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. 2014 May 13;473(6):2000–2006. doi: 10.1007/s11999-014-3671-1

Table 2.

Factors leading to improved 4-year outcomes (greater ODI change) based on treatment method (p < 0.05) [12, 17, 18]

Treatment Factor p value
Surgery Nonoperative
Nonoperative No hypertension 0.042
Single < 0.001
Surgery Predominantly leg pain (vs back pain) 0.002
Sensation intact (vs sensory deficit) 0.046
Posterolateral herniation (vs other location) < 0.001
No physical therapy 0.036
Sequestered herniation (vs extruded or protruding) 0.004
Married (vs divorced/widowed) < 0.001
Either surgery or nonoperative Increasing ODI < 0.001 < 0.001
Lower SBI (≤ 16) 0.001 0.006
Lower BMI (< 30), nonobese < 0.001 0.034
No joint problems < 0.001 0.005
Not depressed < 0.001 < 0.001
No other comorbidities < 0.001 < 0.001
No stomach problems < 0.001 < 0.001
Problem getting better < 0.001 < 0.001
No opioid use 0.001 0.005
No antidepressant use < 0.001 0.002
Nonsmoker < 0.001 < 0.001
White race (vs black, other) 0.004 < 0.001
Income > USD 50,000 < 0.001 < 0.001
Baseline SF-36 MCS >35 < 0.001 < 0.001
Symptoms ≤ 6 months < 0.001 0.006
≤ 6 weeks’ duration < 0.001 < 0.001
No missed work 0.015 0.04
No prior injections < 0.001 0.001
Insured < 0.001 0.019
No litigation < 0.001 <0.001
No lifting at work < 0.001 <0.001
No workers compensation < 0.001 <0.001
At least some college or more < 0.001 <0.001

ODI = Oswestry Disability Index; SBI = Sciatica Bothersomeness Index; MCS = mental component summary.