دورية أكاديمية
Spinal fusion surgery use among adults with low back pain enrolled in a digital musculoskeletal program: an observational study.
| العنوان: | Spinal fusion surgery use among adults with low back pain enrolled in a digital musculoskeletal program: an observational study. |
|---|---|
| المؤلفون: | Yadav S; Clinical Research, Hinge Health, Inc., 455 Market Street, San Francisco, CA, 94105, USA. sandhya.yadav@hingehealth.com., Gold LS; Clinical Learning, Evidence and Research Center, University of Washington, Seattle, WA, USA., Zaidi QH; Signature Medical Group, St. Louis, MO, USA., Hwang R; Clinical Research, Hinge Health, Inc., 455 Market Street, San Francisco, CA, 94105, USA., Lu L; Clinical Research, Hinge Health, Inc., 455 Market Street, San Francisco, CA, 94105, USA., Wang G; Weitzman Institute, Middletown, CT, USA. |
| المصدر: | BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2024 Jul 05; Vol. 25 (1), pp. 520. Date of Electronic Publication: 2024 Jul 05. |
| نوع المنشور: | Journal Article; Observational Study |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968565 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2474 (Electronic) Linking ISSN: 14712474 NLM ISO Abbreviation: BMC Musculoskelet Disord Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2000- |
| مواضيع طبية MeSH: | Spinal Fusion*/statistics & numerical data , Spinal Fusion*/trends , Spinal Fusion*/adverse effects , Low Back Pain*/surgery , Low Back Pain*/epidemiology , Low Back Pain*/diagnosis, Humans ; Male ; Female ; Retrospective Studies ; Adult ; Middle Aged ; Propensity Score ; Treatment Outcome ; Physical Therapy Modalities/statistics & numerical data ; Physical Therapy Modalities/trends |
| مستخلص: | Objectives: To compare 12-month spinal fusion surgery rates in the setting of low back pain among digital musculoskeletal (MSK) program participants versus a comparison cohort who only received usual care. Study Design: Retrospective cohort study with propensity score matched comparison cohort using commercial medical claims data representing over 100 million commercially insured lives. Methods: All study subjects experienced low back pain between January 2020 and December 2021. Digital MSK participants enrolled in the digital MSK low back program between January 2020 and December 2021. Non-participants had low back pain related physical therapy (PT) between January 2020 and December 2021. Digital MSK participants were matched to non-participants with similar demographics, comorbidities and baseline MSK-related medical care use. Spinal fusion surgery rates at 12 months post participation were compared. Results: Compared to non-participants, digital MSK participants had lower rates of spinal fusion surgery in the post-period (0.7% versus 1.6%; p < 0.001). Additionally, in the augmented inverse probability weighting (AIPW) model, digital MSK participants were found to have decreased odds of undergoing spinal fusion surgery (adjusted odds ratio: 0.64, 95% CI: 0.51-0.81). Conclusions: This study provides evidence that participation in a digital MSK program is associated with a lower rate of spinal fusion surgery. (© 2024. The Author(s).) |
| References: | Med Care. 2009 Jun;47(6):626-33. (PMID: 19433995) J Med Internet Res. 2020 Jul 20;22(7):e15365. (PMID: 32706657) Phys Ther. 2021 Jun 1;101(6):. (PMID: 33561280) Medicina (Kaunas). 2021 Jul 28;57(8):. (PMID: 34440970) Int J Nurs Stud. 2020 Jun;106:103507. (PMID: 32320936) World Neurosurg. 2016 Mar;87:591-7. (PMID: 26546999) Spine J. 2014 Aug 1;14(8):1611-21. (PMID: 24373681) Clin Orthop Relat Res. 2023 Mar 1;481(3):427-437. (PMID: 36111881) Lancet. 2020 Oct 17;396(10258):1204-1222. (PMID: 33069326) J Med Internet Res. 2020 May 11;22(5):e18250. (PMID: 32208358) J Spine Surg. 2020 Dec;6(4):752-761. (PMID: 33447679) BMC Musculoskelet Disord. 2022 Mar 11;23(1):237. (PMID: 35277161) J Neurosurg Sci. 2021 Oct;65(5):503-512. (PMID: 30942052) Med Decis Making. 2022 Feb;42(2):156-167. (PMID: 34225519) J Med Internet Res. 2018 Apr 25;20(4):e156. (PMID: 29695370) Phys Ther. 2021 May 4;101(5):. (PMID: 33611598) Neurol Med Chir (Tokyo). 2010;50(9):853-8. (PMID: 20885120) J Med Internet Res. 2022 Sep 6;24(9):e37869. (PMID: 36066943) World Neurosurg X. 2020 Jun 23;7:100079. (PMID: 32613192) J Am Med Inform Assoc. 2021 Feb 15;28(2):414-423. (PMID: 33236109) J Med Internet Res. 2021 Jan 5;23(1):e21542. (PMID: 33399542) J Pain Res. 2023 Jul 27;16:2609-2618. (PMID: 37533561) J Pain. 2022 Jan;23(1):25-44. (PMID: 34280570) Spine (Phila Pa 1976). 2019 Mar 1;44(5):369-376. (PMID: 30074971) NPJ Digit Med. 2019 Jan 7;2:1. (PMID: 31304351) Clin Rehabil. 2022 Jun;36(6):715-725. (PMID: 35230167) Lancet Rheumatol. 2022 Feb;4(2):e125-e134. (PMID: 36177295) |
| فهرسة مساهمة: | Keywords: Digital MSK; Low back pain; Lumbar fusion; Medical claims; Spinal fusion |
| تواريخ الأحداث: | Date Created: 20240705 Date Completed: 20240705 Latest Revision: 20240712 |
| رمز التحديث: | 20240712 |
| مُعرف محوري في PubMed: | PMC11225358 |
| DOI: | 10.1186/s12891-024-07573-0 |
| PMID: | 38970032 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2474 |
|---|---|
| DOI: | 10.1186/s12891-024-07573-0 |