The Maine Lumbar Spine Study, part I: Background and concepts

Robert B. Keller, Steven J. Atlas, Daniel E. Singer, Alice M. Chapin, Nancy A. Mooney, Donald L. Patrick, Richard (Rick) Deyo

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

Study Design. This paper describes the background and factors that led to the development and implementation of the Maine Lumbar Spine Study, a prospective cohort study of patients undergoing surgical and nonsurgical treatment of herniated lumbar disc with sciatica and symptomatic spinal stenosis. Objectives. To define the factors leading to the study and the methods of designing and implementing a community-based effectiveness study to evaluate the outcomes of herniated lumbar intervertebral disc and spinal stenosis. Summary of Background Data. Variations in the utilization of surgery for these conditions and physicians' uncertainty regarding the best way to manage them resulted in support of a community-based study of the effectiveness of treatment alternatives. Methods. A prospective cohort design was used. Methods of patient enrollment, data collection, management, and analysis are described. An innovative method of ascertaining the representativeness of the enrolled versus nonenrolled patient population is presented. Results. The importance of developing community-based networks of physicians is discussed. Conclusions. These networks play an important role in analyzing practice pattern variations and in stimulating and participating in effectiveness research. Because effectiveness studies must be conducted at the community level, mechanisms must be developed with which to support and implement these efforts.

Original languageEnglish (US)
Pages (from-to)1769-1776
Number of pages8
JournalSpine
Volume21
Issue number15
DOIs
StatePublished - Aug 1 1996
Externally publishedYes

Fingerprint

Spine
Spinal Stenosis
Community Networks
Physicians
Sciatica
Intervertebral Disc Displacement
Intervertebral Disc
Uncertainty
Cohort Studies
Prospective Studies
Research
Population
Therapeutics

Keywords

  • behavior change
  • cohort study
  • feedback
  • lumbar disc surgery
  • natural history
  • outcomes research
  • sciatica
  • small area variations
  • spinal stenosis

ASJC Scopus subject areas

  • Physiology
  • Clinical Neurology
  • Orthopedics and Sports Medicine

Cite this

Keller, R. B., Atlas, S. J., Singer, D. E., Chapin, A. M., Mooney, N. A., Patrick, D. L., & Deyo, R. R. (1996). The Maine Lumbar Spine Study, part I: Background and concepts. Spine, 21(15), 1769-1776. https://doi.org/10.1097/00007632-199608010-00010

The Maine Lumbar Spine Study, part I : Background and concepts. / Keller, Robert B.; Atlas, Steven J.; Singer, Daniel E.; Chapin, Alice M.; Mooney, Nancy A.; Patrick, Donald L.; Deyo, Richard (Rick).

In: Spine, Vol. 21, No. 15, 01.08.1996, p. 1769-1776.

Research output: Contribution to journalArticle

Keller, RB, Atlas, SJ, Singer, DE, Chapin, AM, Mooney, NA, Patrick, DL & Deyo, RR 1996, 'The Maine Lumbar Spine Study, part I: Background and concepts', Spine, vol. 21, no. 15, pp. 1769-1776. https://doi.org/10.1097/00007632-199608010-00010
Keller RB, Atlas SJ, Singer DE, Chapin AM, Mooney NA, Patrick DL et al. The Maine Lumbar Spine Study, part I: Background and concepts. Spine. 1996 Aug 1;21(15):1769-1776. https://doi.org/10.1097/00007632-199608010-00010
Keller, Robert B. ; Atlas, Steven J. ; Singer, Daniel E. ; Chapin, Alice M. ; Mooney, Nancy A. ; Patrick, Donald L. ; Deyo, Richard (Rick). / The Maine Lumbar Spine Study, part I : Background and concepts. In: Spine. 1996 ; Vol. 21, No. 15. pp. 1769-1776.
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