Abstract:
STUDY DESIGN:Survey, subgroup analysis, Q-analysis, and analysis of e-mail exchanges. OBJECTIVE:To assess what influences the choice of priorities for interventions to prevent back-related disability. SUMMARY OF BACKGROUND DATA:Back-related disability results from interaction of physical, psychological, occupational, and social factors. However, opinions differ on which factors should be targeted by interventions aimed at preventing disability. METHODS:A Delphi panel (14 researchers and 19 occupational health stakeholders) attempted to reach consensus about the relative impact and modifiability of 32 factors involved in back-related disability. Data gathered during the panel were analyzed using 4 methods: (1) a survey asking panel members what influenced their rankings, (2) subgroup analysis to compare differences in rankings according to members' backgrounds and affiliations, (3) Q-analysis to identify views shared by members, and (4) qualitative analysis of e-mail exchanges during the panel process. RESULTS:Besides research evidence about a factor, we found that the greatest influence was the personal experience of panel members, which included diverse views about the nature of back disability, expectations about how interventions would be implemented, the typical workers or patients seen by them, and their values and principles. The member's educational background and current affiliation played a lesser role in their choice of priorities. The choice of priorities was also influenced by difficulties in separating the impact of a factor from its modifiability, whether the panel member considered occupational or nonoccupational disability, and the intricate linkages between the factors. CONCLUSIONS:This study suggests the choice of priorities is primarily influenced by different views about disability and other components of personal experience. Secondary influences included process difficulties in making a choice. The person's background and affiliation had a weak association with the views and choice of priorities.
journal_name
Spine (Phila Pa 1976)journal_title
Spineauthors
Guzman J,Jones D,Cassidy JD,Furlan AD,Loisel P,Frank JWdoi
10.1097/01.brs.0000261035.62523.37subject
Has Abstractpub_date
2007-04-20 00:00:00pages
E281-9issue
9eissn
0362-2436issn
1528-1159pii
00007632-200704200-00021journal_volume
32pub_type
杂志文章相关文献
SPINE文献大全abstract:STUDY DESIGN:Prospective study with follow-up by a postal questionnaire to 6626 men nearly 40 years of age who had been examined for the first time at the age of 18. OBJECTIVES:To study the predictability of frequent musculoskeletal problems, health, lifestyle, and work situation from the examination 20 years earlier....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200012010-00016
更新日期:2000-12-01 00:00:00
abstract:STUDY DESIGN:Multicenter, retrospective study. OBJECTIVE:To compare the outcomes of three surgical treatments for congenital spinal deformity due to a hemivertebra. SUMMARY OF BACKGROUND DATA:Congenital anomalies of the spine can cause significant and progressive scoliosis and kyphosis. Their management may be challe...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/BRS.0b013e318233f4bb
更新日期:2011-11-15 00:00:00
abstract:STUDY DESIGN:A retrospective multicenter study. OBJECTIVE:To investigate the relationship between the lowest instrumented, stable, and lower end vertebrae in patients with "single overhang" thoracic (main thoracic) curves treated with anterior or posterior spinal fusion. SUMMARY OF BACKGROUND DATA:Previous studies ha...
journal_title:Spine
pub_type: 杂志文章,多中心研究
doi:10.1097/01.brs.0000232799.19179.79
更新日期:2006-09-01 00:00:00
abstract:STUDY DESIGN:A biomechanical study using multidirectional flexibility testing in a human cadaveric cervical spine model of a flexion-distraction injury. OBJECTIVES:To compare the immediate postoperative stabilizing effect of dynamic and rigid anterior cervical plates and to assess the confounding effects of bone miner...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000152154.57171.92
更新日期:2005-02-01 00:00:00
abstract:STUDY DESIGN:A retrospective assessment of coronal, sagittal, and axial correction using convex lumbar pedicle screw constructs compared with hook constructs in patients with idiopathic scoliosis. OBJECTIVE:To determine if pedicle screw constructs can improve coronal, sagittal, and axial correction without increased c...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199605150-00020
更新日期:1996-05-15 00:00:00
abstract:STUDY DESIGN:Linear and angular measurements were performed on 128 vertebrae (16 spines) from C5 to T5. OBJECTIVES:Vertebrae were studied to characterize vertebral shape and size changes in the cervico-thoracic region. SUMMARY OF BACKGROUND DATA:Analysis of vertebral anatomy has been extensive and well characterized....
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199409150-00014
更新日期:1994-09-15 00:00:00
abstract:STUDY DESIGN:Case report. OBJECTIVE:We report the unusual case of a patient who was referred to our institution after she sustained an intraoperative injury to the common iliac vein during posterior lumbar discectomy at L5-S1 with a pituitary rongeur. There was only minimal bleeding with spontaneous hemostasis and no ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181d85bec
更新日期:2010-08-01 00:00:00
abstract::The authors observed six cases of chylothorax of 2,000 operations for spinal deformities performed in the past 5 years: in one case of VDS, two Harrington operations, and three anterior strut graft operations. Chylothorax resulted from direct injury to the lymphatic system in four cases of anterior spinal surgery. One...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198610000-00018
更新日期:1986-10-01 00:00:00
abstract:STUDY DESIGN:Porcine lumbar spine specimens were cyclically loaded in flexion and extension with a pure moment. The resistance to flexion and extension of the individual spinal elements was quantified using a sequential resection procedure. OBJECTIVE:To determine the biomechanical contribution of the individual poster...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200406010-00010
更新日期:2004-06-01 00:00:00
abstract:STUDY DESIGN:Prospective inception cohort study. OBJECTIVE:To investigate prospectively whether pain-related fear predicts future perceived disability and participation in patients with acute low back pain (LBP). SUMMARY OF BACKGROUND DATA:There are indications that fear of movement/(re)injury, as measured by the Tam...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000203709.65384.9d
更新日期:2006-03-15 00:00:00
abstract:STUDY DESIGN:This is a case report. OBJECTIVE:The purpose was to report a patient whose migrated L4-S1 femur graft led to perforation of the cecum. SUMMARY OF BACKGROUND DATA:Autograft bone use during spinal surgery is quite commonplace nowadays. With time due to infection, technical mishaps, or disease recurrence, t...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181bb1bf2
更新日期:2010-02-01 00:00:00
abstract::Double level compression of nerve roots has been known to exist for a long time, but only in recent years the clinical significance of such conditions has been discussed. In the current study, nerve root function in double level compression was analyzed by measurements of tail muscle electromyogram, after stimulations...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199209000-00011
更新日期:1992-09-01 00:00:00
abstract:STUDY DESIGN:Intertransverse process spinal fusion using recombinant human bone morphogenetic protein-7 (rhBMP-7) was performed in intact and ovariectomized female rats. OBJECTIVES:To examine fusion rates in intact and ovariectomized female rats using rhBMP-7 to determine if spine fusion is dependent on estrogen statu...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000172230.01655.55
更新日期:2005-08-01 00:00:00
abstract:STUDY DESIGN:A retrospective study that involved a total of 82 adult deformity patients who underwent spinal fusion surgery with instrumentation of 6 or more levels. OBJECTIVE:The purpose of this study is to assess the efficacy and safety of aprotinin in reducing blood loss in adult spinal deformity patients. SUMMARY...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e31817b87c4
更新日期:2008-07-15 00:00:00
abstract:STUDY DESIGN:Randomized laboratory cadaver study. OBJECTIVE:The objective of this study was to determine the accuracy of anterior transpedicular screw placement in the cervical spine using conventional fluoroscopy versus computer-assisted navigation. SUMMARY OF BACKGROUND DATA:Traditionally, global cervical instabili...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000786
更新日期:2015-04-01 00:00:00
abstract::A total of 625 patients who sustained acute cervical spine fractures were evaluated by the Spinal Cord Injury Service at Barrow Neurological Institute, Phoenix, Arizona, between January 1976 and January 1984. Of them, 107 had fractures of the second cervical vertebra. In a retrospective review, motor vehicle accidents...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198611000-00002
更新日期:1986-11-01 00:00:00
abstract::The Perdriolle torsionmeter assesses vertebral rotation on a spinal radiograph. It is frequently used to measure improvement in spinal derotation following Cotrel-Dubousset instrumentation for scoliosis. In this study, intraobserver and interobserver measurement error was examined during use of the torsionmeter. Intra...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199205000-00008
更新日期:1992-05-01 00:00:00
abstract::Two groups of surgically treated patients with degenerative spondylolisthesis were compared. Those who had decompression accompanied by fusion had more favorable outcomes than those treated with decompression alone. ...
journal_title:Spine
pub_type: 杂志文章
doi:
更新日期:1985-04-01 00:00:00
abstract:STUDY DESIGN:A prospective study of 50 patients who underwent posterior thoracic or thoracolumbar instrumented spinal surgery from June 1998 through June 1999. OBJECTIVES:To highlight the advantages and disadvantages of neurogenic mixed evoked potential (NMEP) data obtained with three methods of stimulation: epidural,...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-200009150-00016
更新日期:2000-09-15 00:00:00
abstract:SUMMARY OF BACKGROUND DATA:Although high geographic variation in back surgery rates within the United States have been documented, international comparisons have not been published. METHODS:The authors compared rates of back surgery in eleven developed countries to determine if back surgery rates are higher: 1) in the...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199405310-00001
更新日期:1994-06-01 00:00:00
abstract:STUDY DESIGN:Cross-sectional, community-based study. OBJECTIVE:To investigate the relationships between obesity, disc height, and low back pain in the lumbosacral spine. SUMMARY OF BACKGROUND DATA:Although obesity is a recognized risk factor for low back pain, our understanding of the mechanisms for this is limited. ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0000000000000411
更新日期:2014-07-15 00:00:00
abstract:STUDY DESIGN:A prospective, randomized clinical study comparing beta-tricalcium phosphate (beta-TCP) with autograft bone graft with follow-up of 3 years. OBJECTIVE:To determine the efficacy of beta-TCP as a bone graft substitute combined with local autograft obtained from decompression compared with the use of autolog...
journal_title:Spine
pub_type: 杂志文章,随机对照试验
doi:10.1097/BRS.0b013e3181732a8e
更新日期:2008-05-20 00:00:00
abstract:STUDY DESIGN:The Low Back Pain Symptom Check List identifies psychological disturbance in patients with low back pain. This report traces the development of a translation for Hispanic populations. OBJECTIVE:The study explores the reliability and assesses the equivalence of the translation in providing pain and psychol...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199405000-00009
更新日期:1994-05-01 00:00:00
abstract:STUDY DESIGN:A cross-sectional study comparing normal subjects and patients with lumbar disc herniation (LDH) with sciatica. OBJECTIVE:To simultaneously measure the isokinetic muscle strength of the trunk, knees, and ankles in both groups. SUMMARY OF BACKGROUND DATA:Coordination between the trunk and lower extremity ...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e3181d12642
更新日期:2010-12-15 00:00:00
abstract::The aim of this study is to demonstrate an effective method of testing using the Sixteen Personality Factor Questionnaire (16 PF) along with the Minnesota Multiphasic Personality Inventory (MMPI) to predict outcome criteria in a spinal pain clinic. Using an objective system of criteria for patient achievement, includi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198203000-00012
更新日期:1982-03-01 00:00:00
abstract:STUDY DESIGN:This study retrospectively, reviewed the effects of pedicle screw fixation on lumbosacral fusion for degenerative conditions. The records and radiographs of a group of patients treated by wide decompression and fusion of the lumbosacral spine and by one surgeon were studied. Two treatment groups were ident...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-199509150-00014
更新日期:1995-09-15 00:00:00
abstract:STUDY DESIGN:A cross-sectional survey among adolescents aged 15-16 years. OBJECTIVE:To evaluate whether physical activity or sedentary activities associate with neck and shoulder symptoms among adolescents. SUMMARY OF BACKGROUND DATA:Findings of associations between physical exercise and neck or shoulder pain in adol...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/01.brs.0000261349.94823.c1
更新日期:2007-04-20 00:00:00
abstract::An analysis of indications, techniques, results of stabilization and decompression of 100 consecutive spinal tumour cases was carried out. Localized metastatic disease is best operated anteriorly. Primary malignancies are best treated with en bloc resection. Pain relief in metastatic disease is achieved by rigid stabi...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/00007632-198803000-00006
更新日期:1988-03-01 00:00:00
abstract:STUDY DESIGN:Prospective longitudinal study. OBJECTIVE.: To investigate, using magnetic resonance imaging (MRI), the influence of bed rest on the lumbopelvic musculature. SUMMARY OF BACKGROUND DATA:Reduced gravitational loading and inactivity (bed rest) are known to result in significant change in musculoskeletal func...
journal_title:Spine
pub_type: 杂志文章
doi:10.1097/BRS.0b013e318074c386
更新日期:2007-07-01 00:00:00
abstract:STUDY DESIGN:Systematic review. OBJECTIVE:To perform a systematic review of the available literature for those studies that evaluated the role of whole-body vibration (WBV) on the spine, using imaging modalities as well as an estimation of WBV exposure. SUMMARY OF BACKGROUND DATA:Numerous comparative studies have rep...
journal_title:Spine
pub_type: 杂志文章,评审
doi:10.1097/BRS.0b013e3182697a47
更新日期:2012-10-01 00:00:00