Evidence map›Paper›PMID 40384962›Full record

ArticleInternational journal of integrated care

The Infinity Loop of Healthcare Innovation: Development of an Integrated Rehabilitation Pathway for Lumbar Fusion Surgery Through Design Thinking.

Liedewij Bogaert, Bart Depreitere, Sanne Peters, Tinne Thys, Simon Brumagne, Sebastiaan Schelfaut, Koen Peers, Lieven Moke, Wim Dankaerts, Peter Van Wambeke and 3 more

Abstract read
In one paragraph

Article in International journal of integrated care. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Liedewij BogaertDepartment of Physical and Rehabilitation Medicine, University Hospitals Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-4981-0544
Bart DepreitereDepartment of Neurosurgery, University Hospitals Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-7458-0648
Sanne PetersDepartment of Implementation Science, University of Melbourne, Australia.
Tinne ThysDepartment of Physical and Rehabilitation Medicine, University Hospitals Leuven, Leuven, Belgium.
Simon BrumagneDepartment of Physical and Rehabilitation Medicine, University Hospitals Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-0251-9338
Sebastiaan SchelfautInstitute for Research and Training (IORT), Department of Development and Regeneration, KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0009-0001-4201-1854
Koen PeersDepartment of Physical and Rehabilitation Medicine, University Hospitals Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-8970-8755
Lieven MokeInstitute for Research and Training (IORT), Department of Development and Regeneration, KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0003-0500-2710
Wim DankaertsDepartment of Rehabilitation Sciences, KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0001-6616-9341
Peter Van WambekeDepartment of Physical and Rehabilitation Medicine, University Hospitals Leuven, Leuven, Belgium.
Ann SprietDepartment of Physical and Rehabilitation Medicine, University Hospitals Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0001-9331-222X
Thijs Willem SwinnenDepartment of Rehabilitation Sciences, KU Leuven, Leuven, Belgium.ORCID https://orcid.org/0000-0002-5289-1023
Lotte JanssensREVAL Rehabilitation Research, Hasselt University, Diepenbeek, Belgium.ORCID https://orcid.org/0000-0002-6133-4915

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Integrated care pathways may help to bridge evidence-practice gaps. To overcome the limitations of traditional researcher-centred and linear pathway development frameworks, a more user-centred approach is needed. In this study, we propose design thinking as a framework for developing integrated care pathways, specifically targeting rehabilitation of patients undergoing lumbar fusion surgery. Description: From 2017 to 2022, we utilized the design thinking infinity loop to create an evidence-based rehabilitation pathway for patients undergoing lumbar fusion surgery. This approach consisted of five phases: (1) empathizing with user needs, (2) defining problem statements, (3) ideating through meta-analysis, expert consensus, and brainstorming, (4) prototyping the pathway, and (5) testing its effectiveness and implementability. Discussion: Through the proposed design thinking phases, innovative elements such as prehabilitation, early mobilization, and consistent communication emerged as the building blocks of the new rehabilitation pathway, addressing the needs of both patients and healthcare providers. These results serve as a practical guide for applying design thinking in developing integrated care pathways. Conclusion: Design thinking, represented by the infinity loop, presents a user-centred framework for developing integrated care pathways, and has the potential to effectively bridge the gap between evidence and clinical practice.

Indexed as

co-creationco-designdesign thinkingguidelineintegrated carepathway

Identifiers

PMID40384962
PMCPMC12082458

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Registered trials

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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.