Can patient-reported profiles avoid unnecessary referral to a spine surgeon? An observational study to further develop the Nijmegen Decision Tool for Chronic Low Back Pain.

ABSTRACT:

Introduction

Chronic Low Back Pain (CLBP) is a heterogeneous condition with lack of diagnostic clarity. Therapeutic interventions show small effects. To improve outcomes by targeting interventions it is recommended to develop a triage system to surgical and non-surgical treatments based on treatment outcomes. The objective of the current study was to develop and internally validate prognostic models based on pre-treatment patient-reported profiles that identify patients who either respond or do not respond to two frequently performed treatments (lumbar spine surgery and multidisciplinary pain management program).

Methods

A consecutive cohort study in a secondary referral spine center was performed. The study followed the recommendations of the PROGRESS framework and was regi

SUBMITTER: van Hooff ML 

PROVIDER: S-EPMC6145570 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature