gms | German Medical Science

72. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Polnischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

06.06. - 09.06.2021

Experience in a multidisciplinary re-accredited level one spine centre

Erfahrung in interdisziplinärem re-zertifizierten Level-one-Zentrum

Meeting Abstract

  • presenting/speaker Dino Podlesek - Universitätsklinikum Carl Gustav Carus Dresden, Klinik und Poliklinik für Neurochirurgie, Dresden, Deutschland
  • Witold H. Polanski - Universitätsklinikum Carl Gustav Carus Dresden, Klinik und Poliklinik für Neurochirurgie, Dresden, Deutschland
  • Gabriele Schackert - Universitätsklinikum Carl Gustav Carus Dresden, Klinik und Poliklinik für Neurochirurgie, Dresden, Deutschland
  • Klaus-Dieter Schaser - Universitätsklinikum Carl Gustav Carus Dresden, UniversitätsCentrum für Orthopädie, Unfall- & Plastische Chirurgie, Dresden, Deutschland
  • Klaus-Peter Günther - Universitätsklinikum Carl Gustav Carus Dresden, UniversitätsCentrum für Orthopädie, Unfall- & Plastische Chirurgie, Dresden, Deutschland
  • Alexander Disch - Universitätsklinikum Carl Gustav Carus Dresden, UniversitätsCentrum für Orthopädie, Unfall- & Plastische Chirurgie, Dresden, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 72. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Polnischen Gesellschaft für Neurochirurgie. sine loco [digital], 06.-09.06.2021. Düsseldorf: German Medical Science GMS Publishing House; 2021. DocV040

doi: 10.3205/21dgnc042, urn:nbn:de:0183-21dgnc0423

Published: June 4, 2021

© 2021 Podlesek et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

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Objective: According to the DAK health insurance report from 2018, hospital treatment for spinal diseases is constantly rising. As the result of a rising need for treatment quality and the socioeconomic burden, establishment of specialized spinal centers seems to be of great importance, not only to be able to offer the complete interdisciplinary range of spinal treatment in high quality, but also for a recruitment of professions needed in future for those patients. This article reviews the experience of the first level one accredited spinal center in the eastern part of Germany.

Methods: Description of structures and performances of a multidisciplinary spine center founded 4 years before. To give a frank insight of the benefits associated to the foundation of an interdisciplinary center health professional of all associated medical disciplines and occupational categories at the university center were interviewed using in house generated questionnaire for quality control and later analyzed.

Results: In 4 years of the interdisciplinary university comprehensive spinal center, based on the DWG database we have been able to constantly increase the number of in and out hospital treated patients from 2016 to 2020. Due to process optimization (spinal boards, common treatment standard procedures, telephone back pain triage, uniform pain-protocol, continuing staff education, joint research, short communication channels etc…), patients treatment could be standardized. Indication quality and surgical skills improved due to interdisciplinary conferences, discussions and interdisciplinary surgeries of spinal cases.

Conclusion: Especially at university hospitals, the establishment of interdisciplinary spinal centers is inevitable. The way to establish such centers deeply depends on local structures, the will to find compromises and a motivated team. Development of a new medical profession combining the neurosurgical, trauma, orthopedic and conservative skills might be a consequential necessity to ensure the best quality in spine surgery. Furthermore, collaboration with other conservative professions and broad spinal education of surgeons treating those patients is imminent and a future challenge.