Application of outcomes research in occupational low back pain

The Maine Lumbar Spine study

Steven J. Atlas, Daniel E. Singer, Robert B. Keller, Donald L. Patrick, Richard (Rick) Deyo

Research output: Contribution to journalArticle

21 Citations (Scopus)

Abstract

Outcomes research presents an expansion of traditional clinical research to include issues of cost and quality of care in usual clinical practice, emphasizing outcomes that matter most to patients. In low back disorders, outcomes research has focused on the lack of reliable information to support much of clinical practice and has demonstrated marked variability in the treatment of these common problems. The Maine Lumbar Spine Study represents an example of an outcomes research study to investigate the treatment of patient with sciatica in usual clinical practice. Because low back symptoms are a frequent cause of occupational disability. Workers' compensation patients were explicitly oversampled. Baseline features were significantly different in those patients who were receiving Workers' Compensation versus those who were not. Efforts to compare outcomes by disability status need to control for these differences. Whereas most Workers' Compensation patients were still receiving disability compensation regardless of treatment at 6 months, patients who where treated surgically were more likely to have come off disability and returned to work than nonsurgically treated patients. Long-term follow-up is necessary to determine whether these differences persist.

Original languageEnglish (US)
Pages (from-to)584-589
Number of pages6
JournalAmerican Journal of Industrial Medicine
Volume29
Issue number6
DOIs
StatePublished - 1996
Externally publishedYes

Fingerprint

Low Back Pain
Spine
Outcome Assessment (Health Care)
Workers' Compensation
Sciatica
Quality of Health Care
Compensation and Redress
Therapeutics
Costs and Cost Analysis
Research

Keywords

  • cohort study
  • low back pain
  • lumbar disc surgery
  • natural history
  • occupational medicine
  • outcomes research
  • sciatica
  • workers' compensation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Application of outcomes research in occupational low back pain : The Maine Lumbar Spine study. / Atlas, Steven J.; Singer, Daniel E.; Keller, Robert B.; Patrick, Donald L.; Deyo, Richard (Rick).

In: American Journal of Industrial Medicine, Vol. 29, No. 6, 1996, p. 584-589.

Research output: Contribution to journalArticle

Atlas, Steven J. ; Singer, Daniel E. ; Keller, Robert B. ; Patrick, Donald L. ; Deyo, Richard (Rick). / Application of outcomes research in occupational low back pain : The Maine Lumbar Spine study. In: American Journal of Industrial Medicine. 1996 ; Vol. 29, No. 6. pp. 584-589.
@article{20092a09c5f64b0392b33ad29a9491c2,
title = "Application of outcomes research in occupational low back pain: The Maine Lumbar Spine study",
abstract = "Outcomes research presents an expansion of traditional clinical research to include issues of cost and quality of care in usual clinical practice, emphasizing outcomes that matter most to patients. In low back disorders, outcomes research has focused on the lack of reliable information to support much of clinical practice and has demonstrated marked variability in the treatment of these common problems. The Maine Lumbar Spine Study represents an example of an outcomes research study to investigate the treatment of patient with sciatica in usual clinical practice. Because low back symptoms are a frequent cause of occupational disability. Workers' compensation patients were explicitly oversampled. Baseline features were significantly different in those patients who were receiving Workers' Compensation versus those who were not. Efforts to compare outcomes by disability status need to control for these differences. Whereas most Workers' Compensation patients were still receiving disability compensation regardless of treatment at 6 months, patients who where treated surgically were more likely to have come off disability and returned to work than nonsurgically treated patients. Long-term follow-up is necessary to determine whether these differences persist.",
keywords = "cohort study, low back pain, lumbar disc surgery, natural history, occupational medicine, outcomes research, sciatica, workers' compensation",
author = "Atlas, {Steven J.} and Singer, {Daniel E.} and Keller, {Robert B.} and Patrick, {Donald L.} and Deyo, {Richard (Rick)}",
year = "1996",
doi = "10.1002/(SICI)1097-0274(199606)29:6<584::AID-AJIM2>3.0.CO;2-K",
language = "English (US)",
volume = "29",
pages = "584--589",
journal = "American Journal of Industrial Medicine",
issn = "0271-3586",
publisher = "Wiley-Liss Inc.",
number = "6",

}

TY - JOUR

T1 - Application of outcomes research in occupational low back pain

T2 - The Maine Lumbar Spine study

AU - Atlas, Steven J.

AU - Singer, Daniel E.

AU - Keller, Robert B.

AU - Patrick, Donald L.

AU - Deyo, Richard (Rick)

PY - 1996

Y1 - 1996

N2 - Outcomes research presents an expansion of traditional clinical research to include issues of cost and quality of care in usual clinical practice, emphasizing outcomes that matter most to patients. In low back disorders, outcomes research has focused on the lack of reliable information to support much of clinical practice and has demonstrated marked variability in the treatment of these common problems. The Maine Lumbar Spine Study represents an example of an outcomes research study to investigate the treatment of patient with sciatica in usual clinical practice. Because low back symptoms are a frequent cause of occupational disability. Workers' compensation patients were explicitly oversampled. Baseline features were significantly different in those patients who were receiving Workers' Compensation versus those who were not. Efforts to compare outcomes by disability status need to control for these differences. Whereas most Workers' Compensation patients were still receiving disability compensation regardless of treatment at 6 months, patients who where treated surgically were more likely to have come off disability and returned to work than nonsurgically treated patients. Long-term follow-up is necessary to determine whether these differences persist.

AB - Outcomes research presents an expansion of traditional clinical research to include issues of cost and quality of care in usual clinical practice, emphasizing outcomes that matter most to patients. In low back disorders, outcomes research has focused on the lack of reliable information to support much of clinical practice and has demonstrated marked variability in the treatment of these common problems. The Maine Lumbar Spine Study represents an example of an outcomes research study to investigate the treatment of patient with sciatica in usual clinical practice. Because low back symptoms are a frequent cause of occupational disability. Workers' compensation patients were explicitly oversampled. Baseline features were significantly different in those patients who were receiving Workers' Compensation versus those who were not. Efforts to compare outcomes by disability status need to control for these differences. Whereas most Workers' Compensation patients were still receiving disability compensation regardless of treatment at 6 months, patients who where treated surgically were more likely to have come off disability and returned to work than nonsurgically treated patients. Long-term follow-up is necessary to determine whether these differences persist.

KW - cohort study

KW - low back pain

KW - lumbar disc surgery

KW - natural history

KW - occupational medicine

KW - outcomes research

KW - sciatica

KW - workers' compensation

UR - http://www.scopus.com/inward/record.url?scp=0029954866&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029954866&partnerID=8YFLogxK

U2 - 10.1002/(SICI)1097-0274(199606)29:6<584::AID-AJIM2>3.0.CO;2-K

DO - 10.1002/(SICI)1097-0274(199606)29:6<584::AID-AJIM2>3.0.CO;2-K

M3 - Article

VL - 29

SP - 584

EP - 589

JO - American Journal of Industrial Medicine

JF - American Journal of Industrial Medicine

SN - 0271-3586

IS - 6

ER -