[PDF] Evidence Based Spine Care eBook

Author : Michael J. DePalma, MD
Publisher : Demos Medical Publishing
Page : 522 pages
File Size : 25,65 MB
Release : 2011-03-28
Category : Medical
ISBN : 1935281933

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iSpine is unique in its presentation of interventional spine, employing a disease-based or specific structure injury model. Expert clinicians take you through theÜ full gamut of painful spine conditions, detailing historical features, clinical presentation, diagnostic testing, imaging studies, and the latest treatment interventions. Spine biomechanics and ergonomic principles are also covered to promote strategies for reducing spine strain and minimizing the risk of recurrent injury. Containing hundreds of fluoroscopic images and other illustrations, iSpine provides a practical, procedural approach to the diagnosis and treatment of painful spine disorders. The contributing national and international authors are drawn from multiple specialties - including physiatry, anesthesiology, radiology, biomechanical engineering, physical therapy, orthopedics, neurosurgery, internal medicine, and rheumatology - reflecting the multidisciplinary nature of outcomes-oriented interventional spine care. iSpine belongs on the shelf of any clinician practicing high-yield state-of-the-art interventional spine medicine, using the best available evidence to accurately diagnose, optimally treat, and minimize the healthcare costs associated with these disorders. Features of iSpine Include: Technical instructions for performing procedures including hundreds of fluoroscopic images and other illustrations Chapters discuss innovative new technologies and spinal applications, such as intradiscal biologic agents for degenerative lumbar discs and augmentation of pelvic insufficiency fractures Critical analysis of the literature on interventional spine care Chapters written by internationally recognized experts

Author : Jeffrey A. Rihn
Publisher : JAYPEE BROTHERS PUBLISHERS
Page : 257 pages
File Size : 29,33 MB
Release : 2012-12-15
Category : Medical
ISBN : 9350906147

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The book "Defining the Value of Spine Care" discuses the concepts of value-based spinal care to the spine care provider. The spinal care coverage and payment are linked increasingly to the value of care. Hence the spine care provider can easily understand the concepts of value in the context of spinal care, outcome measures and cost measures. Initial chapters provide detail information on understanding the value of spine care and definition of common terminology. This is followed by the use of process measures in measuring the quality of spine care and disease-specific health-related quality of life measures in lumbar degenerative disease and cervical degenerative disease. It also discusses the numerical rating scales, the quality-adjusted life year, decision tree analysis and simulation modeling in spine care, etc. The last few chapters explain about value-based evaluation of new spine-related technology, determining value with outcome measures in perspectives from each of the stakeholders of spine care delivery, developing value-based guidelines for the treatment of spinal disorders and comparative effectiveness research in spine care using SPORT. Spine care providers need to measure the quality and value of the treatment and provide tools necessary for understanding the task.

Author : Christopher M. Bono
Publisher : Lippincott Williams & Wilkins
Page : 304 pages
File Size : 19,79 MB
Release : 2010
Category : Medical
ISBN : 1605470279

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"Prove It! Evidence-Based Analysis of Common Spine Practice offers spine surgeons detailed guidance in using the principles of evidence-based medicine in treatment decisions. The book presents a unique collection of 31 case studies in which noted expertsreview a patient's signs and symptoms and relevant images to determine the best-fitting diagnosis and then to develop a treatment plan based on the best available published evidence. The case-based approach allows the reader to see how evidence-based medicine can be directly and practically applied to the care of patients with a variety of disorders"--Provided by publisher.

Author : Jianren Mao
Publisher : Springer
Page : 0 pages
File Size : 25,99 MB
Release : 2019-11-21
Category : Medical
ISBN : 9783030274467

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This multi-faceted book provides readers with comprehensive guidance to spine pain care. Unique in structure, the contents integrate various specialties involved in spine pain care, thereby bringing in new prospective and expanding readership. This six part reference begins with a review on the epidemiology and economic impacts that present clinical and financial challenges for spine pain care. Part two then brings the reader into a review of the anatomy, pathophysiology, and etiology of spine pain. Subsequent parts then dive into clinical evaluation tactics, unique disease conditions and treatment options. Finally, the book closes with two chapters discussing the challenges of spine pain medicine and the potential future directions of the field. Written by experts in their respective fields, Spine Pain Care - A Comprehensive Clinical Guide is a first-of-its-kind, barrier breaking work designed for all professionals involved in spine pain care, including physicians and nurses, as well as medical students, residents and fellows as a supplementary educational material.

Author : Kirk Eriksen
Publisher : Lippincott Williams & Wilkins
Page : 342 pages
File Size : 15,86 MB
Release : 2007
Category : Medical
ISBN : 9780781784368

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This text presents the current and updated teaching of the Orthospinology procedure. Written by the author of the landmark text Upper Cervical Subluxation Complex, this new book is a step-by-step, thoroughly illustrated guide to the Orthospinology procedure for correcting subluxations. The book details the X-ray analysis methods used to quantify the subluxation and determine an effective correction vector. Subsequent chapters present steps for ensuring the precision of the X-ray analysis, performing specific adjustments, assessing the effectiveness of the adjustment, and fine-tuning the correction to the individual patient. More than 300 photographs and drawings clarify complex points.

Author : Simon Dagenais
Publisher : Elsevier Health Sciences
Page : 497 pages
File Size : 49,60 MB
Release : 2011-01-31
Category : Medical
ISBN : 0323079245

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Covering all commonly used interventions for acute and chronic low back pain conditions, Evidence-Based Management of Low Back Pain consolidates current scientific studies and research evidence into a single, practical resource. Its multidisciplinary approach covers a wide scope of treatments from manual therapies to medical interventions to surgery, organizing interventions from least to most invasive. Editors Simon Dagenais and Scott Haldeman, along with expert contributors from a variety of clinical and academic institutions throughout the world, focus on the best available scientific evidence, summarizing the results from the strongest to the weakest types of studies. No other book makes it so easy to compare the different interventions and treatment approaches, giving you the tools to make better, more informed clinical decisions. A multidisciplinary approach covers treatments from manual therapies to medical interventions to surgery, and many others in between. An interdisciplinary approach enables health care providers to work together. A logical, easy-to-follow organization covers information by intervention type, from least invasive to most invasive. Integration of interventions provides information in a clinically useful way, so it's easier to consider more than one type of treatment or intervention for low back pain, and easier to see which methods should be tried first. 155 illustrations include x-rays, photos, and drawings. Tables and boxes summarize key information. Evidence-based content allows you to make clinical decisions based on the ranking the best available scientific studies from strongest to weakest. Patient history and examination chapters help in assessing the patient's condition and in ruling out serious pathology before making decisions about specific interventions. Experienced editors and contributors are proven authors, researchers, and teachers, and practitioners, well known in the areas of orthopedics, pain management, chiropractic, physical therapy, and behavioral medicine as well as complementary and alternative medicine; the book's contributors include some of the leading clinical and research experts in the field of low back pain. Coverage based on The Spine Journal special issue on low back pain ensures that topics are relevant and up to date. A systematic review of interventions for low back pain includes these categories: patient education, exercise and rehabilitation, medications, manual therapy, physical modalities, complementary and alternative medicine, behavioral modification, injections, minimally invasive procedures, and surgery. Surgical interventions include decompression, fusion, disc arthroplasty, and dynamic stabilization. Additional coverage includes patient education and multidisciplinary rehabilitation.

Author : Rajiv K. Sethi
Publisher : Springer Nature
Page : 206 pages
File Size : 28,81 MB
Release : 2019-12-17
Category : Medical
ISBN : 3030319466

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Unsustainable healthcare costs and sophisticated predictive modeling based on large-scale medical data is rapidly changing models of healthcare delivery. The shift towards a value-based, consumer-driven industry has created an urgent need for validated tools to increase cost efficiency, reduce rates of adverse events, and improve patient outcomes. Value-based approaches to spine care will be presented, highlighting models for the future. These approaches stress cost effectiveness and sustainable approaches to spinal disease, where quality and safety are paramount. Beginning with a review of current trends in health care delivery leading to more value-based platforms, the discussion then focuses on how modern spine care is being shaped by the aging population, scientific and technological advancements, and the economic impact of various treatment modalities, providing insight into the seminal efforts surrounding sustainable spine care guideline development. The over-utilization of spine fusion surgery and adult spinal deformity are presented as examples that have led to a decline in the value of care delivered, as well as how a multidisciplinary evaluation by the range of clinicians involved in spine surgery can revise recommendations for management. The benefits and risks of LEAN methodology for streamlining and standardizing spine care approaches are discussed, and the specific approach of the Seattle Spine Team is presented as an example of successful system-wide improvement. Similar changes to outcome measurement, specifically for adult spinal deformity, are described. Last, the future of technology in spine care is presented, including robotics, nanotechnology, 3D printing, and the use of biologics and biomaterials. Given the broad scope of topics covered in this book, the intended audience includes not only orthopedic and spinal surgeons, neurosurgeons, physiatrists, and medical students, residents and fellows, but also hospital CEOs, CMOs, administrators, health services researchers, and health care policymakers, consultants and strategists.

Author : John Ratliff
Publisher : Springer
Page : 405 pages
File Size : 17,86 MB
Release : 2018-10-26
Category : Medical
ISBN : 3319979906

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Quality reporting is a rapidly growing area. Each year, new regulations in the US from the Council of Medicare and Medicaid Services make quality reporting a larger factor in determining reimbursement practices. Quality metrics are common parts of European clinical practice. Value of care is a focus of all payers, with specific interest directed at assessing the quality of care provided by a given healthcare team. While there are many publications in this space, no text has sought to provide an overview of quality in spine care. Quality measurement and quality reporting are ever growing aspects of the healthcare environment. Quality assessment is valuable to all healthcare stakeholders: patients, physicians, facilities, and payers. Patients are drawn to facilities that provide high value care; public reporting systems and grading systems for hospitals offer one opinion with regard to “high quality care.” Most physicians email inboxes are inundated with offers of recognition for being a “Top Doc” for a nominal fee. Some payers offer incentives to patients who chose to be treated at “Centers of Excellence” or similar facilities; the definition of “Excellence” may be unclear. There is little consensus on how to measure quality, how to incorporate patient and procedure factors and achieve accurate risk adjustment, and how to define value of care. Regardless of these challenges, regulatory efforts in the US, as well as numerous international efforts, make quality assessment and quality reporting an important part of physician behaviour. Physician and facility reimbursement for procedures are often tied to quality metrics. Spine procedures are costly, elective, and are a focus of many payer-based programs. Hence, spine care is often a focus of quality reporting efforts. This text summarizes the state of the art with regard to quality measurement, reporting, and value assessment in spine care. We will review quality reporting in the US and internationally. Chapters will outline how quality improvement efforts have achieved success in hospital systems. The reader will be provided with insights in how to achieve success incorporating quality metrics into spine care. Features: 1. Illustrates the state of the art in spine quality reporting: There is no text that thoroughly addresses quality assessment and quality reporting in spine care; there are, however, numerous articles in this space. This book provides a definitive text covering the state of the art for quality reporting in spine care and will be of value to the international orthopedic and neurosurgical spine community. 2. Provides insight on quality reporting in different healthcare systems: The text will allow for comparison of different quality reporting systems from different health care systems. This will provide practitioners with insight into the strengths and weaknesses of different approaches to quality reporting, and may drive improvement in quality assessment and reporting systems. A single text that features review of US, European, and Australia/Asian health care systems’ quality reporting is novel and will be thought provoking for readers. 3. Describes the US and international Healthcare reimbursement systems: Practicing physicians are provided with little information and less insight into the vagaries of the US and other healthcare systems. The text will provide insight into code development, valuation, and how quality reporting affects physician reimbursement 4. Explains risk adjustment: Appropriate risk adjustment and assessing patient and procedure factors that may impact quality reporting are invaluable to accurate quality measurement. The text will review risk adjustment, different approaches to risk assessment/mitigation, and provide physicians with insights into appropriate measures to capture in their clinical practices 5. Provides a foundation for improved quality assessment in spine care: While there are many disparate elements and differing approaches to capturing spine quality metrics, no definitive text has attempted to summarize these efforts in a single volume. By synthesizing these variable approaches, the reader may be provided with insights into superior approaches to quality assessment and a foundation will be provided for improving healthcare systems.

Author : Alexander R. Vaccaro
Publisher : Thieme
Page : 1325 pages
File Size : 45,74 MB
Release : 2011-01-01
Category : Medical
ISBN : 1604062223

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Representing the collective efforts of a multinational, multidisciplinary panel of spine and spinal cord trauma masters, this beautifully illustrated evidence-based textbook does more than provide multiple treatment options -- it offers unique access to insights from recognized spine experts and a thoughtful yet practical review of the most relevant literature and clinical evidence available in the field today. Each chapter centers on pertinent questions and objective reviews of state-of-the-art procedures that guide readers from an evaluation of the evidence through practical recommendations they can easily apply to their own practices. Features: Succinct outline format -- easy to read and reference 138 detailed evidentiary tables appear throughout the text An innovative new classification system for spine trauma developed by The Spine Trauma Study Group, composed of 50 internationally recognized spine experts High-quality radiographs and full-color drawings and photographs complement the text Practical recommendations for the treatment of many common spinal injuries, including odontoid fractures, central cord injuries, and thoraco-lumbar flexion distraction injuries --in-depth information on everything from intensive care to rehabilitation Accompanying MediaCenter web content contains 15 narrated videos -- over one hour of footage -- of actual procedures by the authors Spine and Spinal Cord Trauma: Evidence-Based Management is an invaluable reference for orthopaedic surgeons, neurosurgeons, residents and fellows in those specialties, and allied health professionals who care for spine injury patients.