骨转移专科门诊对脊柱外科医生的影响及其负担。
Impact of a Specialized Outpatient Clinic on Bone Metastasis and Its Burden on Spine Surgeons.
机构信息
Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan
Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, Japan.
出版信息
In Vivo. 2021 Nov-Dec;35(6):3575-3579. doi: 10.21873/invivo.12661.
BACKGROUND/AIM: It is important to perform early intervention on bone metastases using multidisciplinary approaches, however it is difficult to hold frequent meetings between patients and clinicians. We aimed to evaluate the usefulness of a specialized outpatient clinic on bone metastasis, instead of the multidisciplinary approach currently in practice.
PATIENTS AND METHODS
We included 31 patients with vertebral metastases of various carcinomas, undergoing surgical treatment by spine surgeons. We divided the patients into two groups before and after their visit to the specialized outpatient clinic (pre and post groups), and compared their clinical characteristics.
RESULTS
The post group demonstrated a longer period from consulting the spine surgeon to the surgery than the pre group (p=0.0129). A multivariate logistic regression analysis revealed that the period from spine surgeon consultation to surgery was significantly associated with a specialized outpatient clinic visit (p=0.0460).
CONCLUSION
Specialized outpatient clinics on bone metastasis could possibly reduce the burden on spinal surgeons.
背景/目的：采用多学科方法对骨转移进行早期干预非常重要，然而患者和临床医生之间很难频繁地举行会议。我们旨在评估骨转移专科门诊的实用性，以替代目前的多学科方法。
患者与方法
我们纳入了 31 例接受脊柱外科医生手术治疗的各种癌性椎体转移患者。我们将患者分为就诊专科门诊前后两组（就诊前组和就诊后组），并比较了他们的临床特征。
结果
就诊后组从咨询脊柱外科医生到手术的时间长于就诊前组（p=0.0129）。多变量逻辑回归分析显示，脊柱外科医生就诊到手术的时间与专科门诊就诊显著相关（p=0.0460）。
结论
骨转移专科门诊可能会减轻脊柱外科医生的负担。
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