Toronto Western Hospital study demonstrates improved wait times for patients suffering back pain

 

Toronto, Canada (November 17, 2010) – Results of a Toronto Western Hospital study show that patients suffering back pain get quicker diagnosis and treatment when a Nurse Practitioner conducts the first examination. Traditionally, patients face long and anxiety-ridden wait times – up to 52 weeks – before an initial examination by a spine surgeon. Results from the year long TWH study showed wait times for patients examined by a Nurse Practitioner were significantly shorter, ranging from 10 to 21 weeks.

 

"Waiting times for specialty consultations in public healthcare systems worldwide are lengthy and impose undue stress on patients waiting for further information and management of their condition" says study author and Nurse Practitioner Ms. Angela Sarro. "Back pain can be very unpleasant and debilitating and 85 per cent of us will experience it at some point in our lives.

 

The impetus for this year long study conducted was the fact that in about 90% of cases, patients are not surgical candidates. Their treatment plan usually consists of education, and non-invasive therapies to help manage their conditions. So TWH designed the study to determine patient satisfaction when a Nurse Practitioner conducts the first examination.

 

Ninety-six per cent of patients said they were satisfied with the care and treatment plan given by the Nurse Practitioner. The study, entitled "Nurse practitioner-led surgical spine consultation clinic", is published in the December 2010 issue of the Journal of Advanced Nursing. The study was conducted in 2008.

 

The study also showed the Nurse Practitioner came up with the same clinical diagnosis as orthopaedic spine surgeons Dr Yoga Raja Rampersaud and Dr Stephen Lewis in 100 per cent of the 177 patients assessed. Dr.’s Rampersaud and Lewis are co-authors of the study.

 

The 96 male and 81 female patients ranged from 23 to 85 years of age, with an average age of 52. All had been referred by their family doctor with suspected disc-herniation, spinal stenosis or degenerative disc disease.

 

Key findings included:

 

  • Patients waited ten to 21 weeks to see the nurse practitioner, with an average wait of 12 weeks. This compared with ten to 52 weeks to be seen by the surgeons in a conventional clinic, with average waiting times ranging from three to four months for disc herniations to eight to twelve months for spinal stenosis.
  • Just under ten per cent (18 patients) were correctly identified as surgical candidates by the nurse practitioner. In addition, 66 were referred for specific nerve root block, 14 for facet block and 26 for further radiological imaging.

 

"Nurse practitioners have received additional specialist training" explains Ms. Sarro. "They typically work in healthcare centres and primary care practices in the community, but their role is advancing into areas such as emergency departments and long-term care settings.

 

"At the moment there are clinical, legal and funding barriers in the Canadian health system that prevent nurse practitioners from being fully independent when it comes to assessing and managing patients who require specialist care. However, we feel that there may be scope for government-funded triage clinics led by nurse practitioners to reduce waiting times for spine consultations.", says Ms. Sarro.

 

Co-author Dr Yoga Raja Rampersaud adds, "We believe that our study demonstrates that nurse practitioners can play an effective and efficient role in delivering timely healthcare to patients requiring specific disease management in a specialty setting.

 

Toronto Western Hospital is now assessing the potential to expand the practice of Nurse Practitioners being the point of contact for ongoing care of patients with a variety of conditions.

 

— 

 

About Toronto Western Hospital

 

Each year through its Krembil Neuroscience Centre, the Toronto Western Hospitals treats more than 30,000 patients and 2,500 neurosurgical operations are performed. The Krembil Neuroscience Centre is one of the largest combined clinical and research neuroscience facilities in North America. The Toronto Western Hospital is a member of the University Health Network, which also includes the Toronto General Hospital and Princess Margaret Hospital. All three are research hospitals affiliated with the University of Toronto.

 

 

About University Health Network

 

University Health Network consists of Toronto General, Toronto Western and Princess Margaret Hospitals. The scope of research and complexity of cases at University Health Network has made it a national and international source for discovery, education and patient care. It has the largest hospital-based research program in Canada, with major research in transplantation, cardiology, neurosciences, oncology, surgical innovation, infectious diseases, and genomic medicine. University Health Network is a research hospital affiliated with the University of Toronto. For more information please visit www.uhn.ca

 

 

About Toronto General and Toronto Western Hospital Foundation

 

Toronto General & Western Hospital Foundation raises funds for research, education and the enhancement of patient care at Toronto General Hospital and Toronto Western Hospital as well as for their respective research arms, Toronto General Research Institute and Toronto Western Research Institute. The Foundation’s vision is to enable global leadership and innovation in health by developing and sustaining strong relationships with University Health Network stakeholders.

 

 


Toronto Western Hospital, Canada, Nursing News 17.11.2011 (tB).

MEDICAL NEWS

New guidance to prevent the tragedy of unrecognized esophageal intubation
Overly restrictive salt intake may worsen outcomes for common form…
COVID-19 vaccines are estimated to have prevanented 20 million deaths…
Novel sleep education learning modules developed for nurse practitioners
Scientists discover how salt in tumours could help diagnose and…

SCHMERZ PAINCARE

Aktuelle Versorgungssituation der Opioidtherapie im Fokus
Individuelle Schmerztherapie mit Opioiden: Patienten im Mittelpunkt
Versorgung verbessern: Deutsche Gesellschaft für Schmerzmedizin fordert die Einführung des…
Pflegeexpertise im Fokus: Schmerzmanagement nach Operationen
Versorgung verbessern: Bundesweite Initiative der Deutschen Gesellschaft für Schmerzmedizin zu…

DIABETES

Menschen mit Diabetes während der Corona-Pandemie unterversorgt? Studie zeigt auffällige…
Suliqua® zur Therapieoptimierung bei unzureichender BOT
„Wissen was bei Diabetes zählt: Gesünder unter 7 PLUS“ gibt…
Kaltplasma bei diabetischem Fußsyndrom wirkt via Wachstumsfaktoren
Typ-1-Diabetes: InRange – auf die Zeit im Zielbereich kommt es…

ERNÄHRUNG

Gesunde Ernährung: „Nicht das Salz und nicht das Fett verteufeln“
Mangelernährung gefährdet den Behandlungserfolg — DGEM: Ernährungsscreening sollte zur klinischen…
Wie eine Diät die Darmflora beeinflusst: Krankenhauskeim spielt wichtige Rolle…
DGEM plädiert für Screening und frühzeitige Aufbautherapie: Stationäre COVID-19-Patienten oft…
Führt eine vegane Ernährungsweise zu einer geringeren Knochengesundheit?

ONKOLOGIE

Nahrungsergänzungsmittel während der Krebstherapie: Es braucht mehr Bewusstsein für mögliche…
Fusobakterien und Krebs
Fortgeschrittenes Zervixkarzinom: Pembrolizumab verlängert Leben
Krebspatienten unter Immuntherapie: Kein Hinweis auf erhöhtes Risiko für schwere…
Aktuelle Kongressdaten zum metastasierten Mammakarzinom und kolorektalen Karzinom sowie Neues…

MULTIPLE SKLEROSE

Multiple Sklerose: Analysen aus Münster erhärten Verdacht gegen das Epstein-Barr-Virus
Aktuelle Daten zu Novartis Ofatumumab und Siponimod bestätigen Vorteil des…
Multiple Sklerose durch das Epstein-Barr-Virus – kommt die MS-Impfung?
Neuer Therapieansatz für Multiple Sklerose und Alzheimer
„Ich messe meine Multiple Sklerose selbst!“ – Digitales Selbstmonitoring der…

PARKINSON

Alexa, bekomme ich Parkinson?
Meilenstein in der Parkinson-Frühdiagnose
Parkinson-Erkrankte besonders stark von Covid-19 betroffen
Gangstörungen durch Kleinhirnschädigung beim atypischen Parkinson-Syndrom
Parkinson-Agenda 2030: Die kommenden 10 Jahre sind für die therapeutische…