Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Proposal of a Standardized Multidisciplinary Team Care Pathway
Failed back surgery syndrome (FBSS) is a major, worldwide health problem that generates considerable expense for healthcare systems. A number of controversial issues concerning the management of FBSS are regularly debated, but no clear consensus has been reached. This pitfall is the result of lack o...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2019/8184592 |
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| _version_ | 1849306228158627840 |
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| author | Kliment Gatzinsky Sam Eldabe Jean-Philippe Deneuville Wim Duyvendak Nicolas Naiditch Jean-Pierre Van Buyten Philippe Rigoard |
| author_facet | Kliment Gatzinsky Sam Eldabe Jean-Philippe Deneuville Wim Duyvendak Nicolas Naiditch Jean-Pierre Van Buyten Philippe Rigoard |
| author_sort | Kliment Gatzinsky |
| collection | DOAJ |
| description | Failed back surgery syndrome (FBSS) is a major, worldwide health problem that generates considerable expense for healthcare systems. A number of controversial issues concerning the management of FBSS are regularly debated, but no clear consensus has been reached. This pitfall is the result of lack of a standardized care pathway due to insufficient characterization of underlying pathophysiological mechanisms, which are essential to identify in order to offer appropriate treatment, and the paucity of evidence of treatment outcomes. In an attempt to address the challenges and barriers in the clinical management of FBSS, an international panel of physicians with a special interest in FBSS established the Chronic Back and Leg Pain (CBLP) Network with the primary intention to provide recommendations through consensus on how to optimize outcomes. In the first of a series of two papers, a definition of FBSS was delineated with specification of criteria for patient assessment and identification of appropriate evaluation tools in order to choose the right treatment options. In this second paper, we present a proposal of a standardized care pathway aiming to guide clinicians in their decision-making on how to optimize their management of FBSS patients. The utilization of a multidisciplinary approach is emphasized to ensure that care is provided in a uniform manner to reduce variation in practice and improve patient outcomes. |
| format | Article |
| id | doaj-art-35eeae64faee4e2a973d1ab7931f4e19 |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-35eeae64faee4e2a973d1ab7931f4e192025-08-20T03:55:08ZengWileyPain Research and Management1203-67651918-15232019-01-01201910.1155/2019/81845928184592Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Proposal of a Standardized Multidisciplinary Team Care PathwayKliment Gatzinsky0Sam Eldabe1Jean-Philippe Deneuville2Wim Duyvendak3Nicolas Naiditch4Jean-Pierre Van Buyten5Philippe Rigoard6Department of Neurosurgery, Sahlgrenska University Hospital, Gothenburg, SwedenDepartment of Pain and Anaesthesia, The James Cook University Hospital, Middlesbrough, UKSpine & Neuromodulation Functional Unit, Poitiers University Hospital, Poitiers, FranceDepartment of Neurosurgery, Jessa Hospital, Hasselt, BelgiumPRISMATICS Lab (Predictive Research in Spine/Neuromodulation Management and Thoracic Innovation/Cardiac Surgery), Poitiers University Hospital, Poitiers, FranceDepartment of Anesthesia and Pain Management, Hospital AZ Nikolaas, Sint-Niklaas, BelgiumSpine & Neuromodulation Functional Unit, Poitiers University Hospital, Poitiers, FranceFailed back surgery syndrome (FBSS) is a major, worldwide health problem that generates considerable expense for healthcare systems. A number of controversial issues concerning the management of FBSS are regularly debated, but no clear consensus has been reached. This pitfall is the result of lack of a standardized care pathway due to insufficient characterization of underlying pathophysiological mechanisms, which are essential to identify in order to offer appropriate treatment, and the paucity of evidence of treatment outcomes. In an attempt to address the challenges and barriers in the clinical management of FBSS, an international panel of physicians with a special interest in FBSS established the Chronic Back and Leg Pain (CBLP) Network with the primary intention to provide recommendations through consensus on how to optimize outcomes. In the first of a series of two papers, a definition of FBSS was delineated with specification of criteria for patient assessment and identification of appropriate evaluation tools in order to choose the right treatment options. In this second paper, we present a proposal of a standardized care pathway aiming to guide clinicians in their decision-making on how to optimize their management of FBSS patients. The utilization of a multidisciplinary approach is emphasized to ensure that care is provided in a uniform manner to reduce variation in practice and improve patient outcomes.http://dx.doi.org/10.1155/2019/8184592 |
| spellingShingle | Kliment Gatzinsky Sam Eldabe Jean-Philippe Deneuville Wim Duyvendak Nicolas Naiditch Jean-Pierre Van Buyten Philippe Rigoard Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Proposal of a Standardized Multidisciplinary Team Care Pathway Pain Research and Management |
| title | Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Proposal of a Standardized Multidisciplinary Team Care Pathway |
| title_full | Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Proposal of a Standardized Multidisciplinary Team Care Pathway |
| title_fullStr | Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Proposal of a Standardized Multidisciplinary Team Care Pathway |
| title_full_unstemmed | Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Proposal of a Standardized Multidisciplinary Team Care Pathway |
| title_short | Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Proposal of a Standardized Multidisciplinary Team Care Pathway |
| title_sort | optimizing the management and outcomes of failed back surgery syndrome a proposal of a standardized multidisciplinary team care pathway |
| url | http://dx.doi.org/10.1155/2019/8184592 |
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