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EFFECTIVENESS OF TREATMENT STRATEGIES FOR LOW BACK PAIN

腰痛治疗策略的有效性

基本信息

批准号：
2460249
负责人：
RICHARD A DEYO
金额：
$ 58.1万
依托单位：
UNIVERSITY OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
1994
资助国家：
美国
起止时间：
1994-08-01 至 1999-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/2460249
关键词：
backache clinical trials functional ability health care policy health care service evaluation human data human subject human therapy evaluation injection /infusion longitudinal human study managed care outcomes research primary care physician sciatica self care spinal fusion spine disorder surgery

项目摘要

This proposal is intended to build on and extend the work of the low back pain Patient Outcome Research Team (PORT). It is intended to provide more definitive information for refining and implementing clinical guidelines about lumbar spine surgery and its alternatives. This project will be based in the Department of Health Services at the University of Washington, with extensive involvement by the School of Medicine, the Group Health Cooperative of Puget Sound, and the Maine Medical Assessment Foundation. Specific aims of the project are: (1) for patients with sciatica or spinal stenosis, to compare long-term functional and work- related outcomes of alternative surgical and nonsurgical treatments; and (2) to assess the impact of back pain guidelines and health care reform efforts on regional and national trends in back surgery rates, reoperation rates, fusion rates, and nonsurgical hospitalization rates. To accomplish these aims, we propose continued long-term follow-up of over 600 surgically and nonsurgically treated patients in the ongoing Maine community-based cohort study. Also, we propose to analyze annually updated data from Washington State's hospital discharge registry, the National Hospital Discharge Survey, and Medicare claims, to assess responses to PORT-related activities, new guidelines, and state and national health care reform efforts. These analyses will employ validated analytic methods for case selection and comorbidity adjustment developed by the PORT, and can be accomplished relatively efficiently and inexpensively.

该提案旨在建立并扩展腰背部的工作疼痛患者结果研究小组（PORT）。其目的是提供用于完善和实施临床的更明确的信息有关腰椎手术及其替代方案的指南。这个项目将设在大学卫生服务部华盛顿，在医学院的广泛参与下，普吉特湾团体健康合作社和缅因州医疗评估基础。该项目的具体目标是：（1）针对患有以下疾病的患者：坐骨神经痛或椎管狭窄，以比较长期功能和工作- 替代手术和非手术治疗的相关结果；和 (2) 评估背痛指南和医疗改革的影响努力研究背部手术率的区域和国家趋势，再手术率、融合率和非手术住院率。为了实现这些目标，我们建议继续长期跟踪超过 600 名接受手术和非手术治疗的患者正在接受治疗缅因州基于社区的队列研究。此外，我们建议每年进行分析华盛顿州出院登记处的最新数据国家医院出院调查和医疗保险索赔，以评估对 PORT 相关活动、新指南以及国家和国家医疗改革努力。这些分析将采用用于病例选择和合并症调整的经过验证的分析方法由港口开发，可以相对有效地完成价格便宜。

项目成果

期刊论文数量（46）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

The practice of acupuncture: Who are the providers and what do they do?

DOI：
10.1370/afm.248
发表时间：
2005-03-01
期刊：
ANNALS OF FAMILY MEDICINE
影响因子：
4.4
作者：
Sherman, KJ;Cherkin, DC;Deyo, RA
通讯作者：
Deyo, RA

Cost-effectiveness of primary care.

初级保健的成本效益。

DOI：
10.3122/jabfm.13.1.47
发表时间：
2000
期刊：
The Journal of the American Board of Family Practice
影响因子：
0
作者：
Deyo,RA
通讯作者：
Deyo,RA

A method for describing and evaluating naturopathic whole practice.

一种描述和评估自然疗法整体实践的方法。

DOI：
发表时间：
2006
期刊：
Alternative therapies in health and medicine
影响因子：
1.5
作者：
Herman,PatriciaM;Sherman,KarenJ;Erro,JanetH;Cherkin,DanielC;Milliman,Bruce;Adams,LizbethA
通讯作者：
Adams,LizbethA

Assessment of functional status, low back disability, and use of diagnostic imaging in patients with low back pain and radiating leg pain.

评估腰痛和放射腿痛患者的功能状态、腰部残疾以及诊断成像的使用。