| Autor: |
Trager, Robert, Daniels, Clinton, Ravanpay, Ali, Perez, Jaime, Casselberry, Regina, Dusek, Jeffery |
| Rok vydání: |
2022 |
| Předmět: |
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| DOI: |
10.17605/osf.io/2gkcd |
| Popis: |
Introduction: Although chiropractors often treat patients with lumbar disc herniation (LDH) and lumbosacral radiculopathy (LSR) with chiropractic spinal manipulative therapy (CSMT), limited research has examined the association between this treatment pathway and the odds of undergoing lumbar discectomy. Objective: This study will examine the association between CSMT and lumbar discectomy in patients with LDH and/or LSR. We hypothesize that adults receiving CSMT for a new diagnosis of LDH or LSR will have reduced odds of lumbar discectomy over a 1-year and 2-year follow-up window compared to those receiving other care. Methods: This study will query a national electronic health records network (TriNetX) including large, academic healthcare organizations, to identify patients age 18-49 with a new diagnosis of LDH or LSR. Patients will be divided into cohorts according to receipt of CSMT. Those with prior lumbar surgery, absolute indications for surgery, lumbar spine trauma, spondylolisthesis, and scoliosis will be excluded. Propensity score matching will be used to control for variables associated with the likelihood of lumbar discectomy (e.g., demographics, body mass index). Odds of lumbar discectomy will be calculated by dividing odds in the CSMT by the other care cohort. Sensitivity analysis will examine the effect of the unmeasured variable of income. Results: The number and percentage of patients undergoing lumbar discectomy in each cohort and an odds ratio with 95% confidence intervals and p-value will be reported for 1-year and 2-year follow-up windows. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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