The Impact of Multidisciplinary Conferences on Healthcare Utilization in Chronic Pain Patients

Approximately 100 million adults in the United States have chronic pain, though only a subset utilizes the vast majority of healthcare resources. Multidisciplinary care has been shown to improve outcomes in a variety of clinical conditions. There is concern that multidisciplinary care of chronic pai...

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Autores principales:	Zahabiya Campwala, Gregory Davis, Olga Khazen, Rachel Trowbridge, Melisande Nabage, Rohan Bagchi, Charles Argoff, Julie G. Pilitsis
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	chronic pain multidisciplinary conference multidisciplinary team healthcare utilization clinic visits Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/0e9797aa663144ecaa41a616efc0c21a
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spelling	oai:doaj.org-article:0e9797aa663144ecaa41a616efc0c21a2021-11-22T04:32:54ZThe Impact of Multidisciplinary Conferences on Healthcare Utilization in Chronic Pain Patients2673-561X10.3389/fpain.2021.775210https://doaj.org/article/0e9797aa663144ecaa41a616efc0c21a2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpain.2021.775210/fullhttps://doaj.org/toc/2673-561XApproximately 100 million adults in the United States have chronic pain, though only a subset utilizes the vast majority of healthcare resources. Multidisciplinary care has been shown to improve outcomes in a variety of clinical conditions. There is concern that multidisciplinary care of chronic pain patients may overwhelm existing resources and increase healthcare utilization due to the volume of patients and the complexity of care. We report our findings on the use of multidisciplinary conferences (MDC) to facilitate care for the most complex patients seen at our tertiary center. Thirty-two of nearly 2,000 patients seen per year were discussed at the MDC, making up the top 2% of complex patients in our practice. We evaluated patients' numeric rating score (NRS) of pain, medication use, hospitalizations, emergency department visits, and visits to pain specialists prior to their enrollment in MDC and 1 year later. Matched samples were compared using Wilcoxon's signed rank test. Patients' NRS scores significantly decreased from 7.64 to 5.54 after inclusion in MDC (p < 0.001). A significant decrease in clinic visits (p < 0.001) and healthcare utilization (p < 0.05) was also observed. Opioid and non-opioid prescriptions did not change significantly (p = 0.43). 83% of providers agreed that MDC improved patient care. While previous studies have shown the effect of multi-disciplinary care, we show notable improvements with a team established around a once-a-month MDC.Zahabiya CampwalaGregory DavisOlga KhazenRachel TrowbridgeMelisande NabageRohan BagchiCharles ArgoffJulie G. PilitsisJulie G. PilitsisFrontiers Media S.A.articlechronic painmultidisciplinary conferencemultidisciplinary teamhealthcare utilizationclinic visitsNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Pain Research, Vol 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	chronic pain multidisciplinary conference multidisciplinary team healthcare utilization clinic visits Neurology. Diseases of the nervous system RC346-429
spellingShingle	chronic pain multidisciplinary conference multidisciplinary team healthcare utilization clinic visits Neurology. Diseases of the nervous system RC346-429 Zahabiya Campwala Gregory Davis Olga Khazen Rachel Trowbridge Melisande Nabage Rohan Bagchi Charles Argoff Julie G. Pilitsis Julie G. Pilitsis The Impact of Multidisciplinary Conferences on Healthcare Utilization in Chronic Pain Patients
description	Approximately 100 million adults in the United States have chronic pain, though only a subset utilizes the vast majority of healthcare resources. Multidisciplinary care has been shown to improve outcomes in a variety of clinical conditions. There is concern that multidisciplinary care of chronic pain patients may overwhelm existing resources and increase healthcare utilization due to the volume of patients and the complexity of care. We report our findings on the use of multidisciplinary conferences (MDC) to facilitate care for the most complex patients seen at our tertiary center. Thirty-two of nearly 2,000 patients seen per year were discussed at the MDC, making up the top 2% of complex patients in our practice. We evaluated patients' numeric rating score (NRS) of pain, medication use, hospitalizations, emergency department visits, and visits to pain specialists prior to their enrollment in MDC and 1 year later. Matched samples were compared using Wilcoxon's signed rank test. Patients' NRS scores significantly decreased from 7.64 to 5.54 after inclusion in MDC (p < 0.001). A significant decrease in clinic visits (p < 0.001) and healthcare utilization (p < 0.05) was also observed. Opioid and non-opioid prescriptions did not change significantly (p = 0.43). 83% of providers agreed that MDC improved patient care. While previous studies have shown the effect of multi-disciplinary care, we show notable improvements with a team established around a once-a-month MDC.
format	article
author	Zahabiya Campwala Gregory Davis Olga Khazen Rachel Trowbridge Melisande Nabage Rohan Bagchi Charles Argoff Julie G. Pilitsis Julie G. Pilitsis
author_facet	Zahabiya Campwala Gregory Davis Olga Khazen Rachel Trowbridge Melisande Nabage Rohan Bagchi Charles Argoff Julie G. Pilitsis Julie G. Pilitsis
author_sort	Zahabiya Campwala
title	The Impact of Multidisciplinary Conferences on Healthcare Utilization in Chronic Pain Patients
title_short	The Impact of Multidisciplinary Conferences on Healthcare Utilization in Chronic Pain Patients
title_full	The Impact of Multidisciplinary Conferences on Healthcare Utilization in Chronic Pain Patients
title_fullStr	The Impact of Multidisciplinary Conferences on Healthcare Utilization in Chronic Pain Patients
title_full_unstemmed	The Impact of Multidisciplinary Conferences on Healthcare Utilization in Chronic Pain Patients
title_sort	impact of multidisciplinary conferences on healthcare utilization in chronic pain patients
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/0e9797aa663144ecaa41a616efc0c21a
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The Impact of Multidisciplinary Conferences on Healthcare Utilization in Chronic Pain Patients

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