United States Army-Baylor Doctoral Program in Physical Therapy, Joint Base San Antonio-Fort Sam, Houston, Texas.
United States Army-Baylor Doctoral Program in Physical Therapy, Joint Base San Antonio-Fort Sam, Houston, Texas; Army Medical Department Center & School, Joint Base San Antonio-Fort Sam, Houston, Texas.
Arch Phys Med Rehabil. 2020 Aug;101(8):1389-1395. doi: 10.1016/j.apmr.2020.04.006. Epub 2020 May 13.
To quantify and compare utilization of opioids, exercise therapy, and physical therapy in the year before spine surgery.
A retrospective cohort of surgical and claims data.
Beneficiaries of the Military Health System seen at Brooke Army Medical Center PARTICIPANTS: Patients (N=411) undergoing surgery between January 1, 2014, and December 31, 2015, identified retrospectively through the Surgical Scheduling System (S3) based on procedure type (fusion, laminectomy, arthroplasty, vertebroplasty, and diskectomy).
Elective lumbar spine surgery.
Health care utilization variables present during the full 12 months before surgery, which included physical therapy services and visits for exercise therapy or manual therapy procedures and opioid prescriptions.
The mean age of participants was 44.8±11.7 years and 32.4% were female. In the year before surgery, 143 (34.8%) patients had a physical therapy plan of care, 140 (34.1%) had at least 1 visit that included exercise therapy, and only 60 (14.6%) had a minimum of 6 exercise therapy visits. However, 347 (84.4%) patients received at least 1 opioid prescription fill (mean of 6.1 unique fills).
Before elective lumbar spine surgery, opioid prescriptions were common but physical therapy services and exercise therapy utilization occurred infrequently.
定量比较脊柱手术前一年阿片类药物、运动疗法和物理疗法的使用情况。
回顾性队列手术和索赔数据。
在布赖恩陆军医疗中心就诊的军事医疗系统的受益人群。
2014 年 1 月 1 日至 2015 年 12 月 31 日期间接受手术的患者（N=411），通过基于手术类型（融合术、椎板切除术、关节成形术、椎体成形术和椎间盘切除术）的手术安排系统（S3）回顾性确定。
择期腰椎手术。
手术前 12 个月内存在的医疗保健利用变量，包括物理治疗服务以及运动疗法或手动疗法程序和阿片类药物处方的就诊次数。
参与者的平均年龄为 44.8±11.7 岁，32.4%为女性。在手术前一年，143 名（34.8%）患者有物理治疗计划，140 名（34.1%）至少有 1 次包含运动疗法的就诊，只有 60 名（14.6%）有至少 6 次运动疗法就诊。然而，347 名（84.4%）患者至少接受了 1 次阿片类药物处方（平均有 6.1 种不同的处方）。
在择期腰椎手术前，阿片类药物处方很常见，但物理治疗服务和运动疗法的利用率很低。
