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Neurosurgery: Radiculopathy (Cervical) Order Set

Description

The intent of the “Radiculopathy (Cervical) Order Set” is to support users caring for adult patients who may require a Neurosurgery referral for surgery for cervical 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
683f0f1d-fd16-509f-ab27-e2b9ba8a503f
Status
Experimental
True

Artifact Creation and Usage

Contributors
David (Cory) Adamson, MD, Physician, 1670 Clairmont Rd, Atlanta, GA 30033
Jacob Rachlin, MD, Chief of Neurosurgery, VA Boston Health Care System, 1400 VFW Parkway, Boston, MA 02132
Joseph King, MD, Physician, Surgical Service, VA New England/Connecticut Healthcare System, 950 Campbell Ave, West Haven, CT 06516

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 Set7.93 KB
Repository Information
Knowledge Level

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

Purpose and Usage
Usage

 

Patient Age Group
Population 18 years old or older

 

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 (Cervical) Clinical Content White Paper
Associated Resource
Neurosurgery: Radiculopathy (Cervical) Order Set Conceptual Structure Document
Associated Resource
Neurosurgery: Radiculopathy (Cervical) Order Set KNART Validation Report
Associated Resource
The influence of creatinine versus GFR on NSAID prescriptions in CKD

 

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.

Bono, Christopher M, Gary Ghiselli, Thomas J Gilbert, D. Scott Kreiner, Charles Reitman, Jeffrey T Summers, Jamie L Baisden, et al. 2011. “An Evidence-Based Clinical Guideline for the Diagnosis and Treatment of Cervical Radiculopathy from Degenerative Disorders.” The Spine Journal: Official Journal of the North American Spine Society 11 (1): 64–72. doi:10.1016/j.spinee.2010.10.023.
https://www.ncbi.nlm.nih.gov/pubmed/21168100
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://www.ncbi.nlm.nih.gov/pubmed/19769488
Kuijper Barbara, Tans Jos Th J, Beelen Anita, Nollet Frans, Visser Marianne de. Cervical collar or physiotherapy versus wait and see policy for recent onset cervical radiculopathy: randomised trial BMJ 2009; 339 :b388
http://www.bmj.com/content/339/bmj.b3883
Newman, Joel S, Barbara N Weissman, Peter D Angevine, Marc Appel, Erin Arnold, Jenny T Bencardino, Ian Blair Fries, et al. 2012. Expert Panel on Musculoskeletal Imaging. “American College of Radiology Appropriateness Criteria®: Chronic Neck Pain.” American College of Radiology. https://acsearch.acr.org/docs/69426/Narrative/
https://acsearch.acr.org/docs/69426/Narrative/
IBU- ibuprofen tablet [Internet].: National Library of Medicine; 2017. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=24731405-219c-79b4-ecf0-7d5fbfda94ba
https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=24731405-219c-79b4-ecf0-7d5fbfda94ba
MEDROL- methylprednisolone tablet [Internet].: National Library of Medicine; 2017. 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; 2017. 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; 2017. 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=1622f694-4d63-4c56-8737-fae31f0ecfb7

 

Artifact Representation
Testing Experience
Pilot Experience

None