CDS Connect: Neurosurgery: Radiculopathy (Lumbar Thoracic) Order Set

Neurosurgery: Radiculopathy (Lumbar Thoracic) Order Set

Description

The intent of the “Radiculopathy (Lumbar Thoracic) Order Set” is to support users caring for adult patients who may require a Neurosurgery referral for surgery for lumbar/thoracic radiculopathy. The intent is to ensure a minimum workup is initiated prior to a Neurosurgery Consultation.

Artifact Type
Creation Date
Version
0.1
Unique Identifier
71695ccb-cc42-5c04-82ae-7685caae0a97
Status
Experimental
True

Artifact Creation and Usage

Contributors

 

David (Cory) Adamson, MD, Physician, Atlanta, GA
Jacob Rachlin, MD, Chief of Neurosurgery, VA Boston Health Care System, Boston, MA
Joseph King, MD, Physician, Surgical Service, VA New England Healthcare System, West Haven, CT

Please contact Mr. Apurva Desai Apurva.desai@va.gov for additional information.

License
IP Attestation The author asserts that this artifact has been developed in compliance with the intellectual property rights attributed to the source material.
Copyrights

Copyright © 2018 Veterans Health Administration, Department of Veterans Affairs. All rights reserved. Contributions from external parties are property of respective copyright holders.

Implementation Details
Technical Files
Order Set8.41 KB
Repository Information
Approval Date
Publication Date
Last Review Date
Knowledge Level

Structured code that is interpretable by a computer (includes data elements, value sets, logic)

Purpose and Usage
Usage

 

Patient Age Group
Adult
Clinical Venue
Outpatient
Clinical Focus
Adult outpatient being referred to Neurosurgery for Radiculopathy (Lumbar/Thoracic).
Target User
Provider in Primary Care, Emergency Medicine, Anesthesiology, Pain Clinic, Physical Therapy
Workflow Task
Referral to Neurosurgery for Radiculopathy (Lumbar/Thoracic).

 

Cautions

THE CLINICAL CONTENT IN THIS DOCUMENT IS NOT DIRECTLY SUITABLE FOR CLINICAL USE AS PRESENTED SINCE IT HAS NOT BEEN TESTED IN A CLINICAL ENVIRONMENT. IT HAS NEVER BEEN PILOTED, NEVER 100% REPRESENTS THE INTENT OF THE CLINICAL SUBJECT MATTER EXPERTS, AND MAY CAUSE HARM IF APPLIED AS-IS. THIS WORK IS MADE AVAILABLE WITHOUT ANY WARRANTY WHATSOEVER, AND WITHOUT CLAIMS, EXPRESSED OR IMPLIED, OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.

Supporting Evidence
Source Description

 

Derived From
Neurosurgery: Radiculopathy (Lumbar /Thoracic) Clinical Content White Paper
Associated Resource
Neurosurgery: Radiculopathy (Lumbar Thoracic) Order Set Conceptual Structure Document
Associated Resource
Neurosurgery: Radiculopathy (Lumbar Thoracic) Order Set KNART Validation Report

 

References

 

See attached resource files for additional details. Department of Veterans Affairs, Veterans Health Administration, Office of Informatics and Information Governance, Clinical Decision Support (CDS) Content and Health Level 7 (HL7)-Compliant Knowledge Artifacts (KNARTs) Eye Care Clinical Content White Paper, VA118-16-D-1008, Task Order VA-118-16-F-1008-0007, June, 2018.

Kaiser, Michael G, Jason C Eck, Michael W Groff, Zoher Ghogawala, William C Watters, Andrew T Dailey, Daniel K Resnick, et al 2014. "Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine" Journal of Neurosurgery Spine 21 (1): 133–39. doi:10.3171/2014.4.SPINE14326.
https://doi.org/10.3171/2014.4.SPINE14326
Chou, Roger, Amir Qaseem, Vincenza Snow, Donald Casey, J. Thomas Cross, Paul Shekelle, Douglas K Owens, et al. "Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society". Annals of Internal Medicine 147 (7): 478–91. doi:10.7326/0003-4819-147-7-200710020-00006
https://doi.org/10.7326/0003-4819-147-7-200710020-00006
Kreiner, D. Scott, Steven W Hwang, John E Easa, Daniel K Resnick, Jamie L Baisden, Shay Bess, Charles H Cho, et al. 2014. “An Evidence-Based Clinical Guideline for the Diagnosis and Treatment of Lumbar Disc Herniation with Radiculopathy.” The Spine Journal: Official Journal of the North American Spine Society 14 (1): 180–91. doi:10.1016/j.spinee.2013.08.003
http://www.spine.org/Pages/PracticePolicy/ClinicalCare/ClinicalGuidlines/Default.aspx
Kreiner, D. Scott, William O. Shaffer, Jamie L. Baisden, Thomas J. Gilbert, Jeffrey T. Summers, John F. Toton, Steven W. Hwang, Richard C. Mendel, Charles A. Reitman, and North American Spine Society. 2013. “An evidence-based clinical guideline for the diagnosis and treatment of degenerative lumbar spinal stenosis (update)” The Spine Jhe Spournal : Official Journal of the North American Spine Society 13 (7): 734–43. doi:10.1016/j.spinee.2012.11.059
https://doi.org/10.1016/j.spinee.2012.11.059
Matz, Paul G, Paul A Anderson, Michael G Kaiser, Langston T Holly, Michael W Groff, Robert F Heary, Praveen V Mummaneni, et al. 2009. “Introduction and Methodology: Guidelines for the Surgical Management of Cervical Degenerative Disease.” Journal of Neurosurgery. Spine 11 (2): 101–3. doi:10.3171/2009.1.SPINE08712
https://doi.org/10.1016/j.spinee.2015.11.055
Patel, ND, Broderick, DF, Burns, J, et al. 2015. "Expert Panel on Neurologic Imaging. ACR Appropriateness Criteria: Low Back Pain. American College of Radiology" https://acsearch.acr.org/docs/69483/Narrative/. Revised 2015.
https://acsearch.acr.org/docs/69483/Narrative/
MEDROL- methylprednisolone tablet [Internet]: U.S. National Library of Medicine. 2016. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=39d5270b-d957-4821-93d6-501b7b9f02d4
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=39d5270b-d957-4821-93d6-501b7b9f02d4
NAPROSYN- naproxen tablet; EC-NAPROSYN- naproxen tablet, delayed release; NAPROSYN- naproxen suspension; ANAPROX- naproxen sodium tablet; ANAPROX DS- naproxen sodium tablet [Internet].: National Library of Medicine; 2016. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=68848217-03c9-4377-9be6-6f567e629129.
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=68848217-03c9-4377-9be6-6f567e629129.
Tylenol Regular Strength-acetaminophen tablet [Internet]: National Library of Medicine; 2016. Available from: https://dailymed.nlm.nih.gov/https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1622f694-4d63-4c56-8737-fae31f0ecfb7.
https://dailymed.nlm.nih.gov/https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1622f694-4d63-4c56-8737-fae31f0ecfb7.

 

Artifact Representation
Testing Experience
Pilot Experience

None