Synopsis
Understanding patient preference for cLBP treatment is useful to improve targeting of therapies and increase adherence resulting in improved outcomes. This study developed and used the first discrete choice measure of patient preferences for nonsurgical treatments. In 206 persons with cLBP, the strongest preference was for best chance & longest duration of pain relief (β=1.96, p<0.001 & β=0.90, p<0.001). Avoiding long-term side-effects (β=-0.67, p<0.001) was preferred over avoiding a rare risk of permanent, serious injury’ (β=-0.28, p=0.012). Patients strongly preferred one-on-one support from a trusted therapy provider at every session, and improvement of strength was the strongest outcome preference.xtagstartz/p>
Author(s):
- Leslie Wilson, PhD, Professor, Health Economics, UCSF
- Jeffrey C. Lotz, PhD, David S. Bradford M.D. Endowed Chair in Orthopaedic Surgery and Vice Chair of Research, UCSF
- Dr. Patricia Zheng, MD, Assistant Professor, of Orthopaedic Surgery, UCSF
- Alina Denham, University of Rochester
- Yelena Ionova, PharmD, Fellow, UCSF
- Connie Yoo, PharmD, UCSF
- Yanlei Ma, PhD, Statistician, Cornell University
- Conor O'Neill, MD, Professor, Department of Orthopaedic Surgery, UCSF
- Carol M. Greco, PhD, Associate Professor, Psychiatry, Rehabilitation Science, Technology, & Physical Therapy, University of Pittsburgh
- Janel Hanmer, MD, PhD, Associate Professor, General Internal Medicine, University of Pittsburgh
- David A. Williams, PhD, Professor, Anesthesiology, Medicine and Psychiatry, University of Michigan
- Afton Hassett, PsyD, Associate Professor, Anesthesiology, University of Michigan
- Aaron Wolfe Scheffler, PhD, Epidemiology and Biostatistics, UCSF
- Frank Valone, MD, California Pacific Orthopaedics
- Wolf Mehling, Osher Center, Department of Family & Community Medicine , UCSF
- Dr. Sigurd H. Berven, MD, Professor in Residence, UCSF Dept of Orthopaedic Surgery
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| Abstract - NPC2021 - Wilson - Patient Preferences to Inform Non-Surgical | Download Abstract |
| Poster - NPC2021 - Wilson - Patient Preferences to Inform Non-Surgical | Download Poster |
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Patient Preferences to Inform Non-Surgical Treatment Choice for the Best Outcomes for Chronic Low Back Pain (cLBP)
Synopsis
Understanding patient preference for cLBP treatment is useful to improve targeting of therapies and increase adherence resulting in improved outcomes. This study developed and used the first discrete choice measure of patient preferences for nonsurgical treatments. In 206 persons with cLBP, the strongest preference was for best chance & longest duration of pain relief (β=1.96, pxtagstartz0.001 & β=0.90, p<0.001). Avoiding long-term side-effects (β=-0.67, p<0.001) was preferred over avoiding a rare risk of permanent, serious injury’ (β=-0.28, p=0.012). Patients strongly preferred one-on-one support from a trusted therapy provider at every session, and improvement of strength was the strongest outcome preference.