- #WEBMAP VANDERBILT HOW TO#
- #WEBMAP VANDERBILT FULL#
- #WEBMAP VANDERBILT SOFTWARE#
- #WEBMAP VANDERBILT TRIAL#
#WEBMAP VANDERBILT HOW TO#
However, there is a lack of understanding of how to halt the transition from acute to chronic postsurgical pain (CPSP). Recent biopsychosocial models conceptualize transition from acute to chronic pain as a complex interplay of biological, psychosocial, and sensory mechanisms and highlight the pre- and post-surgery phases as potential opportunities to intervene to prevent chronification of pain. Spinal fusion results in intense acute postsurgical pain and high rates of chronic pain, with 80% of otherwise healthy adolescents reporting moderate to severe acute pain, and up to half reporting persistent pain 6–12 months post-surgery. The majority of pediatric spinal fusion surgeries are performed for idiopathic spinal deformities (e.g., scoliosis, spondylolisthesis), with adolescent idiopathic scoliosis being the most common. Spinal fusion surgery is one of the most frequently performed major musculoskeletal surgeries in children and adolescents, with an estimated 12,600 procedures performed in the USA annually. Ultimately, the goal is to improve pain outcomes and reduce reliance on opioids in adolescents after spine surgery. Discussionĭemonstration of effectiveness and understanding optimal timing of perioperative intervention will enable implementation of this scalable psychosocial intervention into perioperative care. Chronic pain severity and interference (primary acute outcomes), as well as HRQL, parent and adolescent distress, sleep quality, and opioid use/misuse (secondary outcomes), will be assessed at 3 months and 6 months post-surgery. Acute pain severity and interference (primary acute outcomes) and opioid use will be assessed daily for 14 days following hospital discharge. Adolescents will be randomized into 4 study arms using a factorial design to SurgeryPal TM or education control during 2 phases of treatment: (1) pre-operative phase (one-month before surgery) and (2) post-operative phase (1 month after surgery). MethodsĪdolescents 12–18 years of age undergoing spinal fusion for idiopathic conditions, and their parent, will be recruited from pediatric centers across the USA, for a target complete sample of 400 dyads.
education-control delivered to adolescents and their parents to improve acute and chronic pain and health outcomes in adolescents undergoing spine surgery.
#WEBMAP VANDERBILT TRIAL#
This randomized controlled trial will test effectiveness of a digital peri-operative cognitive-behavioral intervention (SurgeryPal TM) vs. Interventions targeting baseline psychosocial risk factors have potential to interrupt a negative trajectory of continued pain and poor health-related quality of life (HRQL) over time but have not yet been developed and evaluated.
Psychological distress, sleep disturbance, and low pain self-efficacy predict higher acute pain and likelihood of developing chronic postsurgical pain. Choose Outlook and type your question in the search box.Spinal fusion surgery is associated with severe acute postsurgical pain and high rates of chronic postsurgical pain in adolescents. Get more information about Outlook on the Web (OWA) by visiting. This option saves email addresses when you send messages. The private computer option logs out of email after eight hours of inactivity. Select the private computer option if you are the only person who uses that computer and it is managed by VUMC. In addition, it does not save email addresses when you send messages. For security reasons, the public computer option logs out of email after 30 minutes of inactivity.
Examples of a public computer include clinical workstations, computers in a public place, those shared in an office, and kiosks. Select the public option if you are checking email on a public computer that will be used by more than one person. Please review the choices and their behaviors below: Outlook on the Web (OWA) Security Options Public or shared computer Your choice could be different depending on where you are.
#WEBMAP VANDERBILT SOFTWARE#
The Outlook on the Web (OWA) login page has two security options that allow you to indicate if you are using the software on a public or private computer.
#WEBMAP VANDERBILT FULL#
Outlook on the Web (OWA) is available for VUMC computers without access to the full Microsoft Office 365 experience, and to VUMC employees who need to login to their email when away from the main Medical Center network. Overview Sign-in to Outlook on the Web (OWA)
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