Table 3.
N | Surgical | Non-operative | Treatment Effect† (95% CI) |
|
---|---|---|---|---|
Non-smokers with ODI ≤ 56, foraminal stenosis, neurological deficit, predominant leg pain, and no lifting at work |
35 | −23.8 (2.7) | 0.3 (3.1) | −24.1 (−30.2, −18) |
Smokers with ODI > 56 | 23 | −0.9 (3.8) | −4.5 (5.2) | 3.6 (−5.6, 12.8) |
Others | 576 | −20.2 (0.7) | −9.9 (0.8) | −10.2 (−12.1, −8.4) |
p-value | <0.001 | 0.003 | <0.001 |
Adjusted for center, age, gender, baseline ODI score, income, treatment preference, duration of symptoms, compensation, smoking status, BMI, baseline Stenosis Bothersomeness, joint, stomach and bowel problems.
Treatment effect is the difference between the surgical and non-operative mean change from baseline. Analysis is done using a mixed model with a random subject intercept term. Treatment is a time-varying covariate where a patients’ experience prior to surgery is attributed to the non-operative arm and time is measured from enrollment and his/her post-surgery outcomes are attributed to the surgical arm and time is measured from time of surgery.