Total disc arthroplasty versus anterior cervical interbody fusion: use of the Spine Tango registry to supplement the evidence from randomized control trials.
The Spine Journal 16(2):136 (2016)
Several randomized controlled trials (RCTs) have compared patient outcomes of anterior (cervical) interbody fusion (AIF) with those of total disc arthroplasty (TDA). Because RCTs have known limitations with regard to their external validity, the comparative effectiveness of the two therapies in ...
Authors' Reply to Manchikanti.
Spine 41(3):E183 (2016)
Role of Health Services Research in Producing High-Value Rehabilitation Care.
Physical Therapy 95(12):1703 (2015)
The concept of value is receiving greater attention in rehabilitation and the broader health care environment. The overall purpose of this article is to present a framework to help clinicians, researchers, educators, and policy makers better understand the role of health services research in dev...
Can patient characteristics predict benefit from epidural corticosteroid injections for lumbar spinal stenosis symptoms?
The Spine Journal 15(11):2319 (2015)
Epidural corticosteroid injections are commonly used to treat back and leg pain associated with lumbar spinal stenosis. However, little is known about which patient characteristics may predict favorable responses.
The aim was to identify patient characteristics associated with benefits from epid...
Lumbar Imaging With Reporting Of Epidemiology (LIRE)--Protocol for a pragmatic cluster randomized trial.
Contemporary Clinical Trials 45(Pt B):157 (2015)
Diagnostic imaging is often the first step in evaluating patients with back pain and likely functions as a "gateway" to a subsequent cascade of interventions. However, lumbar spine imaging frequently reveals incidental findings among normal, pain-free individuals suggesting that treatment of the...
Trajectories of symptoms and function in older adults with low back disorders.
Spine 40(17):1352 (2015)
Prospective cohort study.
To determine whether there are distinct trajectories of back pain and function among older adults and to identify characteristics that distinguish among patients with substantially different prognoses.
Although the differential diagnosis and course of low back pain amon...
Short-term improvements in disability mediate patient satisfaction after epidural corticosteroid injections for symptomatic lumbar spinal stenosis.
Spine 40(17):1363 (2015)
Secondary analysis of data from a double-blind randomized controlled trial.
To identify mediators of the effect of lumbar epidural injections of corticosteroid plus lidocaine on patient satisfaction at 6 weeks postinjection in patients with lumbar spinal stenosis. We hypothesized that short-term...
Clinical outcomes of early and later physical therapist services for older adults with back pain.
The Spine Journal 15(8):1744 (2015)
The timing of physical therapy (PT) services and its association with later function and pain are not clear, especially in older adults.
The purpose of this study was to compare clinical outcomes of patients receiving early or later PT services with those not receiving PT among older adults pres...
The Medicare Outpatient Imaging Efficiency Measure for Low Back Pain ("OP-8").
Radiology 276(1):1 (2015)
Problem areas identified as important to older adults with lumbar spinal stenosis.
The Spine Journal 15(7):1636 (2015)
There is growing concern that patient-reported outcomes (PROs) commonly used in clinical research evaluating treatments such as epidural steroid injections (ESIs) for lumbar spinal stenosis may not adequately capture outcomes of greatest importance to older adults.
The purpose of the study was t...
Association of early imaging for back pain with clinical outcomes in older adults.
JAMA 313(11):1143 (2015)
In contrast to the recommendations for younger adults, many guidelines allow for older adults with back pain to undergo imaging without waiting 4 to 6 weeks. However, early imaging may precipitate interventions that do not improve outcomes.
To compare function and pain at the 12-month follow-up ...
Variation in CT pediatric head examination radiation dose: results from a national survey.
American Journal of Roentgenology 204(3):W293 (2015)
OBJECTIVE. The purpose of this article is to examine the variation in radiation dose, CT dose index volume (CTDIvol), and dose-length product (DLP) for pediatric head CT examinations as a function of hospital characteristics across the United States. MATERIALS AND METHODS. A survey inquiring abo...
Comparative effectiveness of combined digital mammography and tomosynthesis screening for women with dense breasts.
Radiology 274(3):772 (2015)
To evaluate the effectiveness of combined biennial digital mammography and tomosynthesis screening, compared with biennial digital mammography screening alone, among women with dense breasts.
An established, discrete-event breast cancer simulation model was used to estimate the comparative clini...
The clinical course of pain and function in older adults with a new primary care visit for back pain.
Journal of the American Geriatrics Society 63(3):524 (2015)
To report the clinical course of older adults presenting for a new primary care visit for back pain, no healthcare visit for back pain within the prior 6 months, by describing pain intensity, disability, pain interference, and resolution of back pain over 12 months.
Prospective inception cohort ...
Patient-reported outcomes associated with use of physical therapist services by older adults with a new visit for back pain.
Physical Therapy 95(2):190 (2015)
Among older adults, it is not clear how different types or amounts of physical therapy may be associated with improvements in back pain and function.
The study objective was to investigate the association between types or amounts of physical therapist services and 1-year outcomes among older adu...
The Effect of Achieving Patient-Reported Outcome Measures on Satisfaction.
Journal of the American Board of Family Medicine 28(6):785 (2015)
To determine how frequently patients with advanced imaging for back or abdominal pain achieve outcomes that are identified by patients as important and whether those achieving those outcomes are more satisfied.
Cross-sectional analysis of survey responses from patients of an 800-physician multi-...
Consensus conference on core radiological parameters to describe lumbar stenosis - an initiative for structured reporting.
European Radiology 24(12):3224 (2014)
To define radiological criteria and parameters as a minimum standard in a structured radiological report for patients with lumbar spinal stenosis (LSS) and to identify criteria and parameters for research purposes.
All available radiological criteria and parameters for LSS were identified using ...
[In Process Citation].
Praxis 103(23):1401 (2014)
Mapping a patient-reported functional outcome measure to a utility measure for comparative effectiveness and economic evaluations in older adults with low back pain.
Medical Decision Making 34(7):873 (2014)
Linking patient-reported back pain outcomes with health utility measures is valuable for informing economic evaluations.
We used the Back pain Outcomes using Longitudinal Data (BOLD) registry to assess back pain and quality-of-life measures. The BOLD registry includes participants ≥65 years from...
Patient-centered outcomes research in radiology: trends in funding and methodology.
Academic Radiology 21(9):1156 (2014)
The creation of the Patient-Centered Outcomes Research Trust Fund and the Patient-Centered Outcomes Research Institute (PCORI) through the Patient Protection and Affordable Care Act of 2010 presents new opportunities for funding patient-centered comparative effectiveness research (CER) in radiol...