Evidence map›Paper›PMID 35566709›Full record

ArticleJournal of clinical medicine2022

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.

Ishan Naidu, Jessica Ryvlin, Devin Videlefsky, Jiyue Qin, Wenzhu B Mowrey, Jong H Choi, Chloe Citron, James Gary, Joshua A Benton, Brandon T Weiss and 16 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Can We Make Spine Surgery Safer and Better?Journal of clinical medicine · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors.

Ishan NaiduSpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Jessica RyvlinSpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Devin VidelefskySpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Jiyue QinDepartment of Epidemiology and Public Health, Albert Einstein College of Medicine, New York, NY 10461, USA.
Wenzhu B MowreyDepartment of Epidemiology and Public Health, Albert Einstein College of Medicine, New York, NY 10461, USA.
Jong H ChoiSpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.ORCID 0000-0002-8065-7218
Chloe CitronSpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
James GarySpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Joshua A BentonDepartment of Neurological Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Brandon T WeissSpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Michael LongoSpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Nabil N MatmatiSchool of Medicine, Quinnipiac University, North Haven, CT 06518, USA.
Rafael De la Garza RamosSpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.ORCID 0000-0002-5536-2514
Jonathan KrystalDepartment of Orthopaedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Murray EchtSpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Yaroslav GelfandSpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Phillip CezayirliSpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.ORCID 0000-0002-1165-0952
Neeky YassariSpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Benjamin WangSpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Erida Castro-RivasDepartment of Neurological Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Mark HeadlamDepartment of Neurological Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Adaobi UdembaDepartment of Neurological Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Lavinia WilliamsDepartment of Neurological Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Andrew I GitkindDepartment of Rehabilitation Medicine, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Reza YassariSpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.
Vijay YanamadalaSpine Research Group, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY 10467, USA.

Funding

CTSA Administrative Supplement for Informatics Core: A novel AI/ML system to predict respiratory failure and ARDS in Covid-19 patientsUL1TR002556 · NCATS · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KELLER, MARLA J, KIM, MIMI Y · 2018 to 2022
$26.7M
NCATS NIH HHS UL1 TR002556
6 · The paper itself

Abstract

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.

Indexed as

chronic back paininjectionsleg painmultidisciplinaryspine clinic

Identifiers

PMID35566709
PMCPMC9103560

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.