The association between continuity of care and surgery in lumbar disc herniation patients
Abstract Continuity of care is a core dimension of high-quality care in the management of disease. The purpose of this study was to investigate the association between continuity of care and lumbar surgery in patients with moderate disc herniation. The Korean National Sample Cohort was used. The tar...
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2021-03-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-021-85064-1 |
| _version_ | 1831771539695992832 |
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| author | Eun-San Kim Chang-yup Kim |
| author_facet | Eun-San Kim Chang-yup Kim |
| author_sort | Eun-San Kim |
| collection | DOAJ |
| description | Abstract Continuity of care is a core dimension of high-quality care in the management of disease. The purpose of this study was to investigate the association between continuity of care and lumbar surgery in patients with moderate disc herniation. The Korean National Sample Cohort was used. The target population consisted of patients who have had disc herniation more than 6 months and didn’t get surgery and red flag signs within 6 months from onset. The population was enrolled from 2004 to 2013. The Bice-Boxerman Continuity of Care was used in measuring continuity of care. The marginal structural model with time dependent survival analysis was used. In total, 29,061 patients were enrolled in the cohort. High level of continuity of care was associated with a lower risk of lumbar surgery (HR, 0.27; 95% CI, 0.20–0.27). When the index was calculated only with outpatient visits to primary care with related specialty, the HR was 0.49 (95% CI: 0.43–0.57). In exploratory analysis, patients with lumbar stenosis and spondylolisthesis had higher risk of having a low level of continuity of care. These results indicate that continuity of care is associated with lower rates of lumbar surgery in patients with moderate disc herniation. |
| first_indexed | 2024-12-22T08:01:08Z |
| format | Article |
| id | doaj.art-9e3ceb3c8fbd4c5ba72db59b0a98a784 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-12-22T08:01:08Z |
| publishDate | 2021-03-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-9e3ceb3c8fbd4c5ba72db59b0a98a7842022-12-21T18:33:14ZengNature PortfolioScientific Reports2045-23222021-03-0111111110.1038/s41598-021-85064-1The association between continuity of care and surgery in lumbar disc herniation patientsEun-San Kim0Chang-yup Kim1Graduate School of Public Health, Seoul National UniversityGraduate School of Public Health, Seoul National UniversityAbstract Continuity of care is a core dimension of high-quality care in the management of disease. The purpose of this study was to investigate the association between continuity of care and lumbar surgery in patients with moderate disc herniation. The Korean National Sample Cohort was used. The target population consisted of patients who have had disc herniation more than 6 months and didn’t get surgery and red flag signs within 6 months from onset. The population was enrolled from 2004 to 2013. The Bice-Boxerman Continuity of Care was used in measuring continuity of care. The marginal structural model with time dependent survival analysis was used. In total, 29,061 patients were enrolled in the cohort. High level of continuity of care was associated with a lower risk of lumbar surgery (HR, 0.27; 95% CI, 0.20–0.27). When the index was calculated only with outpatient visits to primary care with related specialty, the HR was 0.49 (95% CI: 0.43–0.57). In exploratory analysis, patients with lumbar stenosis and spondylolisthesis had higher risk of having a low level of continuity of care. These results indicate that continuity of care is associated with lower rates of lumbar surgery in patients with moderate disc herniation.https://doi.org/10.1038/s41598-021-85064-1 |
| spellingShingle | Eun-San Kim Chang-yup Kim The association between continuity of care and surgery in lumbar disc herniation patients Scientific Reports |
| title | The association between continuity of care and surgery in lumbar disc herniation patients |
| title_full | The association between continuity of care and surgery in lumbar disc herniation patients |
| title_fullStr | The association between continuity of care and surgery in lumbar disc herniation patients |
| title_full_unstemmed | The association between continuity of care and surgery in lumbar disc herniation patients |
| title_short | The association between continuity of care and surgery in lumbar disc herniation patients |
| title_sort | association between continuity of care and surgery in lumbar disc herniation patients |
| url | https://doi.org/10.1038/s41598-021-85064-1 |
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