PDF(Pubmed)
Abstract：
BACKGROUND: Lumbar herniated nucleus pulposus (L-HNP) is a condition in which fibroblasts escape due to degenerative changes or external forces in the intervertebral disc, causing neurological symptoms by compressing the dura mater or nerve root.
OBJECTIVE: The purpose of this study is to analyze and compare the effectiveness, economic feasibility, and safety of using an integrated medical service critical pathway (CP) in L-HNP patients.
METHODS: This single-center prospective observational study will be performed at Kyung Hee University Medicine Hospital and Kyung Hee University Korean Medicine Hospital. The inclusion criteria are a diagnosis of L-HNP on magnetic resonance imaging or computed tomography scans, age under 80 years, a visual analog scale score of 7 or higher for either lower back pain or lower extremity pain. The included 102 participants will be classified into 6 groups (n = 17 in each group): CP application with conservative treatment; CP application with open discectomy; CP application with intrabody fusion; conservative treatment without CP application; open discectomy without CP application; and interbody fusion without CP application. We will collect data on the visual analog scale, ODI, SF-36, and EQ-5D-3L scores; number of admission days; medical staff satisfaction; patients health service satisfaction; waiting time for consultations; use of pain relievers; and CP application and completion rates.
CONCLUSIONS: In future, this study is expected to serve as a basis for follow-up studies on the development and application of CPs in integrated medical services for various diseases, including lumbar herniated nucleus pulposus.
OBJECTIVE: The purpose of this study is to analyze and compare the effectiveness, economic feasibility, and safety of using an integrated medical service critical pathway (CP) in L-HNP patients.
METHODS: This single-center prospective observational study will be performed at Kyung Hee University Medicine Hospital and Kyung Hee University Korean Medicine Hospital. The inclusion criteria are a diagnosis of L-HNP on magnetic resonance imaging or computed tomography scans, age under 80 years, a visual analog scale score of 7 or higher for either lower back pain or lower extremity pain. The included 102 participants will be classified into 6 groups (n = 17 in each group): CP application with conservative treatment; CP application with open discectomy; CP application with intrabody fusion; conservative treatment without CP application; open discectomy without CP application; and interbody fusion without CP application. We will collect data on the visual analog scale, ODI, SF-36, and EQ-5D-3L scores; number of admission days; medical staff satisfaction; patients health service satisfaction; waiting time for consultations; use of pain relievers; and CP application and completion rates.
CONCLUSIONS: In future, this study is expected to serve as a basis for follow-up studies on the development and application of CPs in integrated medical services for various diseases, including lumbar herniated nucleus pulposus.
摘要：
背景：腰椎突出髓核（L-HNP）是一种情况，其中成纤维细胞由于椎间盘的退行性变化或外力而逃逸，通过压迫硬脑膜或神经根引起神经症状。
目的：本研究的目的是分析和比较有效性，经济可行性,以及在L-HNP患者中使用综合医疗服务关键途径（CP）的安全性。
方法：这项单中心前瞻性观察性研究将在庆熙大学医学院和庆熙大学韩国医学院进行。纳入标准是磁共振成像或计算机断层扫描对L-HNP的诊断，年龄在80岁以下,下腰痛或下肢疼痛的视觉模拟量表得分为7分或更高。将纳入的102名参与者分为6组（每组n=17）：保守治疗的CP应用；开放椎间盘切除术的CP应用；体内融合的CP应用；不应用CP的保守治疗；不应用CP的开放椎间盘切除术；和不应用CP的椎间融合。我们将在视觉模拟量表上收集数据，ODI,SF-36和EQ-5D-3L分数；入院天数；医务人员满意度；患者健康服务满意度；咨询等待时间；止痛药的使用；以及CP应用和完成率。
结论：将来，这项研究可望作为各种疾病综合医疗服务中CPs的发展和应用的后续研究的基础，包括腰椎突出髓核.
目的：本研究的目的是分析和比较有效性，经济可行性,以及在L-HNP患者中使用综合医疗服务关键途径（CP）的安全性。
方法：这项单中心前瞻性观察性研究将在庆熙大学医学院和庆熙大学韩国医学院进行。纳入标准是磁共振成像或计算机断层扫描对L-HNP的诊断，年龄在80岁以下,下腰痛或下肢疼痛的视觉模拟量表得分为7分或更高。将纳入的102名参与者分为6组（每组n=17）：保守治疗的CP应用；开放椎间盘切除术的CP应用；体内融合的CP应用；不应用CP的保守治疗；不应用CP的开放椎间盘切除术；和不应用CP的椎间融合。我们将在视觉模拟量表上收集数据，ODI,SF-36和EQ-5D-3L分数；入院天数；医务人员满意度；患者健康服务满意度；咨询等待时间；止痛药的使用；以及CP应用和完成率。
结论：将来，这项研究可望作为各种疾病综合医疗服务中CPs的发展和应用的后续研究的基础，包括腰椎突出髓核.
