Paper Search Console

Home Search Page About Contact

Journal Title

Title of Journal: Eur Spine J

Search In Journal Title:

Abbravation: European Spine Journal

Search In Journal Abbravation:

Publisher

Springer-Verlag

Search In Publisher:

DOI

10.1007/s00253-013-5032-5

Search In DOI:

ISSN

1432-0932

Search In ISSN:
Search In Title Of Papers:

What is an acceptable outcome of treatment before

Authors: Henrik Hein Lauridsen Claus Manniche Lars Korsholm Niels GrunnetNilsson Jan Hartvigsen
Publish Date: 2009/06/23
Volume: 18, Issue: 12, Pages: 1858-
PDF Link

Abstract

Understanding changes in patientreported outcomes is indispensable for interpretation of results from clinical studies As a consequence the term “minimal clinically important difference” MCID was coined in the late 1980s to ease classification of patients into improved not changed or deteriorated Several methodological categories have been developed determining the MCID however all are subject to weaknesses or biases reducing the validity of the reported MCID The objective of this study was to determine the reproducibility and validity of a novel method for estimating low back pain LBP patients’ view of an acceptable change MCIDpre before treatment begins Onehundred and fortyseven patients with chronic LBP were recruited from an outpatient hospital back pain unit and followed over an 8week period Original and modified versions of the Oswestry disability index ODI Bournemouth questionnaire BQ and numeric pain rating scale NRSpain were filled in at baseline The modified questionnaires determined what the patient considered an acceptable posttreatment outcome which allowed us to calculate the MCIDpre Concurrent comparisons between the MCIDpre instrument measurement error and a retrospective approach of establishing the minimal clinically important difference MCIDpost were made The results showed the prospective acceptable outcome method scores to have acceptable reproducibility outside measurement error MCIDpre was 45 larger for the ODI and 15 times larger for BQ and NRSpain compared to the MCIDpost Furthermore MCIDpre and patients posttreatment acceptable change was almost equal for the NRSpain but not for the ODI and BQ In conclusion chronic LBP patients have a reasonably realistic idea of an acceptable change in pain but probably an overly optimistic view of changes in functional and psychological/affective domains before treatment beginsWe thank Jytte Johannesen and Ida Bhanderi for administering the questionnaires Furthermore we would like to thank the management and staff at Backcenter Funen for their enthusiastic participation in the project A special thanks to the seven chiropractic clinics for their involvement in recruiting patients for the study The study was supported by the Foundation of Chiropractic Research and Postgraduate Education The Faculty of Health Science at the University of Southern Denmark and The European Chiropractic Union

Keywords:

References

.
Search In Abstract Of Papers:
Other Papers In This Journal:
  1. Intraoperative spine ultrasound: application and benefits
  2. Left iliac artery injury during anterior lumbar spine surgery diagnosed by intraoperative neurophysiological monitoring
  3. Hypervascular cervical spine metastases: embolization by direct injection of Onyx-18
  4. Minimally invasive resection of extradural dumbbell tumors of thoracic spine: surgical techniques and literature review
  5. Anterior cervical fusion with interbody cage containing β-tricalcium phosphate augmented with plate fixation: a prospective randomized study with 2-year follow-up
  6. Removal of discal cyst using percutaneous working channel endoscope via transforaminal route
  7. Driving reaction time before and after surgery for lumbar disc herniation in patients with radiculopathy
  8. Thoracolumbar intramedullary subependymoma with multiple cystic formation: a case report and review
  9. Intrapiriformis lipoma: an unusual cause of piriformis syndrome
  10. Piriformis syndrome after percutaneous endoscopic lumbar discectomy via the posterolateral approach
  11. Application triangular osteosynthesis for vertical unstable sacral fractures
  12. The application of zero-profile anchored spacer in anterior cervical discectomy and fusion
  13. The Michel Benoist and Robert Mulholland yearly European Spine Journal Review: a survey of the “surgical research” articles in the European Spine Journal 2014
  14. The ipsilateral lamina–pedicle angle: can it be used to guide pedicle screw placement in the sub-axial cervical spine?
  15. Predictors for surgical complications of en bloc resections in the spine: review of 220 cases treated by the same team
  16. Skipped versus consecutive pedicle screw constructs for correction of Lenke 1 curves
  17. Cervical spondylotic myelopathy: the relevance of the spinal cord back shift after posterior multilevel decompression. A systematic review
  18. A biomechanical analysis of the self-retaining pedicle hook device in posterior spinal fixation
  19. Nonoperative treatment of active spondylolysis in elite athletes with normal X-ray findings: literature review and results of conservative treatment
  20. Lumbar spinal stenosis treatment with aperius perclid interspinous system
  21. Validity and responsiveness of the Core Outcome Measures Index (COMI) for the neck
  22. Quantitative analysis of sensory functions after lumbar discectomy using current perception threshold testing
  23. The effect of pre-vertebroplasty tumor ablation using laser-induced thermotherapy on biomechanical stability and cement fill in the metastatic spine
  24. Efficacy of antifibrinolytic agents on surgical bleeding and transfusion requirements in spine surgery: a meta-analysis
  25. Correction of pelvic obliquity in neuromuscular spinal deformities using the “T construct”: results and complications in a prospective series of 60 patients
  26. Sagittal deformities of the spine: factors influencing the outcomes and complications
  27. Simple prediction method of lumbar lordosis for planning of lumbar corrective surgery: radiological analysis in a Korean population
  28. The 100 most cited spine articles
  29. Expert’s comment concerning Grand Rounds case entitled “Minimal access bilateral transforaminal lumbar interbody fusion for high-grade isthmic spondylolisthesis” (by Nasir A. Quraishi and Y. Raja Rampersaud; doi:10.1007/s00586-012-2623-2)
  30. Publication rates: is more better?
  31. The influence of adjacent level disc disease on discectomy outcomes
  32. Letter to the Editor concerning “Efficacy of exercise therapy for the treatment of adolescent idiopathic scoliosis: a review of the literature” by Mordecai SC and Dabke HV (2012) Eur Spine J 21:382–389
  33. Management of neck pain and associated disorders: A clinical practice guideline from the Ontario Protocol for Traffic Injury Management (OPTIMa) Collaboration
  34. Comparison of single-level L4–L5 versus L5–S1 lumbar disc replacement: results and prognostic factors
  35. Nucleus disc arthroplasty with the NUBAC™ device: 2-year clinical experience
  36. Perioperative and short-term advantages of mini-open approach for lumbar spinal fusion
  37. Minimally-invasive technique for transforaminal lumbar interbody fusion (TLIF)
  38. What is the preclinical evidence on platelet rich plasma and intervertebral disc degeneration?
  39. Pulsed radiofrequency effects on the lumbar ganglion of the rat dorsal root: a morphological light and transmission electron microscopy study at acute stage
  40. A large tuberculosis abscess causing spinal cord compression of the cervico-thoracic region in a young child
  41. The influence of preoperative MRI findings on lumbar fusion clinical outcomes
  42. The clinical presentation of chronic whiplash and the relationship to findings of MRI fatty infiltrates in the cervical extensor musculature: a preliminary investigation
  43. The lumbar vertebral disc
  44. Effect of a novel interspinous implant on lumbar spinal range of motion
  45. Incidence of vascular complications during lateral lumbar interbody fusion: an examination of the mini-open access technique
  46. Long-term management of congenital lordoscoliosis of the thoracic spine
  47. Association between pain sensitivity in the hand and outcomes after surgery in patients with lumbar disc herniation or spinal stenosis
  48. The feasibility of inserting a C1 pedicle screw in patients with ponticulus posticus: a retrospective analysis of eleven patients
  49. Sagittal geometry of the middle and lower cervical endplates
  50. Glucocorticosteroid-induced spinal osteoporosis: scientific update on pathophysiology and treatment
  51. Accumulation of psychosocial and lifestyle factors and risk of low back pain in adolescence: a cohort study
  52. A European spine registry
  53. Evaluation of corticospinal excitability in cervical myelopathy, before and after surgery, with transcranial magnetic stimulation: a pilot study
  54. Trends analysis of rhBMP utilization in single-level posterior lumbar fusion (PLF) in the United States
  55. Safety of fluoroscopy guided percutaneous access to the thoracic spine
  56. Interest of T1 parameters for sagittal alignment evaluation of adolescent idiopathic scoliosis patients
  57. Responsiveness of the Oswestry Disability Index and the Roland Morris Disability Questionnaire in Italian subjects with sub-acute and chronic low back pain
  58. Comment on Guo et al. entitled “A prospective randomized controlled study on the treatment outcome of SpineCor brace versus rigid brace for adolescent idiopathic scoliosis with follow-up according to the SRS standardized criteria”
  59. Comparison of different operative modalities in post-traumatic syringomyelia: preliminary report
  60. Letter to the Editor concerning “Biomechanical evaluation of the Facet Wedge: a refined technique for facet fixation” by Hartensuer R. et al.; Eur Spine J (2014) 23:2321–2329
  61. AIS and spondylolisthesis
  62. Biomechanical in vitro comparison of different mono- and bisegmental anterior procedures with regard to the strategy for fracture stabilisation using minimally invasive techniques
  63. Combined intra-extracanal approach to lumbosacral disc herniations with bi-radicular involvement. Technical considerations from a surgical series of 15 cases
  64. Compliance of the L5-S1 spinal unit: a comparative study between an unconstrained and a partially constrained system
  65. Growing trend of China’s contribution to the field of spine: a 10-year survey of the literature
  66. Gender differences as an influence on patients’ satisfaction rates in spinal surgery of elderly patients
  67. Redundant nerve roots of the cauda equina in lumbar spinal canal stenosis, an MR study on 500 cases
  68. Vertebral, rib, and intraspinal anomalies in congenital scoliosis: a study on 202 Caucasians
  69. Analysis of squat and stoop dynamic liftings: muscle forces and internal spinal loads
  70. Evaluation of health-related quality of life in patients candidate for spine and other musculoskeletal surgery
  71. Percutaneous posterior-lateral lumbar interbody fusion for degenerative disc disease using a B-Twin expandable spinal spacer
  72. Effects of unisegmental disc compression on adjacent segments: an in vivo animal model
  73. Therapeutic options and results following fixed atlantoaxial rotatory dislocations
  74. Yoga and disc degenerative disease in cervical and lumbar spine: an MR imaging-based case control study
  75. Molecular phenotypes of notochordal cells purified from immature nucleus pulposus
  76. Multifidus muscle changes and clinical effects of one-level posterior lumbar interbody fusion: minimally invasive procedure versus conventional open approach
  77. De novo degenerative lumbar scoliosis: a systematic review of prognostic factors for curve progression
  78. Cross-cultural adaptation and validation of the NASS outcomes instrument in Spanish patients with low back pain
  79. Intramedullary hemangioblastomas: timing of surgery, microsurgical technique and follow-up in 23 patients
  80. Kyphectomy in myelomeningocele with a modified Dunn-McCarthy technique followed by an anterior inlayed strut graft
  81. Recovery of severe motor deficit secondary to herniated lumbar disc prolapse: is surgical intervention important? A systematic review
  82. New concept for backache: biopsychosocial pain syndrome
  83. Does type 2 diabetes mellitus promote intervertebral disc degeneration?
  84. Anatomy of large animal spines and its comparison to the human spine: a systematic review
  85. The Michel Benoist and Robert Mulholland yearly European Spine Journal Review
  86. Answer to the Letter to the Editor of T.A. Mattei concerning “Far lateral approaches (XLIF) in adult scoliosis” by P. Berjano and C. Lamartina (Eur Spine J. 2012 Jul 27. [Epub ahead of print])
  87. Preoperative transarterial embolization of vertebral metastases
  88. Neurological impairment score in lumbar spinal stenosis
  89. Spinal angiolipoma: etiology, imaging findings, classification, treatment, and prognosis
  90. Time of transition
  91. Antidepressants and the risk of abnormal bleeding during spinal surgery: a case–control study
  92. Neurological impairment score in lumbar spinal stenosis
  93. Efficacy of intraoperative direct electrical stimulation of the spinal root and measurement of distal motor latency in lumbar spinal stenosis
  94. Rupture of the spleen following thoracoscopic spine surgery in a patient with chronic pancreatitis
  95. Early changes in pulmonary function following thoracotomy for scoliosis correction: the effect of size of incision
Search Result: