A team approach to improve outcomes in pediatric scoliosis surgery: a review of the current literature.

IF 1.6 Q3 CLINICAL NEUROLOGY

Spine deformity Pub Date : 2024-11-05 DOI:10.1007/s43390-024-01004-9

Anshu Jonnalagadda, Jay Moran, Albert Rancu, Michael J Gouzoulis, Sahir S Jabbouri, Seongho Jeong, Dominick A Tuason

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引用次数: 0

Abstract

Study design: Review article.

Objective: To review the literature on the effect of specialized pediatric spine teams on clinical outcomes.

Results: Thirty-eight studies were identified in the review. There were 11 studies discussing the efficacy of the dual-surgeon strategy, 5 studies discussing the benefits of adult dedicated spine teams, 3 studies discussing the benefits of dedicated pediatric spine teams, 8 studies discussing the healthcare professional composition of multidisciplinary spine teams, and 20 studies discussing various clinical markers evaluating the efficacy of new team- or protocol-based interventions.

Conclusion: Pediatric spinal deformity surgery is a highly invasive procedure with room for intervention to minimize surgical complications and enhance patient outcomes. The use of standardized spine teams, comprising surgeons and various healthcare professionals from diverse disciplines, has proven to be an effective strategy for improving both quality and efficiency of care. Furthermore, implementing uniform protocols among these teams has led to reductions in surgical duration, hospitalization periods, and risks such as infections at the surgical site and excessive bleeding. Further studies are necessary to evaluate additional benefits that specialized pediatric spine teams can offer in terms of clinical outcomes.

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提高小儿脊柱侧弯手术疗效的团队方法：当前文献综述。

研究设计综述文章：综述儿科脊柱专科团队对临床疗效的影响：结果：综述中发现了 38 项研究。其中11项研究讨论了双外科医生策略的有效性，5项研究讨论了成人专业脊柱团队的益处，3项研究讨论了儿科专业脊柱团队的益处，8项研究讨论了多学科脊柱团队的医护人员组成，20项研究讨论了各种临床指标，评估了新团队或基于协议的干预措施的有效性：结论：小儿脊柱畸形手术是一种高侵入性手术，有必要采取干预措施，以尽量减少手术并发症，提高患者预后。事实证明，使用由外科医生和来自不同学科的医护人员组成的标准化脊柱团队是提高护理质量和效率的有效策略。此外，在这些团队中实施统一的规程也缩短了手术时间、缩短了住院时间，降低了手术部位感染和出血过多等风险。有必要开展进一步的研究，以评估儿科脊柱专科团队在临床结果方面能带来的更多益处。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Spine deformity

CiteScore

3.20

自引率

18.80%

发文量

167

期刊介绍： Spine Deformity the official journal of the?Scoliosis Research Society is a peer-refereed publication to disseminate knowledge on basic science and clinical research into the?etiology?biomechanics?treatment?methods and outcomes of all types of?spinal deformities. The international members of the Editorial Board provide a worldwide perspective for the journal's area of interest.The?journal?will enhance the mission of the Society which is to foster the optimal care of all patients with?spine?deformities worldwide. Articles published in?Spine Deformity?are Medline indexed in PubMed.? The journal publishes original articles in the form of clinical and basic research. Spine Deformity will only publish studies that have institutional review board (IRB) or similar ethics committee approval for human and animal studies and have strictly observed these guidelines. The minimum follow-up period for follow-up clinical studies is 24 months.