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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Consultation and Surgical Wait Times in Cervical Spondylotic Myelopathy
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Consultation and Surgical Wait Times in Cervical Spondylotic Myelopathy

机译：宫颈脊柱型髓病的咨询和手术等待时间

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Background: Cervical spondylotic myelopathy (CSM) is the leading cause of spinal cord impairment. In a public healthcare system, wait times to see spine specialists and eventually access surgical treatment for CSM can be substantial. The goals of this study were to determine consultation wait times (CWT) and surgical wait times (SWT), and identify predictors of wait time length. Methods: Consecutive patients enrolled in the Canadian Spine Outcomes and Research Network (CSORN) prospective and observational CSM study from March 2015 to July 2017 were included. A data-splitting technique was used to develop and internally validate multivariable models of potential predictors. Results: A CSORN query returned 264 CSM patients for CWT. The median was 46 days. There were 31% mild, 35% moderate, and 33% severe CSM. There was a statistically significant difference in median CWT between moderate and severe groups; 207 patients underwent surgical treatment. Median SWT was 42 days. There was a statistically significant difference in SWT between mild/moderate and severe groups. Short symptom duration, less pain, lower BMI, and lower physical component score of SF-12 were predictive of shorter CWT. Only baseline pain and medication duration were predictive of SWT. Both CWT and SWT were shorter compared to a concurrent cohort of lumbar stenosis patients (p <0.001). Conclusions: Patients with shorter duration (either symptoms or medication) and less neck pain waited less to see a spine specialist in Canada and to undergo surgical treatment. This study highlights some of the obstacles to overcome in expedited care for this patient population.
机译：背景：颈椎椎间盘突出（CSM）是脊髓损伤的主要原因。在公共医疗系统中，等待脊椎专家的等待时间，最终访问CSM的手术治疗可能很大。本研究的目标是确定咨询等待时间（CWT）和手术等待时间（SWT），并识别等待时间长度的预测因子。方法：纳入2015年3月至2017年7月的加拿大脊柱结果和研究网络（CSORN）前瞻性和观察CSM学习的连续患者。数据分置技术用于开发和内部验证潜在预测器的多变量模型。结果：CSORN查询返回264名CSM患者CWT。中位数为46天。 31％温和，35％中等和33％的严重CSM。中度和严重组之间的中位CWT有统计学意义; 207例患者接受手术治疗。中位数SWT为42天。轻度/中度和严重和严重组之间的SWT存在统计学上显着差异。短暂的症状持续时间，较少的疼痛，较低的BMI和SF-12的物理分量得分较短的CWT预测。只有基线疼痛和药物持续时间都是预测的SWT。与腰椎狭窄患者的并发队列相比，CWT和SWT都较短（P <0.001）。结论：持续时间短（症状或药物）和较少的颈部疼痛等患者等待在加拿大的脊柱专家并进行外科治疗。本研究突出了一些难以克服这种患者人口的障碍。

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