Surgical vs nonoperative treatment for lumbar disk herniation: the Spine Patient Outcomes Research Trial (SPORT) observational cohort
James Neil Weinstein,Jon D. Lurie,Tor D. Tosteson,Jonathan Skinner,Brett Hanscom,Anna N. A. Tosteson,Harry N. Herkowitz,Jeffrey S. Fischgrund,Frank P. Cammisa,Todd J. Albert,Richard A. Deyo +10 more
TLDR
Patients with persistent sciatica from lumbar disk herniation improved in both operated and usual care groups, and those who chose operative intervention reported greater improvements than patients who elected nonoperative care.Abstract:
Context
For patients with lumbar disk herniation, the Spine Patient Outcomes Research Trial (SPORT) randomized trial intent-to-treat analysis showed small but not statistically significant differences in favor of diskectomy compared with usual care. However, the large numbers of patients who crossed over between assigned groups precluded any conclusions about the comparative effectiveness of operative therapy vs usual care.read more
Citations
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Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society
TL;DR: This guideline is to present the available evidence for evaluation and management of acute and chronic low back pain in primary care settings and grades its recommendations by using the ACP's clinical practice guidelines grading system.
Journal ArticleDOI
Surgical versus Nonsurgical Therapy for Lumbar Spinal Stenosis
James Neil Weinstein,Tor D. Tosteson,Jon D. Lurie,Anna N. A. Tosteson,Emily A. Blood,Brett Hanscom,Harry N. Herkowitz,Frank P. Cammisa,Todd J. Albert,Scott D. Boden,Alan S. Hilibrand,Harley Goldberg,Sigurd Berven,Howard S. An +13 more
TL;DR: Patients who underwent surgery showed significantly more improvement in all primary outcomes than did patients who were treated nonsurgically, and the combined as-treated analysis showed a significant advantage for surgery by 3 months for allPrimary outcomes.
Journal ArticleDOI
Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and pain scales.
Anne G. Copay,Steven D. Glassman,Brian R. Subach,Sigurd Berven,Thomas C. Schuler,Leah Y. Carreon +5 more
TL;DR: A review of prospectively collected patient-reported outcomes data shows the minimum detectable change (MDC) appears as a statistically and clinically appropriate MCID value.
Journal ArticleDOI
Surgical versus Nonsurgical Treatment for Lumbar Degenerative Spondylolisthesis
James Neil Weinstein,Jon D. Lurie,Tor D. Tosteson,Brett Hanscom,Anna N. A. Tosteson,Emily A. Blood,Nancy J. O. Birkmeyer,Alan S. Hilibrand,Harry N. Herkowitz,Frank P. Cammisa,Todd J. Albert,Sanford E. Emery,Lawrence G. Lenke,William A. Abdu,Michael Longley,Thomas J. Errico,Serena S. Hu +16 more
TL;DR: In nonrandomized as-treated comparisons with careful control for potentially confounding baseline factors, patients with degenerative spondylolisthesis and spinal stenosis treated surgically showed substantially greater improvement in pain and function during a period of 2 years than patients treated nonsurgically.
References
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The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.
John E. Ware,Cathy D. Sherbourne +1 more
TL;DR: A 36-item short-form survey designed for use in clinical practice and research, health policy evaluations, and general population surveys to survey health status in the Medical Outcomes Study is constructed.
Book
SF-36 health survey: Manual and interpretation guide
TL;DR: TheSF-36 is a generic health status measure which has gained popularity as a measure of outcome in a wide variety of patient groups and social and the contribution of baseline health, sociodemographic and work-related factors to the SF-36 Health Survey: manual and interpretation guide is tested.
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Statistical Analysis With Missing Data
TL;DR: Generalized Estimating Equations is a good introductory book for analyzing continuous and discrete correlated data using GEE methods and provides good guidance for analyzing correlated data in biomedical studies and survey studies.
The mos 36- item short form health survey (sf- 36) conceptual framework and item selection
Ware J.E.Jr.,C D Sherburne +1 more
Journal ArticleDOI
The MOS 36-item Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups.
TL;DR: Findings support the use of the SF-36 survey across the diverse populations studied and identify population groups in which use of standardized health status measures may or may not be problematic.