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Análisis de pacientes con dolor crónico en un centro multidisciplinario de columna vertebral
Lisa R Witkin1, Jessica Kim2, Jacky Choi2
1Department of Anesthesiology, Weill Cornell Medicine, New York, NY, USA.
Pain management
|February 10, 2026
Resumen
Este estudio caracterizó a los pacientes del centro de la columna vertebral, encontrando dolor moderado y deterioro funcional en todos los diagnósticos. Para los pacientes con radiculopatía, factores como el sueño, el estado de ánimo, el tabaquismo, el IMC y la demografía predijeron peores resultados.
Área de la Ciencia:
- El cuidado de la columna vertebral y los resultados de los pacientes. investigación.
- Caracterización del paciente del centro multidisciplinario de la columna vertebral.
- Análisis de los factores sociodemográficos y clínicos en las condiciones de la columna vertebral.
Sus antecedentes:
- Los centros de columna multidisciplinarios manejan diversas poblaciones de pacientes con diferentes estados funcionales y de dolor.
- Comprender las características del paciente es crucial para optimizar las vías de atención.
- La identificación de los predictores de los malos resultados puede guiar las intervenciones dirigidas.
Objetivo del estudio:
- Para caracterizar a los pacientes en un centro de columna multidisciplinario con respecto a la sociodemografía, el dolor y la función.
- Para identificar los factores asociados con peores resultados específicamente en pacientes con radiculopatía.
- Informar las estrategias de atención de precisión mediante la comprensión de la heterogeneidad del paciente.
Principales métodos:
- Estudio de cohorte retrospectivo basado en registros de 10.069 pacientes.
- Datos extraídos de cuestionarios y registros electrónicos de salud (EHR).
- Se analizaron pacientes con radiculopatía (n = 653) utilizando modelos mixtos lineales generalizados (GLMM) para identificar predictores de resultados.
Principales resultados:
- Los pacientes presentaron una intensidad de dolor moderado (NRS: 5.1) y un deterioro significativo de PROMIS-PI (64.6) y PROMIS-PF (37.7).
- El análisis longitudinal reveló interferencia del sueño, depresión / ansiedad, tabaquismo, IMC y sexo femenino, raza negra / afroamericana o asiática como predictores de peores resultados en la radiculopatía.
- Se identificaron factores estadísticamente significativos (p < 0,05) para los resultados de los pacientes con radiculopatía.
Conclusiones:
- Se identificaron predictores de malos resultados en pacientes con columna vertebral, destacando oportunidades para intervenciones dirigidas.
- Hace hincapié en la necesidad de investigar cómo las disparidades de salud afectan los resultados del tratamiento.
- Sugiere que la identificación de no respondedores puede mejorar la selección de tratamiento para la atención de precisión, reduciendo los costos y la discapacidad.
Palabras clave:
La columna vertebral multidisciplinar es una columna vertebral multidisciplinar.La promesa es una promesa.caracterización de los pacientes.El dolor crónico es dolor crónico.Dolor lumbar en la espalda baja.los resultados de los resultados.Más Videos Relacionados
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