Optimizing the Management and Outcomes of Failed Back Surgery Syndrome: A Proposal of a Standardized Multidisciplinary Team Care Pathway

Failed back surgery syndrome (FBSS) is a major, worldwide health problem that generates considerable expense for healthcare systems. A number of controversial issues concerning the management of FBSS are regularly debated, but no clear consensus has been reached. This pitfall is the result of lack o...

Full description

Saved in:
Bibliographic Details
Published in:Pain research & management 2019, Vol.2019 (2019), p.1-12
Main Authors: Rigoard, Philippe, Naiditch, Nicolas, Duyvendak, Wim, Deneuville, Jean-Philippe, Eldabe, Sam, Gatzinsky, Kliment, Van Buyten, Jean-Pierre
Format: Article
Language:English
Subjects:
Acoustics
Algorithms
Automatic
Back pain
Back Pain - therapy
Back surgery
Biomechanics
Chemical Sciences
Clinical trials
Decision-making
Electric power
Electromagnetism
Engineering Sciences
Evidence-based medicine
Failed Back Surgery Syndrome - therapy
Fluid mechanics
Humans
Interdisciplinary aspects
International economic relations
Material chemistry
Materials and structures in mechanics
Mathematical Physics
Mechanics
Medical equipment and supplies industry
Medical test kit industry
Medicine
Narcotics
Patient assessment
Patients
Physics
Polymers
Principles
Quantum Physics
Reactive fluid environment
Review
Spinal cord
Surgery
Systematic review
Thermics
Treatment Outcome
Vibrations
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Failed back surgery syndrome (FBSS) is a major, worldwide health problem that generates considerable expense for healthcare systems. A number of controversial issues concerning the management of FBSS are regularly debated, but no clear consensus has been reached. This pitfall is the result of lack of a standardized care pathway due to insufficient characterization of underlying pathophysiological mechanisms, which are essential to identify in order to offer appropriate treatment, and the paucity of evidence of treatment outcomes. In an attempt to address the challenges and barriers in the clinical management of FBSS, an international panel of physicians with a special interest in FBSS established the Chronic Back and Leg Pain (CBLP) Network with the primary intention to provide recommendations through consensus on how to optimize outcomes. In the first of a series of two papers, a definition of FBSS was delineated with specification of criteria for patient assessment and identification of appropriate evaluation tools in order to choose the right treatment options. In this second paper, we present a proposal of a standardized care pathway aiming to guide clinicians in their decision-making on how to optimize their management of FBSS patients. The utilization of a multidisciplinary approach is emphasized to ensure that care is provided in a uniform manner to reduce variation in practice and improve patient outcomes.
ISSN:1203-6765
1918-1523
DOI:10.1155/2019/8184592