在学术医院系统中开发腰部疼痛治疗途径:共识过程的结果
Geronimo Bejarano1, Robert Vining2, Devan P Desai3
1Brown University, Providence, RI, USA.
Journal of orthopaedic surgery and research
|January 3, 2024
概括
这项研究使用临床实践指南 (CPG) 开发了治疗腰部疼痛 (LBP) 的临床途径. 医疗保健提供者就改善对LBP的指导方针一致护理的声明达成共识.
科学领域:
- 医疗保健管理的管理
- 临床实践指南 临床实践指南
- 腰部疼痛管理 腰部疼痛管理
背景情况:
- 腰部疼痛 (LBP) 是全球导致残疾的主要原因之一,也是医疗保健的主要支出之一.
- 临床实践指南 (CPG) 对于提高LBP护理质量至关重要.
- 开发标准化的临床途径对于基于证据的LBP管理至关重要.
研究的目的:
- 开发一种临床途径来治疗腰部疼痛 (LBP).
- 确保该途径基于当前的临床实践指南 (CPG).
- 在学术卫生系统中实施这一途径.
主要方法:
- 采用了经过修改的Delphi研究,涉及管理LBP患者的临床医生.
- 参与者通过在线调查对21个CPG信息陈述进行了评分.
- 共识被定义为至少80%的小组成员的同意.
主要成果:
- 35名医疗保健提供者参加了会议,他们来自神经外科,骨科,急诊医学和物理治疗等多个领域.
- 在21个初步声明中,就20个达成共识;其中一个在第二轮审议中得到了修订并达成共识.
- 所有同意的陈述都被整合到一个全面的LBP护理途径中,涵盖诊断,评估和治疗.
结论:
- 跨学科的临床医生批准了解释LBP护理CPG的声明.
- 这个倡议支持采用符合指南的LBP护理.
- 需要进一步的研究来评估这些途径对临床实践和患者结果的影响.
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