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A prospective cohort study of surgical treatment for back pain with degenerated discs; study protocol

BACKGROUND: The diagnosis of discogenic back pain often leads to spinal fusion surgery and may partly explain the recent rapid increase in lumbar fusion operations in the United States. Little is known about how patients undergoing lumbar fusion compare in preoperative physical and psychological fun...

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Autores principales: Deyo, Richard A, Mirza, Sohail K, Heagerty, Patrick J, Turner, Judith A, Martin, Brook I
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2005
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1180446/
https://www.ncbi.nlm.nih.gov/pubmed/15913458
http://dx.doi.org/10.1186/1471-2474-6-24
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author Deyo, Richard A
Mirza, Sohail K
Heagerty, Patrick J
Turner, Judith A
Martin, Brook I
author_facet Deyo, Richard A
Mirza, Sohail K
Heagerty, Patrick J
Turner, Judith A
Martin, Brook I
author_sort Deyo, Richard A
collection PubMed
description BACKGROUND: The diagnosis of discogenic back pain often leads to spinal fusion surgery and may partly explain the recent rapid increase in lumbar fusion operations in the United States. Little is known about how patients undergoing lumbar fusion compare in preoperative physical and psychological function to patients who have degenerative discs, but receive only non-surgical care. METHODS: Our group is implementing a multi-center prospective cohort study to compare patients with presumed discogenic pain who undergo lumbar fusion with those who have non-surgical care. We identify patients with predominant low back pain lasting at least six months, one or two-level disc degeneration confirmed by imaging, and a normal neurological exam. Patients are classified as surgical or non-surgical based on the treatment they receive during the six months following study enrollment. RESULTS: Three hundred patients discogenic low back pain will be followed in a prospective cohort study for two years. The primary outcome measure is the Modified Roland-Morris Disability Questionnaire at 24-months. We also evaluate several other dimensions of outcome, including pain, functional status, psychological distress, general well-being, and role disability. CONCLUSION: The primary aim of this prospective cohort study is to better define the outcomes of lumbar fusion for discogenic back pain as it is practiced in the United States. We additionally aim to identify characteristics that result in better patient selection for surgery. Potential predictors include demographics, work and disability compensation status, initial symptom severity and duration, imaging results, functional status, and psychological distress.
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spelling pubmed-11804462005-07-23 A prospective cohort study of surgical treatment for back pain with degenerated discs; study protocol Deyo, Richard A Mirza, Sohail K Heagerty, Patrick J Turner, Judith A Martin, Brook I BMC Musculoskelet Disord Study Protocol BACKGROUND: The diagnosis of discogenic back pain often leads to spinal fusion surgery and may partly explain the recent rapid increase in lumbar fusion operations in the United States. Little is known about how patients undergoing lumbar fusion compare in preoperative physical and psychological function to patients who have degenerative discs, but receive only non-surgical care. METHODS: Our group is implementing a multi-center prospective cohort study to compare patients with presumed discogenic pain who undergo lumbar fusion with those who have non-surgical care. We identify patients with predominant low back pain lasting at least six months, one or two-level disc degeneration confirmed by imaging, and a normal neurological exam. Patients are classified as surgical or non-surgical based on the treatment they receive during the six months following study enrollment. RESULTS: Three hundred patients discogenic low back pain will be followed in a prospective cohort study for two years. The primary outcome measure is the Modified Roland-Morris Disability Questionnaire at 24-months. We also evaluate several other dimensions of outcome, including pain, functional status, psychological distress, general well-being, and role disability. CONCLUSION: The primary aim of this prospective cohort study is to better define the outcomes of lumbar fusion for discogenic back pain as it is practiced in the United States. We additionally aim to identify characteristics that result in better patient selection for surgery. Potential predictors include demographics, work and disability compensation status, initial symptom severity and duration, imaging results, functional status, and psychological distress. BioMed Central 2005-05-24 /pmc/articles/PMC1180446/ /pubmed/15913458 http://dx.doi.org/10.1186/1471-2474-6-24 Text en Copyright © 2005 Deyo et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Study Protocol
Deyo, Richard A
Mirza, Sohail K
Heagerty, Patrick J
Turner, Judith A
Martin, Brook I
A prospective cohort study of surgical treatment for back pain with degenerated discs; study protocol
title A prospective cohort study of surgical treatment for back pain with degenerated discs; study protocol
title_full A prospective cohort study of surgical treatment for back pain with degenerated discs; study protocol
title_fullStr A prospective cohort study of surgical treatment for back pain with degenerated discs; study protocol
title_full_unstemmed A prospective cohort study of surgical treatment for back pain with degenerated discs; study protocol
title_short A prospective cohort study of surgical treatment for back pain with degenerated discs; study protocol
title_sort prospective cohort study of surgical treatment for back pain with degenerated discs; study protocol
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1180446/
https://www.ncbi.nlm.nih.gov/pubmed/15913458
http://dx.doi.org/10.1186/1471-2474-6-24
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