Use of healthcare resources in patients with low back pain and comorbid depression or anxiety

Bailes, Anna H.; Navlani, Rohit; Koscumb, Stephen; Malecky, Amanda; Marroquin, Oscar C.; Wasan, Ajay D.; Gutstein, Howard B.; Delitto, Anthony; Zigler, Christina K.; Vo, Nam; Sowa, Gwendolyn

doi:10.1016/j.spinee.2021.03.031

Cited by 8 publications

(9 citation statements)

References 29 publications

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“…(1) Before treatment, the nursing personnel should comprehensively memorize the patients' information and have a one-on-one communication in the form of personal intervention with the patients in a private place, so as to lay a good foundation for targeted nursing. (2) In each chemotherapy cycle, the nursing personnel should communicate with the patients in private three times, of which the content should be proposed according to the actual situation of the patients and in combination with the personal care details, and each communication should not be less than 1 hour and should follow the will of the patients. Instead of enforcing interference with patients who have a low desire for private communication, communication should be transferred to routine nursing in a subconscious manner, thereby elevating the frequency of daily communication with patients.…”

Section: Methodsmentioning

confidence: 99%

“…e pathogenic factors of tumors are complicated. With the changing environment nowadays, the number of patients suffering from malignant tumors worldwide is increasing year by year, and most of them have an insidious onset and are often at the end stage of the disease when diagnosed, at which time chemotherapy has become the first choice to prolong the survival time of patients [1][2][3]. Chemotherapy, although it suppresses the condition, leads to corresponding adverse reactions and toxic side effects in patients.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Narrative Nursing Intervention Based on Targeted Nursing Intervention on Anxiety and Nursing Satisfaction of Patients with Malignant Tumors Undergoing Chemotherapy

Liu

et al. 2021

Journal of Healthcare Engineering

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Objective. To explore the effect of narrative nursing intervention based on targeted nursing intervention on anxiety and nursing satisfaction of patients with malignant tumors undergoing chemotherapy. Methods. 120 malignant tumor patients treated with chemotherapy in our hospital from January 2019 to January 2020 were selected as the research objects and randomly divided into group A and group B, with 60 cases in each group. The targeted nursing intervention was performed to group B, and the targeted nursing intervention centering on narrative nursing was performed to group A, so as to compare their distress thermometer (DT) scale scores, depression and anxiety scale scores, Medical Coping Modes Questionnaire (MCMQ) scores, Functional Assessment of Cancer Therapy-General (FACT-G) scores for quality of life, and nursing satisfaction. Results. After nursing intervention, group A obtained 5.00 ± 1.20 points in the DT score, which were significantly lower than group B ( P < 0.05 ); and group A achieved significantly lower depression and anxiety scale scores ( P < 0.001 ), better MCMQ scores ( P < 0.05 ), and higher FACT-G scores ( P < 0.05 ) and nursing satisfaction ( P < 0.05 ) than group B. Conclusion. The targeted nursing intervention based primarily on narrative nursing can greatly reduce negative emotions, alleviate anxiety, and improve confidence in treatment and quality of life for malignant tumor patients undergoing chemotherapy, with higher nursing satisfaction, which should be promoted and applied in the practice.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of Narrative Nursing Intervention Based on Targeted Nursing Intervention on Anxiety and Nursing Satisfaction of Patients with Malignant Tumors Undergoing Chemotherapy

Liu

et al. 2021

Journal of Healthcare Engineering

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“… 2 These facts prevent older adults from living independently, participating in, and contributing to society, and causing declines in quality of life and increased use of healthcare resources because of poor health. 3 Additionally, since age is related to more co-morbidities and muscle weakness, 4 older patients are more susceptible to slow recovery and more complications after surgery. 5 , 6 …”

Section: Introductionmentioning

confidence: 99%

Patients Older Than 75 Years Undergoing Polysegmental Lumbar Fusion Surgery Can also Benefit from Enhanced Recovery After Surgery Program

Cui¹,

Wang²,

Kong³

et al. 2022

CIA

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Purpose To compare pain scores (visual analog scale) on postoperative days 1–3 and length of stay after implementing enhanced recovery after surgery (ERAS) in elderly patients undergoing multi-segments lumbar fusion surgery. Methods We performed a retrospective analysis of prospectively collected data, patients older than 75 years were enrolled in the study. We selected two periods, before (Pre-ERAS, n =54 patients) and after (ERAS, n =46 patients) implementation of ERAS. Data were collected on patient demographics, operative and perioperative details, 30-day readmission. The primary outcome was the length of stay (LOS), and the secondary outcomes were postoperative mean pain scores on postoperative days (POD) 1–3 and 30-day readmission rates. Results A total of 100 patients (46 in ERAS and 54 in pre-ERAS) were enrolled in this study. There were no significant differences in age, sex, body mass index (BMI), smoking and comorbidities between the groups. However, there was a significant difference in pain on postoperative day (POD) 1 (5.31 ± 1.98 vs 4.37 ± 0.85, p = 0.002), while there was no difference in postoperative complications. The mean LOS was significantly shorter in the ERAS than in the pre-ERAS group, it reduced from 12.29 ± 3.93 to 9.45 ± 2.72 days (p < 0.001). Conclusion To our knowledge, this is the first ERAS protocol used in patients (older than 75 years) undergoing polysegmental lumbar fusion surgery. Pain scores on POD 1 and LOS were significantly lower without increased adverse events after implementation of ERAS. This finding suggests that elderly people (>75 years of age) undergoing polysegmental lumbar fusion surgery could also benefit from ERAS.

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confidence: 99%

“…C C hronic pain is a prevalent chronic disease with negative impact on the quality of life and function, with impact not only on individuals, but on families, communities, businesses, and health systems (1)(2)(3)(4)(5)(6)(7)(8)(9). The impact of chronic pain, of which spinal pain is the leading cause, is not only enormous, but also disproportionate in growth and expenditures (1)(2)(3)(4)(5)(6)(7)(8)(9)(10). This has been reinforced in multiple manuscripts and studies of the economic impact on health care in the United States, showing an estimated spending of $134.5 billion in 2016, with a 53.5% increase from 2013 of $87.6 billion spent for managing spinal pain alone.…”

mentioning

confidence: 99%

Spinal Cord Stimulation Trends of Utilization and Expenditures in Fee-For-Service (FFS) Medicare Population from 2009 to 2018

et al. 2021

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BACKGROUND: Spinal cord stimulation has been utilized with increasing frequency in managing chronic intractable spinal pain and complex regional pain syndrome (CRPS) in addition to other neuropathic pain states. The literature has shown the effectiveness of spinal cord stimulation in managing chronic pain with improvement in quality of life and cost utility. There have not been any reviews performed in the fee-for-service (FFS) Medicare population in reference to utilization and expenditure patterns of spinal cord stimulators. OBJECTIVES: This investigation was undertaken to assess the utilization and expenditures for spinal cord stimulation in the FFS Medicare population from 2009 to 2018. STUDY DESIGN: The present study was designed to assess the utilization patterns and expenditures in all settings, for all providers in the FFS Medicare population from 2009 to 2018 in the United States. A standard 5% national sample of the Centers for Medicare and Medicaid Services (CMS) physician outpatient billing claims data. All the expenditures were presented with allowed costs and adjusted to inflation to 2018 US dollars only trials and implants were included. RESULTS: Utilization patterns showed that spinal cord stimulation trials increased from 12,680 in 2009 to 36,280 in 2018, a 186% increase with an annual increase of 12.4%. The rate of trials per 100,000 population increased from 28 in 2009 to 61 in 2018 with a 120% increase, or an annual increase of 9.1%. The pulse generator implants increased from 7,640 in 2009 to 22,960 in 2018, an increase of 201%, with an annual increase of 13%. In addition, percutaneous placement with pulse generator implants increased from 4,080 in 2009 to 14,316 in 2018, a 252% increase, or 15% annual increase. In contrast, implantation of neurostimulator electrodes with paddle leads with laminectomy and placement of spinal pulse generator increased from 3,560 in 2009 to 8,600 in 2018, a 142% increase or an annual increase of 10.3%. Analysis of expenditures showed total inflation-adjusted expenditures increased from $292,153,701 in 2009 to $1,142,434,137 in 2018, a 291% increase from 2009 to 2018 and 16.4% annual increase. These expenditures were 125% higher than facet joint interventions and 138% higher than epidural interventions in 2018. In contrast, these expenditures were 55% below the expenditures of facet joint interventions and 66% lower than epidural injections in 2009. Trial to implant ratio improved from 42.5% in 2009 to 63.6% in 2018. An overwhelming majority of trials (90%) were performed by nonsurgical physicians, whereas, 56% of implants were performed by non-surgeons. LIMITATIONS: This assessment includes only FFS Medicare population, thus eliminating approximately 30% of the population with Medicare Advantage plans. In addition, this study has not taken into consideration various revisions not included in 3 specific codes. CONCLUSIONS: The analysis of spinal cord stimulators in the FFS Medicare population from 2009 to 2018 showed explosive increases of trials, implants and overall costs. KEY WORDS: Chronic pain, spinal pain, spinal cord stimulation, spinal cord stimulation trial, pulse generator implant, paddle leads with laminectomy, utilization trends of expenditures

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Use of healthcare resources in patients with low back pain and comorbid depression or anxiety

Cited by 8 publications

References 29 publications

Effect of Narrative Nursing Intervention Based on Targeted Nursing Intervention on Anxiety and Nursing Satisfaction of Patients with Malignant Tumors Undergoing Chemotherapy

Effect of Narrative Nursing Intervention Based on Targeted Nursing Intervention on Anxiety and Nursing Satisfaction of Patients with Malignant Tumors Undergoing Chemotherapy

Patients Older Than 75 Years Undergoing Polysegmental Lumbar Fusion Surgery Can also Benefit from Enhanced Recovery After Surgery Program

Spinal Cord Stimulation Trends of Utilization and Expenditures in Fee-For-Service (FFS) Medicare Population from 2009 to 2018

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