Specially trained nurse practitioners have carried out satisfactory assessments of ninety-six percent of patients with back problems, according to a study.
The study has been published in the December issue of the
Journal of Advanced Nursing.
Seventy-four per cent were happy to see her rather than wait up to a year to see a surgeon, with less than a quarter of those who preferred to see a surgeon saying that the extra wait was acceptable.
The pilot study at Toronto Western Hospital in Ontario, Canada, was judged a resounding success after nurse practitioner Angela Sarro came up with exactly the same clinical diagnosis as orthopaedic spine surgeons Dr Yoga Raja Rampersaud and Dr Stephen Lewis in 100 per cent of the 177 patients she assessed. She also suggested the same management plan as the two surgeons in 95 per cent of cases.
"Waiting times for specialty consultations in public healthcare systems worldwide are lengthy and impose undue stress on patients waiting for further information and management of their condition" says Angela Sarro. "Back pain can be very unpleasant and debilitating and 85 per cent of us will experience it at some point in our lives.
"According to the College of Family Physicians of Canada, 57 per cent of people in Canada waited longer than four weeks for specialty care in 2006, compared with 60 per cent in the USA, 46 per cent in Australia, 40 per cent in the UK, 23 per cent in Germany and 22 per cent in New Zealand.