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Titre : | Factors associated with non-pharmacological, non-operative treatment utilization prior to thoracolumbar spine surgery in Manitoba: A Canadian Spine Outcomes Research Network (CSORN) study (2023) |
Auteurs : | Christian Manansala ; Spencer Ferbers ; Michael Johnson ; Steven Passmore |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 63, February 2023) |
Article en page(s) : | 102695 |
Note générale : | https://doi.org/10.1016/j.msksp.2022.102695 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Chirurgie générale ; Dorsalgie ; Rachis ; Thérapies complémentaires ; Traitement conservateur |
Résumé : | Background Evidence for managing chronic low back pain suggests beginning with non-invasive treatments and having surgery as a last resort. Currently, no studies examine treatment engagement for back pain in the six-months preceding elective spine surgery assessment. Objectives This study aims to: 1) determine the engagement in non-pharmacological, non-operative treatment before elective thoracolumbar spine surgery (ETSS) assessment in XXXXXXXX; and 2) investigate potential factors associated with engagement in this population. Design Retrospective cohort design. Methods Canadian Spine Outcomes Research Network (CSORN) registry data were analyzed to compare groups who reported minimal engagement in non-pharmacological, non-operative treatment before ETSS assessment to those who engaged. Binary logistic regression was used to identify factors associated with engagement. Results A total of 144 patients qualified, 41.7% reported minimal engagement with non-pharmacological, non-operative treatment in the six-months preceding ETSS assessment. Four statistically significant factors associated with minimal engagement were identified: 1) 61?90 years of age (odds ratio [OR] 4.6, 95% confidence interval [CI] 2.0?10.7, p 60% (OR 3.5, 95% CI 1.4?9.2, p = .010; 3) body mass index (BMI) score 25?29.9 (OR 6.7, 95% CI 2.2?20.9, p |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781222001965 |