What question did this study set out to answer?

To assess the relationship between integrated multidisciplinary care, social determinants of health, and unanticipated healthcare utilization among patients with open neural tube defects.

August 16, 2026

Impact of a Multidisciplinary Spina Bifida Clinic on Healthcare Resource Utilization.

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To assess the relationship between integrated multidisciplinary care, social determinants of health, and unanticipated healthcare utilization among patients with open neural tube defects.
Retrospectively reviewed patients with open neural tube defects (N=49) evaluated between January 1, 2021, and May 1, 2023.
Compared patients in an integrated multidisciplinary spina bifida clinic against those seen exclusively in standalone pediatric neurosurgery clinics.
Modeled recurrent event risk for unexpected healthcare encounters using Andersen-Gill Cox proportional hazards regression adjusting for demographics and social determinants of health.
Patients receiving integrated care had a median of 1 unexpected visit (IQR 0–2.50) compared to 3 (IQR 1–5.75) in the non-integrated cohort (p = 0.02).
Integrated care was associated with a 79% lower hazard of unexpected clinic visits (adjusted HR 0.21, 95% CI 0.09–0.51; p < 0.001).
Emergency department visits were the most common unexpected encounter (82 total visits; 65.3% of patients with ≥1 visit) and showed similar rates between cohorts.

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Implication

Retrospective study demonstrates reduced unexpected clinic visits in pediatric spina bifida patients receiving integrated care, suggesting improved outpatient management efficiency.

Cite This Study

Taylor et al. (2026) studied this question.

synapsesocial.com/papers/6a817a80f2fb91fc834ae5d4 https://doi.org/10.1159/pne/aeiag002

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Implication

Retrospective study demonstrates reduced unexpected clinic visits in pediatric spina bifida patients receiving integrated care, suggesting improved outpatient management efficiency.

Impact of a Multidisciplinary Spina Bifida Clinic on Healthcare Resource Utilization.

Key Points

Discussion

Implication

Cite This Study

Impact of a Multidisciplinary Spina Bifida Clinic on Healthcare Resource Utilization.

Key Points

Discussion

Implication

Cite This Study

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