Research Topics
| R A DeyoSummaryAffiliation: University of Washington Country: USA Publications
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Publications
Rapid magnetic resonance imaging vs radiographs for patients with low back pain: a randomized controlled trialJeffrey G Jarvik
Department of Radiology, University of Washington, Seattle, Wash 98195, USA
JAMA 289:2810-8. 2003....
Towards standardized measurement of adverse events in spine surgery: conceptual model and pilot evaluationSohail K Mirza
Center for Cost and Outcomes Research, University of Washington, Seattle, Washington, USA
BMC Musculoskelet Disord 7:53. 2006....
Practice patterns of naturopathic physicians: results from a random survey of licensed practitioners in two US StatesHeather S Boon
Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada
BMC Complement Altern Med 4:14. 2004..S., little is known about the practice of CAM providers. The objective of this study was to describe and compare the practice patterns of naturopathic physicians in Washington State and Connecticut...
A survey of training and practice patterns of massage therapists in two US statesKaren J Sherman
Center for Health Studies, Group Health Cooperative, Seattle, Washington 98101, USA
BMC Complement Altern Med 5:13. 2005..Despite the growing popularity of therapeutic massage in the US, little is known about the training or practice characteristics of massage therapists. The objective of this study was to describe these characteristics...
Back pain prevalence and visit rates: estimates from U.S. national surveys, 2002Richard A Deyo
Department of Medicine, University of Washington, Seattle, WA, USA
Spine (Phila Pa 1976) 31:2724-7. 2006..Review and analysis of data from two U.S. national surveys in 2002...
Trends and variations in the use of spine surgeryRichard A Deyo
Department of Medicine, Center for Cost and Outcomes Research, University of Washington, Seattle, WA 98104, USA
Clin Orthop Relat Res 443:139-46. 2006..As new technology for spine surgery is introduced at an accelerating pace, we anticipate substantial changes in surgery patterns. Analysis of population-based data may be useful for surveillance of changes and their impacts...
Diagnostic evaluation of LBP: reaching a specific diagnosis is often impossibleRichard A Deyo
Department of Medicine, University of Washington, Seattle 98195, USA
Arch Intern Med 162:1444-7; discussion 1447-8. 2002
Bruce Psaty and the risks of calcium channel blockersR A Deyo
Department of Medicine, Department of Health Services, Center for Cost and Outcomes Research, University of Washington, Seattle, WA 98195, USA
Qual Saf Health Care 11:294-6. 2002
Involving patients in clinical decisions: impact of an interactive video program on use of back surgeryR A Deyo
Department of Medicine, University of Washington, Seattle, USA
Med Care 38:959-69. 2000..Back surgery rates are rapidly rising in the United States. This surgery is usually elective, so patient preferences are important in the treatment decision...
United States trends in lumbar fusion surgery for degenerative conditionsRichard A Deyo
Department of Medicine, University of Washington, Seattle, Washington, USA
Spine (Phila Pa 1976) 30:1441-5; discussion 1446-7. 2005..Retrospective cohort study using national sample administrative data...
Gaps, tensions, and conflicts in the FDA approval process: implications for clinical practiceRichard A Deyo
Department of Medicine, University of Washington, Seattle, WA 98195, USA
J Am Board Fam Pract 17:142-9. 2004....
A prospective cohort study of surgical treatment for back pain with degenerated discs; study protocolRichard A Deyo
Department of Medicine, Seattle, Washington 98104, USA
BMC Musculoskelet Disord 6:24. 2005..Little is known about how patients undergoing lumbar fusion compare in preoperative physical and psychological function to patients who have degenerative discs, but receive only non-surgical care...
Cascade effects of medical technologyRichard A Deyo
Center for Costs and Outcomes Research, University of Washington, 146 North Canal Street, Suite 300, Seattle, Washington 98103 8652, USA
Annu Rev Public Health 23:23-44. 2002....
5-year reoperation rates after different types of lumbar spine surgeryA D Malter
Department of Health Services, University of Washington, Seattle, USA
Spine (Phila Pa 1976) 23:814-20. 1998....
Can evidence change the rate of back surgery? A randomized trial of community-based educationH I Goldberg
University of Washington, Fred Hutchinson Cancer Research Center, Seattle, Wash, USA
Eff Clin Pract 4:95-104. 2001..Timely adoption of clinical practice guidelines is more likely to happen when the guidelines are used in combination with adjuvant educational strategies that address social as well as rational influences...
Characteristics in Medicare beneficiaries associated with reoperation after lumbar spine surgeryM A Ciol
Department of Health Services, University of Washington, Seattle
Spine (Phila Pa 1976) 19:1329-34. 1994..CONCLUSION. Reoperation rates are affected not only by technical factors, but also by demographic and clinical characteristics that are often omitted from reports of surgical case series...
Predicting poor outcomes for back pain seen in primary care using patients' own criteriaD C Cherkin
Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, Washington, USA
Spine (Phila Pa 1976) 21:2900-7. 1996..Ways of improving how primary care responds to patients with persisting pain should be investigated...
Surgical treatment of patients with back problems covered by workers compensation versus those with other sources of paymentV M Taylor
Department of Health Services, University of Washington, Seattle, USA
Spine (Phila Pa 1976) 21:2255-9. 1996..80; 95% confidence interval, 1.50-2.15. CONCLUSIONS: In Washington state, patients receiving workers' compensation have higher rates of low back fusion surgery and reoperations than other patients...
Analysis of automated administrative and survey databases to study patterns and outcomes of careR A Deyo
Department of Medicine, University of Washington, Seattle
Spine (Phila Pa 1976) 19:2083S-2091S. 1994..There is growing interest in expanding the clinical information in such databases, for both quality improvement and research purposes...
Pitfalls of patient education. Limited success of a program for back pain in primary careD C Cherkin
Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, WA, USA
Spine (Phila Pa 1976) 21:345-55. 1996..CONCLUSIONS: These findings challenge the value of purely educational approaches in reducing functional impact or health care use related to back pain and also challenge the value of fitness exercise in the most acute phase of back pain...
Formal education and back pain: a reviewC E Dionne
Department of Epidemiology, University of Washington, Seattle, USA
J Epidemiol Community Health 55:455-68. 2001....
Patient-oriented outcomes from low back surgery: a community-based studyV M Taylor
Department of Health Services, The Department of Medicine, the Center for Cost and Outcomes Research, University of Washington, Seattle, Washington, USA
Spine (Phila Pa 1976) 25:2445-52. 2000..This study used a prospective cohort design...
Variation in the quality of lumbar spine MR images in Washington StateJ G Jarvik
Department of Radiology, School of Medicine, Health Services Research School of Public Health, Seattle, WA 98195, USA
Radiology 215:483-90. 2000....
Outcome measures for low back pain research. A proposal for standardized useR A Deyo
Department of Medicine, University of Washington, Seattle, USA
Spine (Phila Pa 1976) 23:2003-13. 1998..Although many considerations support such recommendations, more data on responsiveness and the minimally important change in scores are needed for most of the instruments...
The Longitudinal Assessment of Imaging and Disability of the Back (LAIDBack) Study: baseline dataJ J Jarvik
Department of Radiology, University of Washington, Seattle 98195, USA
Spine (Phila Pa 1976) 26:1158-66. 2001..Prospective cohort study of randomly selected Veterans Affairs (VA) outpatients...
A comparison of pain, functional limitations, and work status indices as outcome measures in back pain researchC E Dionne
Department of Epidemiology, University of Washington, Seattle, USA
Spine (Phila Pa 1976) 24:2339-45. 1999..We conducted a prospective study with a 2-year follow-up...
Physician office visits for low back pain. Frequency, clinical evaluation, and treatment patterns from a U.S. national surveyL G Hart
Department of Family Medicine, University of Washington, Seattle
Spine (Phila Pa 1976) 20:11-9. 1995..CONCLUSIONS. Back pain remains a major reason for all physician office visits. This study describes visit, referral, and management patterns among specialties providing the most care...
Helping patients decide about back surgery: a randomized trial of an interactive video programE A Phelan
Department of Medicine, University of Washington, Seattle, Washington, USA
Spine (Phila Pa 1976) 26:206-11;discussion 212. 2001..A randomized trial of 100 patients with low back pain who were potential surgical candidates...
Low back pain hospitalization. Recent United States trends and regional variationsV M Taylor
Department of Health Services, University of Washington, Seattle
Spine (Phila Pa 1976) 19:1207-12; discussion 13. 1994..CONCLUSIONS. Rapidly increasing surgical rates and wide geographic variations suggest the need for a more consistent approach to back problems...
Medication use for low back pain in primary careD C Cherkin
Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, USA
Spine (Phila Pa 1976) 23:607-14. 1998..However, randomized trials are needed to determine which medication or combinations of medications are most effective...
Delivery of primary care to women. Do women's health centers do it better?E A Phelan
Department of Medicine, University of Washington, Seattle, USA
J Gen Intern Med 15:8-15. 2000..Women's health centers have been increasing in number but remain relatively unstudied. We examined patient expectations and quality of care at a hospital-based women's health center compared with those at a general medicine clinic...
Cost-effectiveness of lumbar discectomy for the treatment of herniated intervertebral discA D Malter
University of Washington School of Public Health, Seattle, USA
Spine (Phila Pa 1976) 21:1048-54; discussion 1055. 1996..CONCLUSION. For carefully selected patients with herniated discs, surgical discectomy is a cost-effective treatment. Discectomy's favorable cost-effectiveness results from its substantial effect on quality of life and moderate costs...
The effect of Medicare's payment system for rehabilitation hospitals on length of stay, charges, and total paymentsL Chan
Division of Clinical Standards and Quality, Health Care Financing Administration, Seattle, WA 98121, USA
N Engl J Med 337:978-85. 1997..We hypothesized that per-patient charges would increase during the base year and then decrease in subsequent years. Hospitals would thus have higher reimbursement limits and receive incentive payments for reducing their charges...
An international comparison of back surgery ratesD C Cherkin
Department of Health Services, University of Washington, Seattle
Spine (Phila Pa 1976) 19:1201-6. 1994..Better outcome studies, however, are needed to determine whether Americans are being subjected to excessive surgery or if those in other developed countries are suffering because back surgery is underutilized...
Measuring quality of life in children with obstructive sleep disordersL M de Serres
Division of Pediatric Otolaryngology, Children s Hospital and Regional Medical Center, University of Washington, Seattle, USA
Arch Otolaryngol Head Neck Surg 126:1423-9. 2000..To validate a disease-specific health-related quality of life (HRQOL) instrument for children with obstructive sleep disorders (OSDs)...
Nonsurgical hospitalization for low-back pain. Is it necessary?D C Cherkin
Department of Family Medicine, University of Washington, Seattle
Spine (Phila Pa 1976) 18:1728-35. 1993..The findings support other evidence that many hospitalizations for "medical back problems" are unnecessary, but also suggest a need for improved outpatient and home-based alternatives to hospitalization...
Lumbar spinal fusion. A cohort study of complications, reoperations, and resource use in the Medicare populationR A Deyo
Department of Medicine, University of Washington, Seattle
Spine (Phila Pa 1976) 18:1463-70. 1993..Indications for fusion among older patients require better definition, preferably based on outcomes from prospective controlled studies...
Assessing health-related quality of life in patients with sciaticaD L Patrick
Department of Health Services, University of Washington, Seattle, Washington, USA
Spine (Phila Pa 1976) 20:1899-908; discussion 1909. 1995..Disability day measures, although valuable for assessing the societal impact of dysfunction, were less responsive to changes over this short-term follow-up of 3 months...
Comparison of yoga versus stretching for chronic low back pain: protocol for the Yoga Exercise Self-care (YES) trialKaren J Sherman
Group Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA, USA
Trials 11:36. 2010..This study will assess whether yoga is effective for treating chronic low back pain compared with self care and exercise and will explore the mechanisms responsible for any observed benefits...
Racial differences in the use of lumbar spine radiographs: results from the Veterans Health StudyA J Selim
Department of Medicine, Boston University, Boston, Massachusetts 02130, USA
Spine (Phila Pa 1976) 26:1364-9. 2001..We analyzed data from the Veterans Health Study, a longitudinal study of male patients receiving VA ambulatory care...
Therapeutic trials for low back painR M Hoffman
Department of Medicine, University of Washington, Seattle
Spine (Phila Pa 1976) 19:2068S-2075S. 1994..Although large scale trials often involve university centers, community-based researchers can collaborate on randomized trials or conduct valuable cohort studies...
Meta-analysis. A useful tool for the spine researcherJ K Haselkorn
Physical Medicine and Rehabilitation Service, Veterans Affairs Medical Center, Seattle, Washington
Spine (Phila Pa 1976) 19:2076S-2082S. 1994..Meta-analytic methods are an informative means of addressing health care controversies with major patient management and cost implications...
Formal education and back-related disability. In search of an explanationC Dionne
Department of Epidemiology, University of Washington, Seattle, USA
Spine (Phila Pa 1976) 20:2721-30. 1995..A wide range of variables may mediate the education-back-related disability association, including a propensity to report diffuse physical symptoms (somatization), lifestyle (e.g., cigarette smoking), and occupational factors...
Cost-effectiveness of strategies for primary prevention of nonsteroidal anti-inflammatory drug-induced peptic ulcer diseaseC W Ko
Department of Medicine, University of Washington, Seattle 98195 6424, USA
J Gen Intern Med 15:400-10. 2000..This study examined the relative cost-effectiveness of different strategies for the primary prevention of NSAID-induced ulcers in patients that are starting NSAID treatment...
The role of the pediatrician in the oral health of children: A national surveyC W Lewis
Child Health Institute University of Washington, University of Washington, USA
Pediatrics 106:E84. 2000..To assess pediatricians' knowledge, attitudes, and professional experience regarding oral health, and to determine willingness to incorporate fluoride varnish into their practices...
Expenditures and health status among adults with back and neck problemsBrook I Martin
Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA 98104, USA
JAMA 299:656-64. 2008..Back and neck problems are among the symptoms most commonly encountered in clinical practice. However, few studies have examined national trends in expenditures for back and neck problems or related these trends to health status measures...
Development and validation of the effectiveness of [corrected] auditory rehabilitation scaleBevan Yueh
Health Services Research and Development Service, VA Puget Sound Health Care System, Seattle, WA 98108, USA
Arch Otolaryngol Head Neck Surg 131:851-6. 2005....
Letting the CAT out of the bag: comparing computer adaptive tests and an 11-item short form of the Roland-Morris Disability QuestionnaireKaron F Cook
Department of Rehabilitation Medicine, University of Washington, Seattle, WA, USA
Spine (Phila Pa 1976) 33:1378-83. 2008..A post hoc simulation of a computer adaptive administration of the items of a modified version of the Roland-Morris Disability Questionnaire...
BRIEF REPORT: Patient-physician agreement as a predictor of outcomes in patients with back painThomas O Staiger
Department of Medicine, University of Washington, Seattle, Wash, USA
J Gen Intern Med 20:935-7. 2005..To determine whether a patient-physician agreement instrument predicts important health outcomes...
Three-year incidence of low back pain in an initially asymptomatic cohort: clinical and imaging risk factorsJeffrey G Jarvik
Department of Radiology, University of Washington, Seattle, Washington 98195, USA
Spine (Phila Pa 1976) 30:1541-8; discussion 1549. 2005..Prospective cohort study of randomly selected Veterans Affairs out-patients without baseline low back pain (LBP)...
Systematic review of antidepressants in the treatment of chronic low back painThomas O Staiger
Department of Medicine, University of Washington, Seattle, WA, USA
Spine (Phila Pa 1976) 28:2540-5. 2003..Three previous reviews have reached conflicting conclusions regarding the efficacy of antidepressants for patients with back pain...
Characteristics of patients with chronic back pain who benefit from acupunctureKaren J Sherman
Group Health Research Institute, Seattle, USA
BMC Musculoskelet Disord 10:114. 2009..As part of a large trial evaluating acupuncture for chronic low back pain, we sought to identify subgroups of participants that were particularly responsive to acupuncture...
Trends in health care expenditures, utilization, and health status among US adults with spine problems, 1997-2006Brook I Martin
Departments of Health Services, University of Washington, Seattle, USA
Spine (Phila Pa 1976) 34:2077-84. 2009..Analysis of nationally representative survey data for spine-related health care expenditures, utilization and self-reported health status...
Patient self-referral for radiologic screening tests: clinical and ethical concernsJoshua J Fenton
Department of Family Medicine, University of Washington, Seattle 98195 7183, USA
J Am Board Fam Pract 16:494-501. 2003..Primary care physicians and their professional societies should emphasize the uncertain benefits and potential hazards of indiscriminate imaging among healthy, asymptomatic consumers...
Spinal cord stimulation for failed back surgery syndrome: outcomes in a workers' compensation settingJudith A Turner
Department of Psychiatry and Behavioral Sciences and Department of Rehabilitation Medicine, University of Washington, 1959 NE Pacific St, Room BB1517a, Box 356560, Seattle, WA 98195 6560, USA
Pain 148:14-25. 2010..Both trial and permanent SCS were associated with adverse events. In sum, we found no evidence for greater effectiveness of SCS versus alternative treatments in this patient population after 6 months...
Development of an index to characterize the "invasiveness" of spine surgery: validation by comparison to blood loss and operative timeSohail K Mirza
Department of Orthopedics and Sports Medicine, Center for Cost and Outcomes Research, and University of Washington, Seattle, WA, USA
Spine (Phila Pa 1976) 33:2651-61; discussion 2662. 2008..Prospective cohort study...
Spinal cord stimulation for patients with failed back surgery syndrome or complex regional pain syndrome: a systematic review of effectiveness and complicationsJudith A Turner
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98195, USA
Pain 108:137-47. 2004....
Conventional radiography, rapid MR imaging, and conventional MR imaging for low back pain: activity-based costs and reimbursementDarryl T Gray
Department of Pediatrics, School of Medicine, University of Washington, 146 N Canal St, Suite 300, Seattle, WA 98103, USA
Radiology 227:669-80. 2003..To incorporate personnel and equipment use time in an activity-based cost comparison of conventional radiography and conventional and rapid magnetic resonance (MR) imaging for low back pain (LBP)...
Rapid magnetic resonance imaging for diagnosing cancer-related low back painWilliam Hollingworth
Departments of Radiology, University of Washington, Seattle, Wash 98103, USA
J Gen Intern Med 18:303-12. 2003..This study compared the relative efficiency of lumbar x-ray and rapid magnetic resonance (MR) imaging for diagnosing cancer-related low back pain (LBP) in primary care patients...
Reoperation rates following lumbar spine surgery and the influence of spinal fusion proceduresBrook I Martin
Department of Medicine, University of Washington, Seattle, WA, USA
Spine (Phila Pa 1976) 32:382-7. 2007..Retrospective cohort study using a hospital discharge registry of all nonfederal acute care hospitals in Washington state...
Complications and mortality associated with cervical spine surgery for degenerative disease in the United StatesMarjorie C Wang
Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI 53226, USA
Spine (Phila Pa 1976) 32:342-7. 2007..Retrospective cohort...
Systematic review of randomized trials comparing lumbar fusion surgery to nonoperative care for treatment of chronic back painSohail K Mirza
Center for Cost and Outcomes Research, and Department of Orthopedics and Sports Medicine, University of Washington, Seattle, WA 98104 2499, USA
Spine (Phila Pa 1976) 32:816-23. 2007..Systematic review of randomized trials comparing surgical to nonsurgical treatment of discogenic back pain...
Back surgery--who needs it?Richard A Deyo
Department of Medicine and Center for Cost and Outcomes Research, University of Washington, Seattle, USA
N Engl J Med 356:2239-43. 2007
Epidemiologic study of in-hospital cardiopulmonary resuscitation in the elderlyWilliam J Ehlenbach
Division of Pulmonary and Critical Care, Harborview Medical Center, University of Washington, Seattle 98104, USA
N Engl J Med 361:22-31. 2009..It is unknown whether the rate of survival after in-hospital cardiopulmonary resuscitation (CPR) is improving and which characteristics of patients and hospitals predict survival...
Validation of case-mix measures derived from self-reports of diagnoses and healthVincent S Fan
Health Services Research and Development Center of Excellence, VA Puget Sound Health Care System, Seattle, WA 98108 1597, USA
J Clin Epidemiol 55:371-80. 2002....
Mutual mistrust in the medical care of drug users: the keys to the "narc" cabinetJoseph O Merrill
Division of General Internal Medicine, Harborview Medical Center, Department of Medicine, University of Washington, Seattle 98104, USA
J Gen Intern Med 17:327-33. 2002..To better understand the often difficult relationships between illicit drug-using patients and their physicians, we sought to identify major issues that emerge during their interactions in a teaching hospital...
Diagnostic evaluation of low back pain with emphasis on imagingJeffrey G Jarvik
Department of Radiology, University of Washington, Seattle, Washington 98195, USA
Ann Intern Med 137:586-97. 2002..To review evidence on the diagnostic accuracy of clinical information and imaging for patients with low back pain in primary care settings...
Randomized trial of therapeutic massage for chronic neck painKaren J Sherman
Group Health Center for Health Studies, Seattle, WA 98101, USA
Clin J Pain 25:233-8. 2009..A randomized controlled trial was conducted to evaluate whether therapeutic massage is more beneficial than a self-care book for patients with chronic neck pain...
Are lumbar spine reoperation rates falling with greater use of fusion surgery and new surgical technology?Brook I Martin
Department of Medicine, University of Washington, Seattle, WA, USA
Spine (Phila Pa 1976) 32:2119-26. 2007..A retrospective analysis of population-based hospital discharge registry from all nonfederal acute care hospitals in Washington State...
Primary care delivery is associated with greater physician experience and improved survival among persons with AIDSMari M Kitahata
Department of Medicine, University of Washington, Seattle, Wash, USA
J Gen Intern Med 18:95-103. 2003..It has been shown that greater physician experience in the care of persons with AIDS prolongs survival, but how more experienced primary care physicians achieve better outcomes is not known...
Point of view: kyphoplasty: more answers or more questions?Jeffrey G Jarvik
Department of Radiology, Center for Cost and Outcomes Research, University of Washington, Seattle 98195, USA
Spine (Phila Pa 1976) 31:65-6. 2006
Back pain in primary care. Outcomes at 1 yearM Von Korff
Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, Washington
Spine (Phila Pa 1976) 18:855-62. 1993....
Randomized trial comparing traditional Chinese medical acupuncture, therapeutic massage, and self-care education for chronic low back painD C Cherkin
Center for Health Studies, Group Health Cooperative, 1730 Minor Ave, Suite 1600, Seattle, WA 98101, USA
Arch Intern Med 161:1081-8. 2001..Traditional Chinese Medical acupuncture was relatively ineffective. Massage might be an effective alternative to conventional medical care for persistent back pain...
Long-term care needs of hospitalized persons with AIDS: a prospective cohort studyW C McCormick
University of Washington, Department of Medicine, Seattle 98195
J Gen Intern Med 6:27-34. 1991..These patients can be identified early in hospital stays using a simple predictive index at the bedside...
Physician views about treating low back pain. The results of a national surveyD C Cherkin
Department of Health Services, University of Washington, Seattle
Spine (Phila Pa 1976) 20:1-9; discussion 9-10. 1995....
Evaluation of a physician education intervention to improve primary care for low-back pain. II. Impact on patientsD Cherkin
Center for Health Studies, Seattle, Washington
Spine (Phila Pa 1976) 16:1173-8. 1991..Despite its apparent benefit to physicians, the intervention did not result in significant improvements in any patient outcomes, even for the subset of patients whose physicians had perceived the greatest benefit...
Spinal-fusion surgery - the case for restraintRichard A Deyo
Department of Medicine, Center for Cost and Outcomes Research, University of Washington, Seattle, USA
N Engl J Med 350:722-6. 2004
Treatment expectations and preferences as predictors of outcome of acupuncture for chronic back painKaren J Sherman
Group Health Research Institute, Group Health Cooperative, Seattle, WA 98101, USA
Spine (Phila Pa 1976) 35:1471-7. 2010..Preplanned secondary analysis of data from participants receiving acupuncture in a randomized clinical trial...
A review of the evidence for the effectiveness, safety, and cost of acupuncture, massage therapy, and spinal manipulation for back painDaniel C Cherkin
Group Health Cooperative and University of Washington, Seattle, Washington 98101, USA
Ann Intern Med 138:898-906. 2003..All of these treatments seem to be relatively safe. Preliminary evidence suggests that massage, but not acupuncture or spinal manipulation, may reduce the costs of care after an initial course of therapy...
Low back pain. A primary care challengeR A Deyo
Department of Medicine, University of Washington, Seattle, USA
Spine (Phila Pa 1976) 21:2826-32. 1996..Third, we need better science, with greater methodologic rigor in the evaluation of the many nonsurgical treatments used for back pain in the primary care setting...
Health consequences of pregnancy and childbirth as perceived by women and cliniciansC R Kline
Department of Obstetrics and Gynecology, School of Public Health and Community Medicine, University of Washington, Seattle 98195 6460, USA
Obstet Gynecol 92:842-8. 1998..To develop patient-centered outcome measures for clinical research by characterizing the effects of pregnancy and childbirth on functioning...
Imaging studies for acute low back pain. When and when not to order themT O Staiger
Department of Medicine, University of Washington School of Medicine, Seattle 98195, USA
Postgrad Med 105:161-2, 165-6, 171-2. 1999..In this article, the authors identify these warning signs and discuss the appropriate use of imaging studies for a variety of symptoms and conditions...
Economic decision analysis in the diagnosis and treatment of low back pain. A methodologic primerD A Conrad
Department of Health Services, University of Washington, Seattle
Spine (Phila Pa 1976) 19:2101S-2106S. 1994..Cost-benefit analysis is advanced in the "gold standard" among the two approaches because it forces decision makers to explicitly value both the cost and health consequences of alternative clinical actions...
Designing studies of diagnostic tests for low back pain or radiculopathyR A Deyo
Department of Medicine, University of Washington, Seattle
Spine (Phila Pa 1976) 19:2057S-2065S. 1994..Finally, the contribution of a diagnostic test to the overall validity of a full group or sequence of tests should be considered, and, ideally, the effect of the test on actual patient outcomes should be determined...
Randomized trial of amplification strategiesB Yueh
Surgery Service 112OTO, VA Puget Sound Health Care System, 1660 S Columbian Way, Seattle, WA 98108, USA
Arch Otolaryngol Head Neck Surg 127:1197-204. 2001..Little is known about quality of life after the use of specific types of hearing aids, so it is difficult to determine whether technologies such as programmable circuits and directional microphones are worth the added expense...
Outcome measures for studying patients with low back painR A Deyo
Department of Health Services, University of Washington, Seattle
Spine (Phila Pa 1976) 19:2032S-2036S. 1994..Wider use of these instruments would help to increase clinician familiarity with their meaning and avoid duplication of effort in questionnaire development...
Comparing recruitment strategies in a study of acupuncture for chronic back painKaren J Sherman
Group Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101, USA
BMC Med Res Methodol 9:69. 2009..Little is known about how the use of different recruitment strategies affects the types of individuals choosing to participate or the conclusions of the study...
Comparative effectiveness research and policy: experiences conducting a coverage with evidence development study of a therapeutic deviceJudith A Turner
Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98195 6560, USA
Med Care 48:S129-36. 2010..Between the end of subject enrollment and availability of final study results, a second SCS cohort (n = 30) was followed for 12 months...
Incidence of serious complications after uvulopalatopharyngoplastyEric J Kezirian
Department of Otolaryngology-Head and Neck Surgery, University of Washington School of Medicine, Seattle, Washington, USA
Laryngoscope 114:450-3. 2004..CONCLUSION: The incidence of serious nonfatal complications and 30-day mortality after UPPP are 1.5% and 0.2%, respectively, in a large cohort of UPPP patients at veteran hospitals...
Release from prison--a high risk of death for former inmatesIngrid A Binswanger
Puget Sound Veterans Affairs Medical Center, Seattle, USA
N Engl J Med 356:157-65. 2007..The period immediately after release may be challenging for former inmates and may involve substantial health risks. We studied the risk of death among former inmates soon after their release from Washington State prisons...
A randomized trial comparing acupuncture, simulated acupuncture, and usual care for chronic low back painDaniel C Cherkin
Center for Health Studies, 1730 Minor Avenue, Seattle, WA 98101, USA
Arch Intern Med 169:858-66. 2009..This trial addresses the importance of needle placement and skin penetration in eliciting acupuncture effects for patients with chronic low back pain...
Comparing yoga, exercise, and a self-care book for chronic low back pain: a randomized, controlled trialKaren J Sherman
Group Health Cooperative and University of Washington, Seattle, Washington, USA
Ann Intern Med 143:849-56. 2005..Chronic low back pain is a common problem that has only modestly effective treatment options...
Mental health visits to complementary and alternative medicine providersGregory E Simon
Center for Health Studies, Group Health Cooperative, Seattle, WA, USA
Gen Hosp Psychiatry 26:171-7. 2004..Among those seeking CAM care for mental disorders, concomitant treatment by conventional medical providers is common, but communication or coordination of care is rare...
The role of alternative medical providers for the outpatient treatment of insured patients with back painBonnie K Lind
Department of Health Services, University of Washington, Seattle, WA 98195, USA
Spine 30:1454-9. 2005..Although less expensive, this group also appears to be less severely ill. Because of the high prevalence of this condition, cost-effectiveness studies that include CAM therapies are still warranted...
Description and validation of a noninvasive placebo acupuncture procedureKaren J Sherman
Northwest Institute of Acupuncture and Oriental Medicine, Seattle, WA, USA
J Altern Complement Med 8:11-9. 2002..To evaluate a simulated acupuncture technique for use in randomized controlled trials assessing the efficacy of acupuncture for low-back pain...
The diagnosis and treatment of chronic back pain by acupuncturists, chiropractors, and massage therapistsKaren J Sherman
Center for Health Studies, Group Health Cooperative, Seattle, Washington 98101, USA
Clin J Pain 22:227-34. 2006..To describe the diagnostic and therapeutic content of visits for chronic back pain to acupuncturists, chiropractors, and massage therapists...
Drug therapy for back pain. Which drugs help which patients?R A Deyo
Department of Medicine, University of Washington, Seattle, USA
Spine (Phila Pa 1976) 21:2840-9; discussion 2849-50. 1996..A brief review of current literature and issues on drug therapy for low back pain...
Continuous quality improvement for patients with back painR A Deyo
Center for Cost and Outcomes Research, Department of Medicine, and Department of Health Services, University of Washington, Seattle, WA 98103-8652, USA
J Gen Intern Med 15:647-55. 2000....
Effectiveness of focused structural massage and relaxation massage for chronic low back pain: protocol for a randomized controlled trialDaniel C Cherkin
Group Health Research Institute, Seattle, USA
Trials 10:96. 2009..This trial will be the first evaluation of the effectiveness of relaxation massage for chronic back pain and the first large trial of a focused structural form of massage for this condition...
Overtreating chronic back pain: time to back off?Richard A Deyo
Department of Medicine, Oregon Health and Science University, Portland, OR, USA
J Am Board Fam Med 22:62-8. 2009....
Prompting primary providers to increase community exercise referrals for older adults: a randomized trialRonald T Ackermann
Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana 46202, USA
J Am Geriatr Soc 53:283-9. 2005..To determine whether a clinic-based physical activity promotion intervention can lead to more community-based exercise referrals by providers and higher exercise motivation in patients...
Research Grants
- UW Multidisciplinary Clinical Research Training (RMI)Richard Deyo; Fiscal Year: 2004....
- NIAMS Muiltidisciplinary Clinical Research Center in...Richard Deyo; Fiscal Year: 2006..It will require computer modeling, based on precedents in MR-PET scanning. We will determine if surgeons will accept the synthesized images as a replacement for CT-myelography for purposes of surgical planning. ..
