{"id":"https://openalex.org/W2569280986","doi":"https://doi.org/10.1227/01.neu.0000467109.52677.8d","title":"147 Oswestry Disability Index Score 3 Months After Elective Lumbar Spine Surgery Does Not Accurately Identify Effective vs Noneffective Spine Care at 12 Months","display_name":"147 Oswestry Disability Index Score 3 Months After Elective Lumbar Spine Surgery Does Not Accurately Identify Effective vs Noneffective Spine Care at 12 Months","publication_year":2015,"publication_date":"2015-07-17","ids":{"openalex":"https://openalex.org/W2569280986","doi":"https://doi.org/10.1227/01.neu.0000467109.52677.8d","mag":"2569280986"},"language":"en","primary_location":{"id":"doi:10.1227/01.neu.0000467109.52677.8d","doi":"https://doi.org/10.1227/01.neu.0000467109.52677.8d","is_oa":false,"landing_page_url":"https://doi.org/10.1227/01.neu.0000467109.52677.8d","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103051111","display_name":"Anthony L. Asher","orcid":"https://orcid.org/0000-0002-3596-3849","observed_orcids":["https://orcid.org/0000-0002-3596-3849"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Anthony L. Asher","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038627705","display_name":"Silky Chotai","orcid":"https://orcid.org/0000-0001-5981-3231","observed_orcids":["https://orcid.org/0000-0001-5981-3231"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Silky Chotai","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010883015","display_name":"Clinton James Devin","orcid":"https://orcid.org/0000-0001-6618-6280","observed_orcids":["https://orcid.org/0000-0001-6618-6280"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Clinton J. Devin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5012309372","display_name":"Paul Park","orcid":"https://orcid.org/0000-0002-0375-396X","observed_orcids":["https://orcid.org/0000-0002-0375-396X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Scott L. Parker","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103859691","display_name":"Ahilan Sivaganesan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Ahilan Sivaganesan","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044786598","display_name":"Frank E. Harell","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Frank E. Harell","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102936604","display_name":"Hui Nian","orcid":"https://orcid.org/0000-0003-0047-8330","observed_orcids":["https://orcid.org/0000-0003-0047-8330"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Nian Hui","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057054226","display_name":"Theodore Speroff","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Theodore Speroff","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016750821","display_name":"Robert S. Dittus","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Robert Dittus","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5029505495","display_name":"Matthew J. McGirt","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Matthew J. McGirt","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.29533762,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"62","issue":"Supplement 1","first_page":"213","last_page":"214"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.701200008392334,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10238","display_name":"Spine and Intervertebral Disc Pathology","score":0.701200008392334,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.28690001368522644,"subfield":{"id":"https://openalex.org/subfields/2736","display_name":"Pharmacology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11518","display_name":"Cervical and Thoracic Myelopathy","score":0.0031999999191612005,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/oswestry-disability-index","display_name":"Oswestry Disability Index","score":0.9739999771118164},{"id":"https://openalex.org/keywords/lumbar-spine-surgery","display_name":"lumbar spine surgery","score":0.8769999742507935},{"id":"https://openalex.org/keywords/lumbar-degenerative-disease","display_name":"lumbar degenerative disease","score":0.9909999966621399},{"id":"https://openalex.org/keywords/minimal-clinically-important-difference","display_name":"minimal clinically important difference","score":0.7710000276565552},{"id":"https://openalex.org/keywords/substantial-clinical-benefit","display_name":"substantial clinical benefit","score":0.9789999723434448}],"concepts":[{"id":"https://openalex.org/C2775998654","wikidata":"https://www.wikidata.org/wiki/Q11751687","display_name":"Oswestry Disability Index","level":4,"score":0.9388728141784668},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9273027181625366},{"id":"https://openalex.org/C111278954","wikidata":"https://www.wikidata.org/wiki/Q17069312","display_name":"Minimal clinically important difference","level":3,"score":0.8923578262329102},{"id":"https://openalex.org/C160798450","wikidata":"https://www.wikidata.org/wiki/Q4230870","display_name":"Concordance","level":2,"score":0.585979700088501},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.5439342260360718},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.5180587768554688},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.5116639137268066},{"id":"https://openalex.org/C44575665","wikidata":"https://www.wikidata.org/wiki/Q1293405","display_name":"Lumbar","level":2,"score":0.49725082516670227},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.4284954071044922},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.39574360847473145},{"id":"https://openalex.org/C2780907711","wikidata":"https://www.wikidata.org/wiki/Q852163","display_name":"Low back pain","level":3,"score":0.3557506203651428},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.18495002388954163},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.12772339582443237},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1227/01.neu.0000467109.52677.8d","doi":"https://doi.org/10.1227/01.neu.0000467109.52677.8d","is_oa":false,"landing_page_url":"https://doi.org/10.1227/01.neu.0000467109.52677.8d","pdf_url":null,"source":{"id":"https://openalex.org/S111727011","display_name":"Neurosurgery","issn_l":"0148-396X","issn":["0148-396X","1081-1281","1524-4040"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurosurgery","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9922999739646912,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2301621055","https://openalex.org/W2587289532","https://openalex.org/W2084182068","https://openalex.org/W2224159501","https://openalex.org/W2757071381","https://openalex.org/W4407006509","https://openalex.org/W2895767704","https://openalex.org/W4409765548","https://openalex.org/W4407583815","https://openalex.org/W4388563017"],"abstract_inverted_index":{"INTRODUCTION:":[0],"Prospective":[1,291],"longitudinal":[2,292],"outcomes":[3,16,262],"registries":[4,293],"are":[5],"at":[6,18,104,196,243,297],"the":[7,122,142,214,239,244,250,264,310],"center":[8],"of":[9,78,97,177,189,249,289,303,309],"evidence-driven":[10],"health":[11],"care":[12,38,305],"reform.":[13],"Obtaining":[14],"real-world":[15],"data":[17],"12":[19,283],"months":[20,279],"can":[21],"be":[22],"costly":[23],"and":[24,66,86,100,106,115,128,181,192,198,207,220,252,285],"challenging.":[25],"We":[26],"analyze":[27],"whether":[28],"3-month":[29,116,208,232,265],"outcome":[30,266],"measurements":[31],"suffice":[32],"to":[33,295,300],"identify":[34],"effective":[35],"vs":[36],"noneffective":[37],"for":[39,52,84,91,102,155,179,183,194,306],"degenerative":[40,53,156],"lumbar":[41,54,157],"surgery.":[42],"METHODS:":[43],"Three":[44,147],"thousand":[45,148],"seventy-three":[46,149],"patients":[47,150,270],"undergoing":[48,151],"elective":[49,152],"spine":[50,153,304],"surgery":[51,154,276],"disease":[55,158],"were":[56,159],"entered":[57,160],"into":[58,140,161],"a":[59,129,162,221,256],"prospective":[60,163],"multicenter":[61],"registry":[62,165],"(N2QOD).":[63,166],"Baseline,":[64,167],"3-,":[65,168],"12-month":[67,126,136,218,228,240,261],"follow-up":[68,170],"Oswestry":[69],"Disability":[70],"Index":[71],"(ODI)":[72],"was":[73,93,108,119,172,185,200,211],"recorded.":[74,173],"Previously":[75,174],"published":[76,175],"values":[77,176],"minimal":[79],"clinically":[80],"important":[81],"difference":[82,112,204],"(MCID)":[83],"ODI-12.8":[85,180],"substantial":[87],"clinical":[88],"benefit":[89,274],"(SCB)":[90],"ODI-18.8":[92,184],"utilized.":[94,186],"Concordance":[95,187],"rate":[96,188],"achieving":[98,190],"MCID":[99,178,191],"SCB":[101,182,193],"ODI":[103,117,127,137,171,195,209,219,233,241],"3-":[105,197],"12-months":[107,169,199,299],"computed.":[109,201],"The":[110,202,231],"absolute":[111,123,203,215],"between":[113,125,205,217],"12-":[114,206],"scores":[118,210,234,242],"compared":[120,212],"with":[121,213],"differences":[124,216],"multivariable":[130,222],"proportional":[131,223],"odds":[132,224],"logistic":[133,225],"regression":[134,226],"model-predicted":[135,227],"that":[138],"took":[139],"account":[141],"patients'":[143],"baseline":[144],"characteristics.":[145],"RESULTS:":[146],"multi-center":[164],"ODI.":[229],"CONCLUSION:":[230],"do":[235,272,280],"not":[236,273],"accurately":[237],"estimate":[238],"individual":[245],"patient":[246],"level":[247],"regardless":[248],"diagnosis":[251],"treatment.":[253],"There":[254],"is":[255,267],"greater":[257],"uncertainty":[258],"in":[259],"predicting":[260],"when":[263],"negative.":[268],"Many":[269],"who":[271],"from":[275],"by":[277,282],"3":[278],"so":[281],"months,":[284],"many":[286],"report":[287],"loss":[288],"benefit.":[290],"need":[294],"span":[296],"least":[298],"determine":[301],"effectiveness":[302],"over":[307],"20%":[308],"patients.":[311]},"counts_by_year":[],"updated_date":"2026-10-01T08:54:57.152042","created_date":"2017-01-13T00:00:00"}