对神经调节候选人的多学科团队会议的应用有助于患者的选择和优化
Vafi Salmasi1, Mohammad Reza Rasouli1, Ming C Kao1
1Department of Anesthesiology, Perioperative and Pain Medicine, Division of Pain Medicine, Stanford University School of Medicine, Palo Alto, CA, United States.
Frontiers in pain research (Lausanne, Switzerland)
|January 22, 2024
概括
实施神经调节的多学科团队会议显著改善了脊髓刺激和背部根结节刺激试验的成功率. 这种协作方法提高了患者的治疗成果,并提供了宝贵的培训机会.
科学领域:
- 疼痛医学 医学 疼痛医学
- 神经外科 神经外科
- 心理学 心理学 心理学
背景情况:
- 美国的保险需要对脊髓刺激 (SCS) 和背部根节刺激 (DRG) 试验进行心理评估.
- 2017年1月建立了神经调节的多学科团队会议 (MTC),以改善候选人选和合作.
- 本研究评估了MTC对神经调节结果的影响.
研究的目的:
- 评估多学科团队会议在提高神经调制试验成功率方面的有效性.
- 分析MTC对患者选择和SCS和DRG试验的结果的影响.
主要方法:
- 关于神经调节候选人的前性和回顾性数据收集.
- 在MTC和对照组讨论的患者之间的结果比较.
- 对试验成功率,解释率和修订率的分析.
主要成果:
- 与对照组 (45.7%) 相比,MTC组 (461名患者) 的试验成功率 (80.5%) 显著更高 (OR 4.9,p<0.01).
- 在MTC组中,有140个植入物,其中18.6%的植入物和15%的修订.
- 对照组有32项试验,其中21.9%的试验是扩展性和18.8%的修订性,与MTC组相比,在扩展性或修订率上没有显著差异.
结论:
- 实施用于神经调节的MTC显著增加了试验成功率.
- 该MTC为患者提供治疗效益,并为学员提供教育价值.
- 该MTC过程优化了SCS和DRG试验候选人的选择.
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