• Disease
  • Chronic
  • Chronic Pain
  • Richard A Deyo

    Prominent publications by Richard A Deyo

    KOL Index score: 19056

    BACKGROUND: Chronic back pain is an important health problem. Non-steroidal anti-inflammatory drugs (NSAIDs) are widely used to treat people with low back pain, especially people with acute back pain. Short term NSAID use is also recommended for pain relief in people with chronic back pain. Two types of NSAIDs are available and used to treat back pain: non-selective NSAIDs and selective COX-2 NSAIDs. In 2008, a Cochrane review identified a small but significant effect from NSAIDs ...

    Also Ranks for: Chronic Low |  nsaids placebo |  steroidal anti |  disability difference |  included trials
    KOL Index score: 18622

    STUDY DESIGN: Population-based cohort study of Washington State patients who underwent lumbar spine surgery for degenerative conditions in 1988.

    OBJECTIVES: To compare complications and reoperation rates during the 5-year period after surgery between patients who have undergone lumbar spine fusion surgery and those who have undergone laminectomy or discectomy alone.

    SUMMARY OF BACKGROUND DATA: Spinal fusion is associated with wider surgical exposure, more extensive dissection, and longer ...

    Also Ranks for: Reoperation Rates |  spine surgery |  laminectomy discectomy |  fusion patients |  degenerative conditions
    KOL Index score: 17017

    CONTEXT: For patients with lumbar disk herniation, the Spine Patient Outcomes Research Trial (SPORT) randomized trial intent-to-treat analysis showed small but not statistically significant differences in favor of diskectomy compared with usual care. However, the large numbers of patients who crossed over between assigned groups precluded any conclusions about the comparative effectiveness of operative therapy vs usual care.

    OBJECTIVE: To compare the treatment effects of diskectomy and ...

    Also Ranks for: Nonoperative Treatment |  lumbar disk herniation |  observational cohort |  patients surgery |  oswestry disability
    KOL Index score: 15934

    BACKGROUND: Lumbar spinal stenosis is one of the most common causes of low back pain among older adults and can cause significant disability. Despite its prevalence, treatment of spinal stenosis symptoms remains controversial. Epidural steroid injections are used with increasing frequency as a less invasive, potentially safer, and more cost-effective treatment than surgery. However, there is a lack of data to judge the effectiveness and safety of epidural steroid injections for spinal ...

    Also Ranks for: Spinal Stenosis |  epidural steroid injections |  local anesthetic |  6 weeks |  pain function
    KOL Index score: 15933

    STUDY DESIGN: Retrospective cohort study using a hospital discharge registry of all nonfederal acute care hospitals in Washington state.

    OBJECTIVES: To determine the cumulative incidence of reoperation following lumbar surgery for degenerative disease and, for specific diagnoses, to compare the frequency of reoperation following fusion with that following decompression alone.

    SUMMARY OF BACKGROUND DATA: Repeat lumbar spine operations are generally undesirable, implying persistent ...

    Also Ranks for: Reoperation Rates |  lumbar spine |  fusion surgery |  cumulative incidence |  patients spondylolisthesis
    KOL Index score: 15220

    CONTEXT: In recent decades, the fastest growth in lumbar surgery occurred in older patients with spinal stenosis. Trials indicate that for selected patients, decompressive surgery offers an advantage over nonoperative treatment, but surgeons often recommend more invasive fusion procedures. Comorbidity is common in older patients, so benefits and risks must be carefully weighed in the choice of surgical procedure.

    OBJECTIVE: To examine trends in use of different types of stenosis ...

    Also Ranks for: Spinal Stenosis |  major medical complications |  complex fusion |  patients decompression |  lumbar surgery
    KOL Index score: 15080

    BACKGROUND: The U.S. population of former prison inmates is large and growing. 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.

    METHODS: We conducted a retrospective cohort study of all inmates released from the Washington State Department of Corrections from July 1999 through December 2003. Prison records were ...

    Also Ranks for: Risk Death |  inmates release |  washington state |  2 weeks |  drug overdose
    KOL Index score: 14846

    STUDY DESIGN: A prospective cohort study of patients in Maine with sciatica and lumbar spinal stenosis treated surgically and nonsurgically.

    SUMMARY OF BACKGROUND DATA: In 1987, the Quebec Task Force on Spinal Disorders proposed a diagnostic classification to help make clinical decisions, evaluate quality of care, assess prognosis, and conduct research.

    OBJECTIVES: To assess the Quebec Task Force classification's ability to stratify patients according to severity and treatment at ...

    Also Ranks for: Task Force |  spinal stenosis |  patients sciatica |  healthrelated quality |  symptoms functional status
    KOL Index score: 14639

    BACKGROUND: Low-back problems are one of the most frequent reasons for disability compensation claims by workers. However, the effect of Workers' Compensation status on the long-term outcome for workers with sciatica has not been studied in detail, to our knowledge. Therefore, we believe that it is important to describe the long-term outcomes for patients who have herniation of a lumbar disc and sciatica according to the Workers' Compensation status at the time of the preoperative ...

    Also Ranks for: Workers Compensation |  patients sciatica |  quality life |  receiving disability |  lumbar disc
    KOL Index score: 14543

    Since the late 1970's, an empirical relationship between the volume of procedures performed by a provider (a hospital or surgeon) and the outcome has been documented for various operations. The present study examines the relationship between the volume of hip replacements performed by surgeons and hospitals and the postoperative rate of complications. A statewide hospital discharge registry was used to identify patients who had had an elective hip replacement between 1988 and 1991. ...

    Also Ranks for: Hip Replacements |  postoperative complications |  hospital surgeon |  humans length |  low volume
    KOL Index score: 14401

    INTRODUCTION: Far fewer opioids are prescribed in Japan than in the United States.

    METHODS: We conducted an online physician survey assessing attitudes and perceptions that might influence prescribing. A Japanese version was distributed to members of the Japan Primary Care Association and an English version to members of the American Academy of Family Physicians practicing in Oregon.

    RESULTS: We received 461 Japanese responses and 198 from the United States, though overall response rates ...

    Also Ranks for: United States |  opioid prescribing |  acute pain |  physicians surveys |  drug prescriptions
    KOL Index score: 14358

    CONTEXT: Lumbar diskectomy is the most common surgical procedure performed for back and leg symptoms in US patients, but the efficacy of the procedure relative to nonoperative care remains controversial.

    OBJECTIVE: To assess the efficacy of surgery for lumbar intervertebral disk herniation.

    DESIGN, SETTING, AND PATIENTS: The Spine Patient Outcomes Research Trial, a randomized clinical trial enrolling patients between March 2000 and November 2004 from 13 multidisciplinary spine clinics in ...

    Also Ranks for: Nonoperative Treatment |  patients surgery |  lumbar disk herniation |  patient outcome |  6 weeks
    KOL Index score: 14289

    STUDY DESIGN: A prospective observational cohort study.

    OBJECTIVE: To assess long-term outcomes of patients with lumbar spinal stenosis treated surgically or nonsurgically.

    SUMMARY OF BACKGROUND DATA: The relative benefit of various treatments for lumbar spinal stenosis is uncertain. Surgical treatment has been associated with short-term improvement, but recurrence of symptoms has been documented. Few studies have compared long-term outcomes of surgical and nonsurgical ...

    Also Ranks for: 10 Years |  lumbar spinal |  surgical treatment |  functional status |  leg pain


    Richard A Deyo: Influence Statistics

    Sample of concepts for which Richard A Deyo is among the top experts in the world.
    Concept World rank
    onkreiner #1
    42 chiropractic users #1
    unhealthy lifestyles utilization #1
    spacer surgery cost #1
    effects lumbar fusion #1
    chronic pain correlates #1
    diagnosis acupuncturists #1
    pretreatment expectations preferences #1
    medication erectile dysfunction #1
    areas injection rates #1
    treatments insurance #1
    standards chronic #1
    expenditure differences users #1
    advanced copd malignancy #1
    life workers compensation #1
    pain primary setting #1
    health reimbursement low #1
    hospitalizations sf36 #1
    rates lumbar surgery #1
    toothpick guidetube #1
    pdmp prescriber specialty #1
    chiropractic booklet #1
    low united states #1
    greater benefit corticosteroidlidocaine #1
    psychologic distress utilization #1
    pretreatment expectations success #1
    rdq adjusted difference #1
    complex fusion decompression #1
    female humans variations #1
    standards clbp #1
    patients practice policies #1
    patients early imaging #1
    7 weeks pain #1
    lbp female fractures #1
    measuresexposure #1
    spacer surgery decompression #1
    reoperation rates 90 #1
    ppact #1
    opioidprescribing continuity #1
    namcs data proportion #1
    likelihood neckrelated dysfunction #1
    case spine surgery #1
    relaxation massage usual #1
    pocket indicators #1
    rationale sport #1
    conceptual model safety #1
    pdmp users #1
    mortality spinal augmentation #1
    spine screening #1
    recruitment method participants #1

    Key People For Chronic Pain

    Top KOLs in the world
    Dennis C Turk†
    chronic pain fibromyalgia syndrome united states
    Mark P Jensen
    chronic pain multiple sclerosis spinal cord injury
    Michael R Von Korff
    chronic pain major depression mental disorders
    Robert D Kerns
    chronic pain veterans affairs united states
    Francis J Keefe
    chronic pain skills training breast cancer
    Christopher Eccleston
    chronic pain psychological therapies children adolescents

    Richard A Deyo:Expert Impact

    Concepts for whichRichard A Deyohas direct influence:Chronic pain,  Low pain,  United states,  Spinal stenosis,  Chronic low,  Spine surgery,  Task force,  Massage therapists.

    Richard A Deyo:KOL impact

    Concepts related to the work of other authors for whichfor which Richard A Deyo has influence:Chronic pain,  United states,  Quality life,  Spine surgery,  Spinal stenosis,  Knee osteoarthritis,  Rheumatoid arthritis.



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    Departments of Family Medicine and of Internal Medicine, Oregon Health and Science University, Portland (OR), USA. | School of Medicine, Oregon Health and Science University, Portland, OR | Departments of Family Medicine and Internal Medicine, Oregon