information leaflet.

Conclusions:

  • A consensus-driven, Information Standard-compliant patient leaflet for lumbar discectomy was successfully produced.
  • The leaflet covers essential topics including spine anatomy, disc herniation, surgical details, and back protection.
  • Included exercise illustrations allow for patient-specific tailoring, enhancing usability and recovery support.