{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,8,6]],"date-time":"2023-08-06T04:02:27Z","timestamp":1691294547788},"reference-count":0,"publisher":"Scientific Scholar","issue":"04","license":[{"start":{"date-parts":[[2019,9,2]],"date-time":"2019-09-02T00:00:00Z","timestamp":1567382400000},"content-version":"vor","delay-in-days":336,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Neurosciences in Rural Practice"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>\n          Context: The relationship between back pain and obesity is well characterized; therefore, the neurosurgical consultant visit for back pain may be a key interventional opportunity for weight loss. Aims: The aim of this project was to evaluate efficacy of an educational intervention for back pain. Methods: A retrospective study was undertaken to evaluate effectiveness of an educational intervention (Show patient's own MRI, Explain degenerative disc disease, Relate to weight issues, Reference other weight-related comorbidities, and Encourage a plan of action for weight loss [SERRE]). This has been performed since 2014 for patients presenting to the first author's neurosurgical spine clinic with nonsurgical back pain and body mass index (BMI) over 35. Results: The average BMI was 50.7. Fifty-five percent of patients had additional weight-related comorbidities. After SERRE intervention, 82% of patients were open to weight loss interventions. However, only 22% of patients went on to follow-up with a formal weight management program and only 9% of patients went on to have a documented weight loss. The lack of success was largely attributed to social issues and severe medical comorbidities within the specific population. Conclusions: Incorporation of patient education regarding the relationship of weight loss to back pain and other weight-related comorbidities is well received in a rural specialist consultation setting. Improved communication with primary care physicians regarding this message and further supportive actions may improve follow-through, and therefore success of ultimate weight loss interventions.<\/jats:p>","DOI":"10.4103\/jnrp.jnrp_2_18","type":"journal-article","created":{"date-parts":[[2018,8,27]],"date-time":"2018-08-27T05:30:37Z","timestamp":1535347837000},"page":"492-495","source":"Crossref","is-referenced-by-count":2,"title":["A Short Weight Loss Intervention in a Neurosurgical Subspecialist Clinical Setting"],"prefix":"10.25259","volume":"09","author":[{"given":"Cara L.","family":"Sedney","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Morgantown, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Treah","family":"Haggerty","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Morgantown, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia Dekeseredy R.","family":"N.","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery and Morgantown, WV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2019,9,2]]},"container-title":["Journal of Neurosciences in Rural Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.4103\/jnrp.jnrp_2_18.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,5]],"date-time":"2023-08-05T04:16:57Z","timestamp":1691209017000},"score":1,"resource":{"primary":{"URL":"https:\/\/ruralneuropractice.com\/a-short-weight-loss-intervention-in-a-neurosurgical-subspecialist-clinical-setting\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,10]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2019,9,2]]},"published-print":{"date-parts":[[2018,10]]}},"URL":"https:\/\/doi.org\/10.4103\/jnrp.jnrp_2_18","relation":{},"ISSN":["0976-3147","0976-3155"],"issn-type":[{"value":"0976-3147","type":"print"},{"value":"0976-3155","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,10]]}}}