Study Protocol on Chronic Low Back Pain Treatment
Author Information
Author(s): Melloh Markus, Röder Christoph, Elfering Achim, Theis Jean-Claude, Müller Urs, Staub Lukas P, Aghayev Emin, Zweig Thomas, Barz Thomas, Kohlmann Thomas, Wieser Simon, Jüni Peter, Zwahlen Marcel
Primary Institution: MEM Research Center for Orthopaedic Surgery, University of Berne
Hypothesis
Differences across health care systems result in different treatment outcomes of surgical and conservative treatment of chronic low back pain.
Conclusion
This study will provide evidence if differences across health care systems in the outcome of treatment of chronic low back pain exist.
Supporting Evidence
- Previous studies show conflicting results on the effectiveness of surgical versus conservative treatment for chronic low back pain.
- Cost-utility analyses have displayed inconsistent results when comparing surgical and conservative treatment.
- At least six randomized controlled trials have been performed comparing these two options.
Takeaway
The study is trying to find out if different countries treat back pain differently and if that affects how well patients do.
Methodology
A prospective observational cohort study will recruit patients from orthopaedic spine units, rehabilitation centres, and pain clinics in Switzerland and New Zealand, measuring effectiveness with the Oswestry Disability Index at baseline and after six months.
Potential Biases
Potential biases may arise from the non-randomized nature of the study and patient selection.
Limitations
The study may have limitations in generalizability due to the observational design and potential treatment crossover.
Participant Demographics
Patients aged 18-65 years with chronic low back pain lasting at least three months, with a good understanding of German or English.
Statistical Information
P-Value
p<0.05
Digital Object Identifier (DOI)
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