Outcome Measures in Spine Surgery: How Far Can we Go Building Evidence?
Journal Title: Journal of Orthopedics & Bone Disorders - Year 2018, Vol 2, Issue 3
Abstract
There is an imperative need to alleviate the actual and predictably harder burden of spine disorders and particularly the share due to chronic nonspecific low back pain, both at the individual and community-based viewpoint. Studies on global health trends charge a relevant part of the onus to the proposed invasive procedures, raising concern over its inappropriately high and growing use, counteracting clinical guidelines recommendation of a prudent selection of patients, based on clear-cut indications. Part of this gap between evidence and practice stands from questionable assumptions regarding the usefulness of surgery. Uncertainty on relative benefits and harms in the face of increased risk of adverse events, or the higher costs and health care resources involved, results in controversial decision-making to plan the intervention. Improvement of knowledge about these questions can be provided by the inclusion in the research agenda of comprehensive and standardized evaluation of outcomes after spine surgery. Such a protocol procedure would enable future systematic reviews to perform a consistent meta-analysis of data from trials, mandatory for high-quality evidence gathering. Outcome evaluation requires both subjective and objective assessments. This review aims to clarify the role of outcome measures in support of the need to build reliable information on the effectiveness of surgical treatment of spinal disorders.
Authors and Affiliations
Relvas H*, Fernandes O and Oliveira R
Keywords
Related Articles
- EP ID EP754060
- DOI -
- Views 7
- Downloads 0
Augmentative Locking Compression Plate Fixation for the Management of Subtrochanteric Non-Union after Intramedullary Nail Failure
Subtrochanteric and inter trochanteric femoral non-unions in the case, situation of failed metalwork poses a challenging clinical problem. A small series of inter trochanteric with subtrochanteric extension non-unions pr...
Unrecognised Inflammatory Arthritis with Joint Destruction
Rheumatoid arthritis (RA) is the most common and serious form of inflammatory arthritis. Untreated it results in joint destruction and functional impairment. A clinical evaluation remains the cornerstone for evaluating e...
Neglected Humeral Fracture Revealing Bone Hydatic Cyst
Bone hydatidosisis rare, his diagnose is often late because of its insidious evolution. CT scan and IRM provide a diagnostic and a preoperative extension assessment. Treatment is based on the association: surgery, hypert...
Tranexamic Acid in Total Knee Replacement Reduces Wound Complication and Transfusion Rates; An Observational Study
Background and Aims Tranexamic Acid (TXA) has been shown to reduce transfusion rates in Total Knee Replacement (TKR) without complication. We undertook a cohort study investigating TXA use with TKR, wound complication an...
Ancient Non-union of the Radius Treated According to Watson Jones
Large boned efects in the forearm pose a challenging reconstruction problem, especially when the condition has become chronic. The Watson Jones technique is a relatively simple procedure that sacrifices pronation-supinat...