The association between continuity of care and surgery in lumbar disc herniation patients.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
10 03 2021
10 03 2021
Historique:
received:
20
03
2020
accepted:
22
02
2021
entrez:
11
3
2021
pubmed:
12
3
2021
medline:
15
12
2021
Statut:
epublish
Résumé
Continuity of care is a core dimension of high-quality care in the management of disease. The purpose of this study was to investigate the association between continuity of care and lumbar surgery in patients with moderate disc herniation. The Korean National Sample Cohort was used. The target population consisted of patients who have had disc herniation more than 6 months and didn't get surgery and red flag signs within 6 months from onset. The population was enrolled from 2004 to 2013. The Bice-Boxerman Continuity of Care was used in measuring continuity of care. The marginal structural model with time dependent survival analysis was used. In total, 29,061 patients were enrolled in the cohort. High level of continuity of care was associated with a lower risk of lumbar surgery (HR, 0.27; 95% CI, 0.20-0.27). When the index was calculated only with outpatient visits to primary care with related specialty, the HR was 0.49 (95% CI: 0.43-0.57). In exploratory analysis, patients with lumbar stenosis and spondylolisthesis had higher risk of having a low level of continuity of care. These results indicate that continuity of care is associated with lower rates of lumbar surgery in patients with moderate disc herniation.
Identifiants
pubmed: 33692399
doi: 10.1038/s41598-021-85064-1
pii: 10.1038/s41598-021-85064-1
pmc: PMC7946938
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
5550Références
Int J Epidemiol. 2017 Apr 1;46(2):e15
pubmed: 26822938
JAMA Intern Med. 2014 May;174(5):742-8
pubmed: 24638880
Med Care. 2014 May;52(5):446-53
pubmed: 24714582
JAMA Intern Med. 2013 Nov 11;173(20):1879-85
pubmed: 24043127
BMJ. 2003 Nov 22;327(7425):1219-21
pubmed: 14630762
Arch Pediatr Adolesc Med. 2009 Jan;163(1):65-71
pubmed: 19124706
Med Care. 2012 Nov;50(11):1002-9
pubmed: 23047791
Am J Epidemiol. 2013 Feb 15;177(4):292-8
pubmed: 23371353
Ann Emerg Med. 2017 Apr;69(4):407-415.e3
pubmed: 27520592
Pediatrics. 1999 Apr;103(4 Pt 1):738-42
pubmed: 10103295
Spine (Phila Pa 1976). 2014 Jan 1;39(1):3-16
pubmed: 24153171
BMJ. 2008 Jun 14;336(7657):1355-8
pubmed: 18502911
Ann Fam Med. 2003 Sep-Oct;1(3):134-43
pubmed: 15043374
BMJ Open. 2016 Dec 21;6(12):e012938
pubmed: 28003290
PLoS One. 2015 Nov 03;10(11):e0141465
pubmed: 26529224
Spine (Phila Pa 1976). 2002 Mar 1;27(5):E133-8
pubmed: 11880850
Ont Health Technol Assess Ser. 2013 Sep 01;13(6):1-41
pubmed: 24167540
BMC Musculoskelet Disord. 2012 Sep 22;13:183
pubmed: 22999108
Fam Pract. 2014 Oct;31(5):502-16
pubmed: 25216664
Lancet. 2018 Nov 10;392(10159):1789-1858
pubmed: 30496104
Med Care. 1977 Apr;15(4):347-9
pubmed: 859364
Neurospine. 2018 Mar;15(1):66-76
pubmed: 29656624
BMJ. 2017 Feb 1;356:j84
pubmed: 28148478
Clin Nurs Res. 2017 Jun;26(3):266-284
pubmed: 26790451
Spine (Phila Pa 1976). 2008 Dec 1;33(25):2789-800
pubmed: 19018250
Spine J. 2014 Jan;14(1):180-91
pubmed: 24239490
BMC Health Serv Res. 2018 Mar 2;18(1):152
pubmed: 29499719
Pediatrics. 2001 Mar;107(3):524-9
pubmed: 11230593
Epidemiology. 2000 Sep;11(5):550-60
pubmed: 10955408
J Eval Clin Pract. 2010 Oct;16(5):947-56
pubmed: 20553366
Spine (Phila Pa 1976). 2019 Oct 1;44(19):1382-1389
pubmed: 30973508
Ann Fam Med. 2014 Nov-Dec;12(6):534-41
pubmed: 25384815
Med Care. 1999 Jun;37(6):547-55
pubmed: 10386567
Br J Sports Med. 2017 May;51(10):791-799
pubmed: 28087567
Cochrane Database Syst Rev. 2010 Jan 20;(1):CD005956
pubmed: 20091582
Spine J. 2013 Dec;13(12):1849-57
pubmed: 24060231