Journal ArticleDOI
Where is the wisdom in healthcare?: the "wizard of oz": heart, brain, and courage.
About:
This article is published in Spine.The article was published on 2010-01-01. It has received 52 citations till now.read more
Citations
More filters
Journal ArticleDOI
Comparative effectiveness evidence from the spine patient outcomes research trial: surgical versus nonoperative care for spinal stenosis, degenerative spondylolisthesis, and intervertebral disc herniation.
Anna N.A. Tosteson,Tor D. Tosteson,Jon D. Lurie,William A. Abdu,Harry N. Herkowitz,Gunnar Andersson,Todd J. Albert,Keith H. Bridwell,Wenyan Zhao,Margaret R. Grove,Milton C. Weinstein,James Neil Weinstein +11 more
TL;DR: Comparative effectiveness evidence for clearly defined diagnostic groups from Spine Patient Outcomes Research Trial shows good value for surgery compared with nonoperative care over 4 years.
Journal ArticleDOI
Chronic low back pain: a heterogeneous condition with challenges for an evidence-based approach.
Daryl R. Fourney,Gunnar Andersson,Paul M. Arnold,Joseph R. Dettori,Alex Cahana,Michael G. Fehlings,Dan C Norvell,Dino Samartzis,Jens R. Chapman +8 more
TL;DR: This Spine Focus issue has chosen a set of potentially controversial topics for more in-depth study and discussion, and a recurring theme is that chronic LBP is a heterogeneous condition, and this affects the way it is diagnosed, classified, treated, and studied.
Journal ArticleDOI
Long-term outcomes of lumbar spinal stenosis: eight-year results of the Spine Patient Outcomes Research Trial (SPORT).
Jon D. Lurie,Tor D. Tosteson,Anna N. A. Tosteson,William A. Abdu,Wenyan Zhao,Tamara S. Morgan,James Neil Weinstein +6 more
TL;DR: Patients with symptomatic spinal stenosis show diminishing benefits of surgery in as-treated analyses of the randomized group between 4 and 8 years, whereas outcomes in the observational group remained stable.
Journal ArticleDOI
Obesity is associated with inferior results after surgery for lumbar spinal stenosis: a study of 2633 patients from the Swedish spine register.
TL;DR: Obese patients achieved significant pain reduction, better walking ability, and improved quality of life after surgical treatment of LSS, and obesity was associated with a higher degree of dissatisfaction and poorer outcomes after surgery for LSS.
Journal ArticleDOI
X-stop versus decompressive surgery for lumbar neurogenic intermittent claudication: randomized controlled trial with 2-year follow-up.
Björn Strömqvist,Svante Berg,Paul Gerdhem,Ragnar Johnsson,Anders Pape Møller,Tage Sahlstrand,Ahmed M. Soliman,Tycho Tullberg +7 more
TL;DR: For spinal stenosis with neurogenic claudication, decompressive surgery as well as X- stop are appropriate procedures, however, with a higher number of reoperations in the X-Stop group.
References
More filters
Journal ArticleDOI
Informed Patient Choice: Patient-Centered Valuing Of Surgical Risks And Benefits
TL;DR: Using the example of musculoskeletal surgery with devices, the use of shared decision-making tools and processes known to improve knowledge, adjust unrealistic expectations, and elicit values about benefits desired and the degree of acceptable risks for individual patients is advocated.
Journal ArticleDOI
Partnership: doctor and patient: advocacy for informed choice vs. informed consent.
TL;DR: The formation of a genuine partnership between doctor and patient is not only an opportunity to forge better relationships with the authors' patients but can and most likely will lead to better and more efficient care with less variation.