ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2022
Prediction of outcome after spinal surgery-using The Dialogue Support based on the Swedish national quality register.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07788872 (MORESP, MOre REalistic Spine Patients), which is not on this map. Cited by 11 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
MORESP, MOre REalistic Spine Patients: Assessing the Effect of a Predictive Tool ("Dialogue Support") in Relation to Expectations, Post-surgical Outcomes and Surgery Cancellations in Patients With Lumbar Degenerative Spinal Disorders, as Well as Inter-rater Reliability Between Surgeons.
Who cites it
11 citing papers in PubMed.
- Article
- Generalisable prediction models for outcomes after lumbar spinal stenosis surgery: a model development and external validation study.EClinicalMedicine · 2026Article
- Article
- Poor predictive performance of early outcome models following lumbar disc herniation surgery.Bone & joint open · 2026Article
- Predicting high health care use in patients with spinal disorder in secondary care: model development and validation.Pain reports · 2026Article
- National variation in referral and surgical management of incident cervical disc herniation.Acta neurochirurgica · 2025Article
- External validation of a prediction model for disability and pain after lumbar disc herniation surgery: a prospective international registry-based cohort study.Acta orthopaedica · 2025Article
- The strategic use of Big Data - A study protocol for a multicenter clinical trial testing if the use of the Swespine Dialogue Support alter outcomes in degenerative spine surgery.BMC musculoskeletal disorders · 2024Article
- Clinical Decision Support System Used in Spinal Disorders: Scoping Review.Journal of medical Internet research · 2024Article
- Validating the predictive precision of the dialogue support tool on Danish patient cohorts.North American Spine Society journal · 2023Article
- Usability and performance expectancy govern spine surgeons' use of a clinical decision support system for shared decision-making on the choice of treatment of common lumbar degenerative disorders.Frontiers in digital health · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the predictive precision of the Dialogue Support, a tool for additional help in shared decision-making before surgery of the degenerative spine.
methodsData in Swespine (Swedish national quality registry) of patients operated between 2007 and 2019 found the development of prediction algorithms based on logistic regression analyses, where socio-demographic and baseline variables were included. The algorithms were tested in four diagnostic groups: lumbar disc herniation, lumbar spinal stenosis, degenerative disc disease and cervical radiculopathy. By random selection, 80% of the study population was used for the prediction of outcome and then tested against the actual outcome of the remaining 20%. Outcome measures were global assessment of pain (GA), and satisfaction with outcome.
resultsCalibration plots demonstrated a high degree of concordance on a group level. On an individual level, ROC curves showed moderate predictive capacity with AUC (area under the curve) values 0.67-0.68 for global assessment and 0.6-0.67 for satisfaction.
conclusionThe Dialogue Support can serve as an aid to both patient and surgeon when discussing and deciding on surgical treatment of degenerative conditions in the lumbar and cervical spine. LEVEL OF EVIDENCE: I.
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Registered trials
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