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

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

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dc.contributor.author Deyo, Richard A. en_US
dc.contributor.author Mirza, Sohail K. en_US
dc.contributor.author Heagerty, Patrick J. en_US
dc.contributor.author Turner, Judith A. en_US
dc.contributor.author Martin, Brook I. en_US
dc.date.accessioned 2010-04-21T15:53:51Z
dc.date.available 2010-04-21T15:53:51Z
dc.date.issued 2005 en_US
dc.identifier.citation Deyo R, Mirza S, Heagerty P, Turner J, Martin B. A prospective cohort study of surgical treatment for back pain with degenerated discs; study protocol. BMC Musculoskeletal Disorders. 2005;6(1):24. en_US
dc.identifier.other 10.1186/1471-2474-6-24 en_US
dc.identifier.uri http://www.biomedcentral.com/1471-2474/6/24 en_US
dc.identifier.uri http://hdl.handle.net/1773/15757
dc.description.abstract 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 nonsurgical 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. en_US
dc.description.sponsorship National Institute of Arthritis, Musculoskeletal, and Skin Disease (NIAMS) (P60 AR48093). en_US
dc.language.iso en_US en_US
dc.title A prospective cohort study of surgical treatment for back pain with degenerated discs; study protocol en_US
dc.type Article en_US


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