{"id":14520,"date":"2013-10-29T05:07:08","date_gmt":"2013-10-29T05:07:08","guid":{"rendered":"https:\/\/f55.01f.myftpupload.com\/les-operations-recommandees-de-la-colonne-vertebrale-sont-elles-inutiles-ou-trop-complexes\/"},"modified":"2013-10-29T05:07:08","modified_gmt":"2013-10-29T05:07:08","slug":"les-operations-recommandees-de-la-colonne-vertebrale-sont-elles-inutiles-ou-trop-complexes","status":"publish","type":"post","link":"https:\/\/mdvisitclinic.com\/fr\/les-operations-recommandees-de-la-colonne-vertebrale-sont-elles-inutiles-ou-trop-complexes\/","title":{"rendered":"Les op\u00e9rations recommand\u00e9es de la colonne vert\u00e9brale sont-elles inutiles ou trop complexes&nbsp;? Evidence from second opinions"},"content":{"rendered":"<p><span class=\"mdvisit-highlight-content\">En 2011, Epstein et Hood ont document\u00e9 que 17,2 % des 274 patients pr\u00e9sentant des plaintes cervicales\/lombaires observ\u00e9es dans le premier ou le deuxi\u00e8me avis sur un an se sont fait dire qu\u2019ils avaient besoin d\u2019une chirurgie de la colonne vert\u00e9brale \u00ab inutile \u00bb<\/span> (p. ex., d\u00e9finie comme pour la douleur seule, sans d\u00e9ficit neurologique, ou anomalies radiographiques significatives). Par la suite, en  <span class=\"mdvisit-highlight-content\">En 2012, Gamache a constat\u00e9 que 69 (44,5 %) des 155 patients de deuxi\u00e8me opinion vus sur une p\u00e9riode de 14 mois ont \u00e9t\u00e9 inform\u00e9s par des chirurgiens externes de la colonne vert\u00e9brale qu\u2019ils avaient besoin d\u2019une intervention chirurgicale&nbsp;; le chirurgien de second avis (Gamache) a trouv\u00e9 ces op\u00e9rations inutiles. De plus en plus, les patients,<\/span>  les chirurgiens de la colonne vert\u00e9brale, les h\u00f4pitaux et les compagnies d\u2019assurance <span class=\"mdvisit-highlight-content\">devraient non seulement se demander si les op\u00e9rations de la colonne vert\u00e9brale sont \u00ab inutiles \u00bb, mais aussi si elles sont \u00ab mauvaises \u00bb (p. ex., op\u00e9rations trop \u00e9tendues, ant\u00e9rieures par rapport aux op\u00e9rations post\u00e9rieures) ou \u00ab bonnes \u00bb (appropri\u00e9es).<\/span><\/p>\n<p>M\u00e9thodes :<\/p>\n<p>Pour la perspective, 437 patients pr\u00e9sentant des plaintes cervicales ou lombaires ont \u00e9t\u00e9 vus dans la consultation spinale sur une p\u00e9riode de 20 mois. Sur les 254 patients (58,1%) qui sont venus pour les premiers avis, ceux avec les l\u00e9sions chirurgicales contre non-chirurgicales ont \u00e9t\u00e9 identifi\u00e9s. Sur les 183 patients (41,9 %) qui ont obtenu un deuxi\u00e8me avis et qui avaient d\u00e9j\u00e0 \u00e9t\u00e9 inform\u00e9s par des chirurgiens externes qu\u2019ils avaient besoin d\u2019op\u00e9rations de la colonne vert\u00e9brale, le chirurgien de deuxi\u00e8me opinion a document\u00e9 le nombre d\u2019op\u00e9rations \u00ab inutiles \u00bb, \u00ab mauvaises \u00bb ou \u00ab bonnes \u00bb pr\u00e9c\u00e9demment recommand\u00e9es.<\/p>\n<p>R\u00e9sultats :<\/p>\n<p>La pathologie chirurgicale a \u00e9t\u00e9 identifi\u00e9e dans 138 (54.3%) patients se pr\u00e9sentant pour les premi\u00e8res opinions. Pour les patients vus dans les deuxi\u00e8mes opinions, <span class=\"mdvisit-highlight-content\">111 (60,7%) ont \u00e9t\u00e9 inform\u00e9s par des chirurgiens externes qu\u2019ils avaient besoin de \u00ab&nbsp;inutile&nbsp;\u00bb, 61 (33,3%) le \u00ab&nbsp;mauvais&nbsp;\u00bb,<\/span> ou <span class=\"mdvisit-highlight-content\">11 (6%) les \u00ab&nbsp;bonnes&nbsp;\u00bb op\u00e9rations.<\/span><\/p>\n<p>Conclusions :<\/p>\n<p><span class=\"mdvisit-highlight-content\">Sur les 183 deuxi\u00e8mes opinions observ\u00e9es sur une p\u00e9riode de 20 mois, le chirurgien de deuxi\u00e8me opinion a document\u00e9 que les chirurgiens pr\u00e9c\u00e9dents de la colonne vert\u00e9brale recommandaient des op\u00e9rations \u00ab inutiles \u00bb (60,7 %), \u00ab mauvaises \u00bb (33,3 %) ou \u00ab bonnes \u00bb (6 %) op\u00e9rations.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>En 2011, Epstein et Hood ont document\u00e9 que 17,2 % des 274 patients pr\u00e9sentant des plaintes cervicales\/lombaires observ\u00e9es dans le premier ou le deuxi\u00e8me avis sur un an se sont fait dire qu\u2019ils avaient besoin d\u2019une chirurgie de la colonne vert\u00e9brale \u00ab inutile \u00bb (p. ex., d\u00e9finie comme pour la douleur seule, sans d\u00e9ficit neurologique, [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","hide_page_title":"","footnotes":""},"categories":[],"tags":[],"class_list":["post-14520","post","type-post","status-publish","format-standard","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Les op\u00e9rations recommand\u00e9es de la colonne vert\u00e9brale sont-elles inutiles ou trop complexes&nbsp;? Evidence from second opinions - MDVISIT CLINIC<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Les op\u00e9rations recommand\u00e9es de la colonne vert\u00e9brale sont-elles inutiles ou trop complexes&nbsp;? Evidence from second opinions - MDVISIT CLINIC\" \/>\n<meta property=\"og:description\" content=\"En 2011, Epstein et Hood ont document\u00e9 que 17,2 % des 274 patients pr\u00e9sentant des plaintes cervicales\/lombaires observ\u00e9es dans le premier ou le deuxi\u00e8me avis sur un an se sont fait dire qu\u2019ils avaient besoin d\u2019une chirurgie de la colonne vert\u00e9brale \u00ab inutile \u00bb (p. ex., d\u00e9finie comme pour la douleur seule, sans d\u00e9ficit neurologique, [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/mdvisitclinic.com\/fr\/les-operations-recommandees-de-la-colonne-vertebrale-sont-elles-inutiles-ou-trop-complexes\/\" \/>\n<meta property=\"og:site_name\" content=\"MDVISIT CLINIC\" \/>\n<meta property=\"article:published_time\" content=\"2013-10-29T05:07:08+00:00\" \/>\n<meta name=\"author\" content=\"Mahendra Chouhan\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Mahendra Chouhan\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/mdvisitclinic.com\\\/fr\\\/les-operations-recommandees-de-la-colonne-vertebrale-sont-elles-inutiles-ou-trop-complexes\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/mdvisitclinic.com\\\/fr\\\/les-operations-recommandees-de-la-colonne-vertebrale-sont-elles-inutiles-ou-trop-complexes\\\/\"},\"author\":{\"name\":\"Mahendra Chouhan\",\"@id\":\"https:\\\/\\\/mdvisitclinic.com\\\/fr\\\/#\\\/schema\\\/person\\\/238ea1ff05499c32e2635e77451d2212\"},\"headline\":\"Les op\u00e9rations recommand\u00e9es de la colonne vert\u00e9brale sont-elles inutiles ou trop complexes&nbsp;? 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