A Prospective Investigation into the Orthopaedic and Psychologic Predictors of Outcome of First Lumbar Surgery Following Industrial Injury

Dzioba, Robert B.; Doxey, Neville C. S.

doi:10.1097/00007632-198409000-00013

Cited by 88 publications

(44 citation statements)

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“…As the response to therapy in compensation patients depends in part on the extent of psychological disturbance (Dzioba and Doxey 1984), this has important implications if operation is contemplated. In addition, compensation has been found to reduce the response of psychological disturbance itself to treatment (Trief and Stein 1985).…”

Section: Compensationmentioning

confidence: 99%

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Recovery from low back pain

Greenough

1993

Acta Orthopaedica Scandinavica

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Section: Compensationmentioning

confidence: 99%

“…Psychological disturbance has been noted in many patients with back pain (Dzioba and Doxey 1984, Mendelson 1984) and may impede recovery. A relationship between psychological disturbance and litigation has been proposed, although the incidence varies with the framework of the observer , Parker 1977, Repko and Cooper 1983.…”

Section: Introductionmentioning

confidence: 99%

Recovery from low back pain

Greenough

1993

Acta Orthopaedica Scandinavica

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“…According to these results, it can be concluded that trusting only to imaging techniques is a wrong way of deciding surgery [13][14][15][16][17] . The long term controlled studies claimed the necessity of establishing real surgical indications, and they also found no differences between conservative and surgical treatment for the lumbar disc hernias [18,19] . Unsatisfactory surgical outcomes in the presence of a demanding worker's compensation have been a consistent finding throughout the spinal surgery literature [20][21][22][23][24] .…”

Section: Introductionmentioning

confidence: 99%

Failed Back Surgery: A Clinical Review

Şahin

Sargın

Atik

2015

International Journal of Orthopaedics

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Failed back surgery syndrome (FBSS, failed back syndrome) is a chronic disorder that has many impacts on the patients and health care systems. The predisposing factors may occur in the preoperative, intraoperative, and postoperative periods. The term FBSS is often misused. It is not actually a syndrome, but is a very generalized term that is often used to describe the condition of patients who had unsuccessful results with back surgery or spine surgery, or experienced continued pain after surgery. Patients describe uncontrolled persistent back, back/leg or leg pain with functional insufficiency with or without sciatica after 10-40% of the all spinal surgeries. Literature about the FBSS is insufficient, due to the complexity of this entity with variety of the underlying etiology and lack of high-quality clinical trials determining response to treatment modalities. This review aims to summarize current concepts in the ligthnings of literature findings.

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“…For example, while some studies have found tobacco use to be a predictor of poor outcome from fusion surgery (Andersen et al, 2001;LaCaille et al, 2005;Manniche et al, 1994), others have not (Christensen et al, 1999). Similarly, while some studies have found pain drawings to be predictive of a poor outcome from spinal surgery (Dzioba & Doxey, 1984;Takata & Hirotani, 1995), other studies have not (Hagg, Fritzell, Hedlund et al, 2003). An area where research is lacking is to what extent the psychosocial risk factors vary across medical procedures such as SCS, discectomy and fusion.…”

mentioning

confidence: 99%

Assessment of Biopsychosocial Risk Factors for Medical Treatment: A Collaborative Approach

Bruns

Disorbio

2009

J Clin Psychol Med Settings

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There is a growing body of evidence that psychosocial variables have a significant ability to predict the outcome of medical treatment procedures, especially when the procedure is performed to reduce pain. The study described in this paper serves as an illustration of the valuable role psychologists can play in dealing with the challenges of biopsychosocial assessment of patients who are candidates for medical treatments, especially elective, invasive procedures. Based on a convergent model of risk factors that can potentially influence outcomes from spinal surgery and spinal cord stimulation, exclusionary and cautionary risk factors were identified, and the BHI 2 and BBHI 2 tests were used to assess them. An estimate of the prevalence of these risk factors was calculated using data obtained from 1,254 patient and community subjects gathered from 106 sites in 36 US states. Standardized Cautionary Risk and Exclusionary Risk scores demonstrated a test-retest reliability of .85 to .91. Evidence of validity of these scores was also provided based on subjective and objective criteria, using multiple groups of patients and community subjects. Recommendations are made regarding how biopsychosocial assessments could be used in collaborative settings for presurgical candidates to identify risks that could compromise a patient's ability to benefit from other medical treatments as well. Once identified, appropriate interventions could ameliorate these risks, or lead to the consideration of other treatments that are more likely to be effective. Methods of refining this approach for specific clinical applications are also discussed.

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A Prospective Investigation into the Orthopaedic and Psychologic Predictors of Outcome of First Lumbar Surgery Following Industrial Injury

Cited by 88 publications

References 0 publications

Recovery from low back pain

Recovery from low back pain

Failed Back Surgery: A Clinical Review

Assessment of Biopsychosocial Risk Factors for Medical Treatment: A Collaborative Approach

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