{"id":"https://openalex.org/W3024379526","doi":null,"title":"The Changing Face of Spine Care: The MU Comprehensive Spine Center.","display_name":"The Changing Face of Spine Care: The MU Comprehensive Spine Center.","publication_year":2017,"publication_date":"2017-01-01","ids":{"openalex":"https://openalex.org/W3024379526","mag":"3024379526","pmid":"https://pubmed.ncbi.nlm.nih.gov/30233100","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/6143570"},"language":"en","primary_location":{"id":"pmh:oai:europepmc.org:5095725","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC6143570","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://europepmc.org/pmc/articles/PMC6143570","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5048830073","display_name":"Mark W. Drymalski","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800649613","display_name":"University of Missouri Health System","ror":"https://ror.org/03yp8z857","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2800649613"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mark Drymalski","raw_affiliation_strings":["Mark Drymalski, MD, Assistant Professor of Clinical PM&R, Department of Physical Medicine and Rehabilitation, University of Missouri Health care"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mark Drymalski, MD, Assistant Professor of Clinical PM&R, Department of Physical Medicine and Rehabilitation, University of Missouri Health care","institution_ids":["https://openalex.org/I2800649613"]}]},{"author_position":"last","author":{"id":null,"display_name":"Mohammad Agha","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2800649613","display_name":"University of Missouri Health System","ror":"https://ror.org/03yp8z857","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2800649613"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Mohammad Agha","raw_affiliation_strings":["Mohammad Agha, MD, MSMA member since 2014, Assistant Professor of Clinical PM&R, Department of Physical Medicine and Rehabilitation, University of Missouri Health care"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Mohammad Agha, MD, MSMA member since 2014, Assistant Professor of Clinical PM&R, Department of Physical Medicine and Rehabilitation, University of Missouri Health care","institution_ids":["https://openalex.org/I2800649613"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I2800649613"],"apc_list":null,"apc_paid":null,"fwci":0.5886,"has_fulltext":false,"cited_by_count":6,"citation_normalized_percentile":{"value":0.66916032,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"114","issue":"1","first_page":"44","last_page":"46"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.7656000256538391,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.7656000256538391,"subfield":{"id":"https://openalex.org/subfields/2732","display_name":"Orthopedics and Sports Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.156700000166893,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13555","display_name":"Healthcare cost, quality, practices","score":0.04659999907016754,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/spine-care","display_name":"spine care","score":0.6970000267028809},{"id":"https://openalex.org/keywords/back-pain","display_name":"back pain","score":0.859000027179718},{"id":"https://openalex.org/keywords/spine-surgery","display_name":"spinal surgery","score":0.3720000088214874},{"id":"https://openalex.org/keywords/rehabilitation-medicine","display_name":"rehabilitation medicine","score":0.5989999771118164},{"id":"https://openalex.org/keywords/orthopedic-surgery","display_name":"orthopedic surgery","score":0.8050000071525574},{"id":"https://openalex.org/keywords/neurosurgery","display_name":"neurosurgery","score":0.9940000176429749},{"id":"https://openalex.org/keywords/low-value-imaging","display_name":"unnecessary imaging","score":0.6320000290870667},{"id":"https://openalex.org/keywords/diagnostic-imaging","display_name":"diagnostic imaging","score":0.4819999933242798},{"id":"https://openalex.org/keywords/primary-care-referral","display_name":"primary care referral","score":0.5289999842643738},{"id":"https://openalex.org/keywords/health-care-costs","display_name":"health care costs","score":0.5109999775886536}],"concepts":[{"id":"https://openalex.org/C205383261","wikidata":"https://www.wikidata.org/wiki/Q7392570","display_name":"SPINE (molecular biology)","level":2,"score":0.6104527711868286},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6073652505874634},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5613606572151184},{"id":"https://openalex.org/C2779304628","wikidata":"https://www.wikidata.org/wiki/Q3503480","display_name":"Face (sociological concept)","level":2,"score":0.5176016092300415},{"id":"https://openalex.org/C68312169","wikidata":"https://www.wikidata.org/wiki/Q216685","display_name":"Orthopedic surgery","level":2,"score":0.5097722411155701},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.46176499128341675},{"id":"https://openalex.org/C2779463800","wikidata":"https://www.wikidata.org/wiki/Q5062222","display_name":"Center (category theory)","level":2,"score":0.450636088848114},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3564055562019348},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.34575366973876953},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.32600274682044983},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.1479639708995819},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.07331129908561707},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.0},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C8010536","wikidata":"https://www.wikidata.org/wiki/Q160398","display_name":"Crystallography","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0},{"id":"https://openalex.org/C153911025","wikidata":"https://www.wikidata.org/wiki/Q7202","display_name":"Molecular biology","level":1,"score":0.0},{"id":"https://openalex.org/C185592680","wikidata":"https://www.wikidata.org/wiki/Q2329","display_name":"Chemistry","level":0,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"pmh:oai:europepmc.org:5095725","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC6143570","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},{"id":"pmid:30233100","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30233100","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Missouri medicine","raw_type":"Journal Article"},{"id":"pmh:oai:pubmedcentral.nih.gov:6143570","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC6143570/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Mo Med","raw_type":"Text"},{"id":"mag:3024379526","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/30233100","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:europepmc.org:5095725","doi":null,"is_oa":true,"landing_page_url":"http://europepmc.org/pmc/articles/PMC6143570","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"","raw_type":"Text"},"sustainable_development_goals":[{"score":0.9391000270843506,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":4,"referenced_works":["https://openalex.org/W2044661245","https://openalex.org/W2165014123","https://openalex.org/W2320958325","https://openalex.org/W2329784439"],"related_works":["https://openalex.org/W58595421","https://openalex.org/W3190845119","https://openalex.org/W2972537334","https://openalex.org/W4391139077","https://openalex.org/W2410897572","https://openalex.org/W4238716257","https://openalex.org/W3085858126","https://openalex.org/W4323519798","https://openalex.org/W2329012769","https://openalex.org/W2416072169"],"abstract_inverted_index":{"Back":[0],"pain":[1],"is":[2],"extraordinarily":[3],"common,":[4],"and":[5,20,29,40],"the":[6,89],"current":[7],"approach":[8,99],"to":[9,36,83,100],"treatment":[10],"has":[11],"yielded":[12],"enormous":[13],"financial":[14],"burdens":[15],"on":[16],"health":[17],"care":[18,27],"systems":[19],"society":[21],"in":[22],"general.":[23],"In":[24],"addition,":[25],"primary":[26],"providers":[28],"patients":[30,62],"alike":[31],"are":[32,48],"often":[33,55],"unsure":[34],"where":[35],"seek":[37],"further":[38],"care,":[39],"what,":[41],"if":[42],"any,":[43],"advanced":[44],"tests":[45],"or":[46,66],"images":[47],"needed.":[49],"As":[50],"a":[51,57,75,96],"result,":[52],"spine":[53,101],"surgeons":[54],"see":[56],"high":[58],"percentage":[59],"of":[60,77],"non-operative":[61],"when":[63],"unnecessary,":[64],"redundant,":[65],"incorrect":[67],"imaging":[68],"was":[69],"obtained.":[70],"At":[71],"MU":[72,90],"Health":[73],"Care":[74],"team":[76],"physiatrists,":[78],"orthopedic":[79],"surgeons,":[80],"neurosurgeons":[81],"sought":[82],"address":[84],"these":[85],"issues":[86],"by":[87],"forming":[88],"Comprehensive":[91],"Spine":[92],"Center":[93],"that":[94],"offers":[95],"systematic,":[97],"collaborative":[98],"care.":[102]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":3},{"year":2019,"cited_by_count":2}],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2020-05-21T00:00:00"}