Navigation Links
Toronto Western Hospital study demonstrates improved wait times for patients suffering back pain
Date:11/17/2010

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.


'/>"/>

Contact: Christian Cote
416-340-4636
University Health Network
Source:Eurekalert

Related medicine news :

1. Toronto homeless report barriers to health care
2. Toronto Marriage Counselling: Stephen Giles, MSW Creates 10-Point Marriage Counselling Needs Test
3. University of Toronto scholars receive prestigious New Directions Fellowships
4. Learn to Dance in a Day -- Beginner Workshop Launches Modern Jive in Toronto
5. Circuit regulating anti-diabetic actions of serotonin uncovered by UT Southwestern researchers
6. Temperature rhythms keep body clocks in sync, UT Southwestern researchers find
7. UT Southwestern study to determine whether leptin helps type 1 diabetes patients
8. UT Southwestern researchers create experimental vaccine against Alzheimers
9. Blood test could diagnose Alzheimers disease, UT Southwestern researchers find
10. NIH awards $8 million to UT Southwestern to study metabolism, obesity-related inflammation
11. Lung cancer culprit could offer target for therapy, UT Southwestern researchers report
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:7/21/2017)... ... July 21, 2017 , ... The ... consultations to communities in the greater Denver region, is announcing a charity drive ... a very rare kind of epilepsy. , Until a few months ago, Dominik ...
(Date:7/21/2017)... ... July 21, 2017 , ... The Karen ... services to communities in the greater Birmingham area, is joining the Chris Hammond ... young people in the region. , The Chris Hammond Youth Foundation maintains athletic ...
(Date:7/21/2017)... PHILADELPHIA (PRWEB) , ... July 21, 2017 , ... ... ARTZ Philadelphia and Theater of Witness , was awarded a $300,000 ... growing humanities program which fosters empathy, comfort with ambiguity and the recognition of ...
(Date:7/21/2017)... ... July 21, 2017 , ... The Margarian Law Firm has filed a ... its ginger ale for allegedly containing no ginger. Dr. Pepper produces the “Canada Dry” ... plaintiff Gegham Margaryan alleges Canada Dry Ginger Ale claims on its bottle that it ...
(Date:7/21/2017)... , ... July 21, 2017 , ... ... medical students improve their chances of acceptance to a residency in a United ... have earned degrees outside the U.S. , According to data released by the ...
Breaking Medicine News(10 mins):
(Date:7/13/2017)... Md. , July 13, 2017  New York City-based ... of pharmaceutical markets should be aware of.  From new products ... trends are detailed in a recently completed study, Potential ... 1.  Age-Driven Growth ... we have been aware of the impact the growing population ...
(Date:7/11/2017)...  Bayer has awarded grants totaling more than $2 million ... prestigious Bayer Hemophilia Awards Program (BHAP). Four U.S. clinicians and ... and Uniformed Services University of the Health Sciences in ... recipients were announced last night during a reception at the ... Berlin, Germany . ...
(Date:7/11/2017)... -- Oramed Pharmaceuticals Inc. (NASDAQ: ORMP ) ... the development of oral drug delivery systems, announced today ... agreed to schedule an End-of-Phase II meeting with Oramed ... oral insulin capsule ORMD-0801 in the treatment of type ... secondary endpoints by indicating a statistically significant lowering of ...
Breaking Medicine Technology: