Study Protocol

The Back pain Outcomes using Longitudinal Data (BOLD) Registry

Jeffrey G. Jarvik, Bryan A. Comstock, Brian W. Bresnahan, Srdjan S. Nedeljkovic, David R. Nerenz, Zoya Bauer, Andrew L. Avins, Kathryn James, Judith A. Turner, Patrick Heagerty, Larry Kessler, Janna L. Friedly, Sean D. Sullivan, Richard (Rick) Deyo

Research output: Contribution to journalArticle

25 Citations (Scopus)

Abstract

Background: Back pain is one of the most important causes of functional limitation, disability, and utilization of health care resources for adults of all ages, but especially among older adults. Despite the high prevalence of back pain in this population, important questions remain unanswered regarding the comparative effectiveness of commonly used diagnostic tests and treatments in the elderly. The overall goal of the Back pain Outcomes using Longitudinal Data (BOLD) project is to establish a rich, sustainable registry to describe the natural history and evaluate prospectively the effectiveness, safety, and cost-effectiveness of interventions for patients 65 and older with back pain. Methods: BOLD is enrolling 5,000 patients >= 65 years old who present to a primary care physician with a new episode of back pain. We are recruiting study participants from three integrated health systems (Kaiser-Permanente Northern California, Henry Ford Health System in Detroit and Harvard Vanguard Medical Associates/ Harvard Pilgrim Health Care in Boston). Registry patients complete validated, standardized measures of pain, back pain-related disability, and health-related quality of life at enrollment and 3, 6 and 12 months later. We also have available for analysis the clinical and administrative data in the participating health systems' electronic medical records. Using registry data, we will conduct an observational cohort study of early imaging compared to no early imaging among patients with new episodes of back pain. The aims are to: 1) identify predictors of early imaging and; 2) compare pain, functional outcomes, diagnostic testing and treatment utilization of patients who receive early imaging versus patients who do not receive early imaging. In terms of predictors, we will examine patient factors as well as physician factors. Discussion: By establishing the BOLD registry, we are creating a resource that contains patient-reported outcome measures as well as electronic medical record data for elderly patients with back pain. The richness of our data will allow better matching for comparative effectiveness studies than is currently possible with existing datasets. BOLD will enrich the existing knowledge base regarding back pain in the elderly to help clinicians and patients make informed, evidence-based decisions regarding their care.

Original languageEnglish (US)
Pages (from-to)64
Number of pages1
JournalBMC Musculoskeletal Disorders
DOIs
StateAccepted/In press - May 3 2012
Externally publishedYes

Fingerprint

Back Pain
Registries
Electronic Health Records
Health
Pain
Knowledge Bases
Health Resources
Primary Care Physicians
Natural History
Routine Diagnostic Tests
Cost-Benefit Analysis
Observational Studies
Cohort Studies
Quality of Life
Delivery of Health Care
Physicians
Safety

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Rheumatology

Cite this

Jarvik, J. G., Comstock, B. A., Bresnahan, B. W., Nedeljkovic, S. S., Nerenz, D. R., Bauer, Z., ... Deyo, R. R. (Accepted/In press). Study Protocol: The Back pain Outcomes using Longitudinal Data (BOLD) Registry. BMC Musculoskeletal Disorders, 64. https://doi.org/10.1186/1471-2474-13-64

Study Protocol : The Back pain Outcomes using Longitudinal Data (BOLD) Registry. / Jarvik, Jeffrey G.; Comstock, Bryan A.; Bresnahan, Brian W.; Nedeljkovic, Srdjan S.; Nerenz, David R.; Bauer, Zoya; Avins, Andrew L.; James, Kathryn; Turner, Judith A.; Heagerty, Patrick; Kessler, Larry; Friedly, Janna L.; Sullivan, Sean D.; Deyo, Richard (Rick).

In: BMC Musculoskeletal Disorders, 03.05.2012, p. 64.

Research output: Contribution to journalArticle

Jarvik, JG, Comstock, BA, Bresnahan, BW, Nedeljkovic, SS, Nerenz, DR, Bauer, Z, Avins, AL, James, K, Turner, JA, Heagerty, P, Kessler, L, Friedly, JL, Sullivan, SD & Deyo, RR 2012, 'Study Protocol: The Back pain Outcomes using Longitudinal Data (BOLD) Registry', BMC Musculoskeletal Disorders, pp. 64. https://doi.org/10.1186/1471-2474-13-64
Jarvik JG, Comstock BA, Bresnahan BW, Nedeljkovic SS, Nerenz DR, Bauer Z et al. Study Protocol: The Back pain Outcomes using Longitudinal Data (BOLD) Registry. BMC Musculoskeletal Disorders. 2012 May 3;64. https://doi.org/10.1186/1471-2474-13-64
Jarvik, Jeffrey G. ; Comstock, Bryan A. ; Bresnahan, Brian W. ; Nedeljkovic, Srdjan S. ; Nerenz, David R. ; Bauer, Zoya ; Avins, Andrew L. ; James, Kathryn ; Turner, Judith A. ; Heagerty, Patrick ; Kessler, Larry ; Friedly, Janna L. ; Sullivan, Sean D. ; Deyo, Richard (Rick). / Study Protocol : The Back pain Outcomes using Longitudinal Data (BOLD) Registry. In: BMC Musculoskeletal Disorders. 2012 ; pp. 64.
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