Appropriateness Criteria for Surgery Improve Clinical Outcome #hcr #hcsm #whypm

Summary of Background Data. Most surgical treatment failures are attributed to poor patient selection, but no widely accepted consensus exists on detailed indications for appropriate surgery.

Now… I am not a spine surgeon and this will not reflect the views of my employer, nor should this be thought of as medical advice…

Surgery for low back pain has always been *plagued* by a relatively high failure rate. Why? One reason is a poorly indicated surgery. The cause of “low back pain” is not always easy to identify… and unless you know the cause of the pain, then an ill-conceived procedure has a poor chance at alleviating the pain.

I am encouraged by the findings in this paper. Determining appropriateness criteria, abiding by them and informing patients about the realistic potential outcomes based on these measures have the potential to *significantly* improve the outcome of surgery for low back pain.


About hjluks

A busy Academic Orthopedic Surgeon, Digital Strategist, Chief Medical Officer and father... intently and efficiently navigating the intersection of Social Media and Health Care.
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