A Prospective Study of Back Pain and Risk of Falls Among Older Community-dwelling Women.
Journals of Gerontology Series A: Biological Sc... 71(9):1177 (2016)
Back pain and falls are common health conditions among older U.S. women. The extent to which back pain is an independent risk factor for falls has not been established.
We conducted a prospective study among 6,841 community-dwelling U.S. women at least 65 years of age from the Study of Osteoporo...
Bone Morphogenetic Protein Use and Cancer Risk Among Patients Undergoing Lumbar Arthrodesis: A Case-Cohort Study Using the SEER-Medicare Database.
Journal of Bone and Joint Surgery (American) 98(13):1064 (2016)
Recombinant bone morphogenetic proteins (BMPs) are growth factors utilized in lumbar arthrodeses. Limited data from randomized trials suggest that BMP may increase cancer risk. We sought to evaluate cancer risk and mortality following the use of BMP in lumbar arthrodesis.
Within the linked Surve...
Effects of a Commercial Insurance Policy Restriction on Lumbar Fusion in North Carolina and the Implications for National Adoption.
Spine 41(11):647 (2016)
An analysis of the State Inpatient Database of North Carolina, 2005 to 2012, and the Nationwide Inpatient Sample, including all inpatient lumbar fusion admissions from nonfederal hospitals.
The aim of the study was to examine the influence of a major commercial policy change that restricted lumb...
CLINICAL PRACTICE. Herniated Lumbar Intervertebral Disk.
New England Journal of Medicine 374(18):1763 (2016)
Can Parsimonious Practice Please Patients and Practitioners? The Case of Spine Imaging.
Journal of General Internal Medicine 31(2):140 (2016)
Performance of a Patient Reported Outcomes Measurement Information System (PROMIS) Short Form in Older Adults with Chronic Musculoskeletal Pain.
Pain Medicine 17(2):314 (2016)
To assess reliability, validity, and responsiveness of a 29-item short-form version of the Patient Reported Outcomes Measurement Information System (PROMIS) and a novel “impact score” calculated from those measures.
Prospective cohort study.
Rural primary care practices.
Adults aged ≥ 55 years w...
Primary care physicians, acupuncture and chiropractic clinicians, and chronic pain patients: a qualitative analysis of communication and care coordination patterns.
BMC Complementary and Alternative Medicine 16(1):30 (2016)
A variety of people, with multiple perspectives, make up the system comprising chronic musculoskeletal pain (CMP) treatment. While there are frequently problems in communication and coordination of care within conventional health systems, more opportunities for communicative disruptions seem pos...
Non-steroidal anti-inflammatory drugs for chronic low back pain.
Cochrane database of systematic reviews 2:CD012087 (2016)
Chronic back pain is an important health problem. Non-steroidal anti-inflammatory drugs (NSAIDs) are widely used to treat people with low back pain, especially people with acute back pain. Short term NSAID use is also recommended for pain relief in people with chronic back pain. Two types of NSA...
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...
Report of the NIH Task Force on Research Standards for Chronic Low Back Pain.
International Journal of Therapeutic Massage & ... 8(3):16 (2015)
Despite rapidly increasing intervention, functional disability due to chronic low back pain (cLBP) has increased in recent decades. We often cannot identify mechanisms to explain the major negative impact cLBP has on patients' lives. Such cLBP is often termed non-specific, and may be due to mult...
Erratum to: Core outcome domains for clinical trials in non-specific low back pain.
European Spine Journal 24(9):2097 (2015)
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...
Hippocampectomy disrupts trace eye-blink conditioning in rabbits.
Behavioral Neuroscience 129(4):523 (2015)
The role of the hippocampus (HFC) in trace eye-blink conditioning was evaluated using a 100-ms tone conditioned stimulus (CS), a 300- or 500-ms trace interval, and a 150-ms air puff unconditioned stimulus (UCS). Rabbits received complete hippocampectomy (dorsal & ventral), sham lesions, or neoco...
Acupuncture and chiropractic care: utilization and electronic medical record capture.
The American journal of managed care 21(7):e414 (2015)
To describe acupuncture and chiropractic use among patients with chronic musculoskeletal pain (CMP) at a health maintenance organization, and explore issues of benefit design and electronic medical record (EMR) capture.
Kaiser Permanente members meeting EMR diagnostic cri...
Core outcome domains for clinical trials in non-specific low back pain.
European Spine Journal 24(6):1127 (2015)
Inconsistent reporting of outcomes in clinical trials of patients with non-specific low back pain (NSLBP) hinders comparison of findings and the reliability of systematic reviews. A core outcome set (COS) can address this issue as it defines a minimum set of outcomes that should be reported in a...
Use of bone morphogenetic protein among patients undergoing fusion for degenerative diagnoses in the United States, 2002 to 2012.
The Spine Journal 15(4):692 (2015)
Use of bone morphogenetic protein (BMP) as an adjunct to spinal fusion surgery proliferated after Food and Drug Administration (FDA) approval in 2002. Major safety concerns emerged in 2008.
The purpose of this study was to examine whether published concerns about the safety of BMP altered clinic...
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 ...
The effectiveness and risks of long-term opioid therapy for chronic pain: a systematic review for a National Institutes of Health Pathways to Prevention Workshop.
Annals of Internal Medicine 162(4):276 (2015)
Increases in prescriptions of opioid medications for chronic pain have been accompanied by increases in opioid overdoses, abuse, and other harms and uncertainty about long-term effectiveness.
To evaluate evidence on the effectiveness and harms of long-term (>3 months) opioid therapy for chronic ...
Report of the NIH Task Force on research standards for chronic low back pain.
Physical Therapy 95(2):e1 (2015)
Despite rapidly increasing intervention, functional disability due to chronic low back pain (cLBP) has increased in recent decades. We often cannot identify mechanisms to explain the major negative impact cLBP has on patients' lives. Such cLBP is often termed non-specific and may be due to multi...