Impact of background factors on outcomes of pharmacological therapy for chronic low back pain: A nationwide multicenter prospective study
Chronic low back pain (CLBP) is a major cause of chronic pain with nociceptive, neuropathic or both pain components, and a leading cause of disability. The objectives of this study were to determine the impact of background factors including previous use of drugs on outcomes of pharmacological thera...
Gespeichert in:
| Veröffentlicht in: | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association 2021-01, Vol.26 (1), p.92-102 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 102 |
|---|---|
| container_issue | 1 |
| container_start_page | 92 |
| container_title | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association |
| container_volume | 26 |
| creator | Imagama, Shiro Murakami, Hideki Kaito, Takashi Matsuyama, Yukihiro Yamashita, Toshihiko Kawakami, Mamoru Takahashi, Kazuhisa Yoshida, Munehito Ohtori, Seiji Taguchi, Toshihiko Haro, Hirotaka Taneichi, Hiroshi Yamazaki, Masashi Inoue, Gen Nishida, Kotaro Yamada, Hiroshi Kabata, Daijiro Shintani, Ayumi Iwasaki, Motoki Ito, Manabu Miyakoshi, Naohisa Yonenobu, Kazuo Takura, Tomoyuki Mochida, Joji |
| description | Chronic low back pain (CLBP) is a major cause of chronic pain with nociceptive, neuropathic or both pain components, and a leading cause of disability. The objectives of this study were to determine the impact of background factors including previous use of drugs on outcomes of pharmacological therapy for CLBP in a nationwide multicenter prospective study.
The subjects were 474 patients (male: 41.9%, median age: 73.0) with CLBP. Background factors that could influence outcomes after pharmacological treatment for 6 months were examined: age, gender, body mass index (BMI), duration of CLBP, osteoporosis, history of spinal surgery, history of malignant tumor, smoking habit, employment status (yes or no), exercise habit (frequency), number of live-in family members, having something to do for pleasure, Center for Epidemiologic Studies depression scale (CES-D) score, and medication at baseline. Japanese Orthopaedic Association (JOA) score, visual analogue scale (VAS) for LBP, JOA Back Pain Evaluation Questionnaire (JOABPEQ), Roland-Morris Disability Questionnaire (RDQ), Short-form 8-item health survey (SF-8), and EQ-5D were used for evaluation at baseline and after 6 months. Multivariate linear regression models were used in statistical analysis.
Drugs for neuropathic pain at baseline (p |
| doi_str_mv | 10.1016/j.jos.2020.02.003 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2370496408</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0949265820300518</els_id><sourcerecordid>2370496408</sourcerecordid><originalsourceid>FETCH-LOGICAL-c377t-8a559893c16b4bf82f6ea39ef005709cc67ca2775bb8633dcda0fd09412d725c3</originalsourceid><addsrcrecordid>eNp9kc2O1DAQhC0EYoeFB-CCfOSS4J8kTuC0WvGz0kpc4Gw57c6Oh8QOtrOreQTeGg-zcOTUUuurUncVIa85qznj3btDfQipFkywmomaMfmE7Hgju6qs5FOyY0MzVKJr-wvyIqUDY1y1Q_ucXEjBhVBNsyO_bpbVQKZhoqOBH3cxbN7SqaxCTDR4GrYMYcF0Ita9iYuBMIc7B2ameY_RrEc6hUhhH4N3QOfw8MeJrsb59_SKepNd8A_OIl22OTtAnzHSNYa0ImR3jzTlzR5fkmeTmRO-epyX5Punj9-uv1S3Xz_fXF_dViCVylVv2nboBwm8G5tx6sXUoZEDToy1ig0AnQIjlGrHse-ktGANm2xJggurRAvykrw9-5YLfm6Ysl5cApxn4zFsSQupWDN0DesLys8olGNTxEmv0S0mHjVn-tSAPujSgD41oJnQpYGiefNov40L2n-Kv5EX4MMZwPLkvcOoEzj0gNbFkoe2wf3H_jdxK5l-</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2370496408</pqid></control><display><type>article</type><title>Impact of background factors on outcomes of pharmacological therapy for chronic low back pain: A nationwide multicenter prospective study</title><source>Alma/SFX Local Collection</source><creator>Imagama, Shiro ; Murakami, Hideki ; Kaito, Takashi ; Matsuyama, Yukihiro ; Yamashita, Toshihiko ; Kawakami, Mamoru ; Takahashi, Kazuhisa ; Yoshida, Munehito ; Ohtori, Seiji ; Taguchi, Toshihiko ; Haro, Hirotaka ; Taneichi, Hiroshi ; Yamazaki, Masashi ; Inoue, Gen ; Nishida, Kotaro ; Yamada, Hiroshi ; Kabata, Daijiro ; Shintani, Ayumi ; Iwasaki, Motoki ; Ito, Manabu ; Miyakoshi, Naohisa ; Yonenobu, Kazuo ; Takura, Tomoyuki ; Mochida, Joji</creator><creatorcontrib>Imagama, Shiro ; Murakami, Hideki ; Kaito, Takashi ; Matsuyama, Yukihiro ; Yamashita, Toshihiko ; Kawakami, Mamoru ; Takahashi, Kazuhisa ; Yoshida, Munehito ; Ohtori, Seiji ; Taguchi, Toshihiko ; Haro, Hirotaka ; Taneichi, Hiroshi ; Yamazaki, Masashi ; Inoue, Gen ; Nishida, Kotaro ; Yamada, Hiroshi ; Kabata, Daijiro ; Shintani, Ayumi ; Iwasaki, Motoki ; Ito, Manabu ; Miyakoshi, Naohisa ; Yonenobu, Kazuo ; Takura, Tomoyuki ; Mochida, Joji ; The Project Committee of the Japanese Society for Spine Surgery and Related Research (JSSR) ; Project Committee of the Japanese Society for Spine Surgery and Related Research (JSSR)</creatorcontrib><description><![CDATA[Chronic low back pain (CLBP) is a major cause of chronic pain with nociceptive, neuropathic or both pain components, and a leading cause of disability. The objectives of this study were to determine the impact of background factors including previous use of drugs on outcomes of pharmacological therapy for CLBP in a nationwide multicenter prospective study.
The subjects were 474 patients (male: 41.9%, median age: 73.0) with CLBP. Background factors that could influence outcomes after pharmacological treatment for 6 months were examined: age, gender, body mass index (BMI), duration of CLBP, osteoporosis, history of spinal surgery, history of malignant tumor, smoking habit, employment status (yes or no), exercise habit (frequency), number of live-in family members, having something to do for pleasure, Center for Epidemiologic Studies depression scale (CES-D) score, and medication at baseline. Japanese Orthopaedic Association (JOA) score, visual analogue scale (VAS) for LBP, JOA Back Pain Evaluation Questionnaire (JOABPEQ), Roland-Morris Disability Questionnaire (RDQ), Short-form 8-item health survey (SF-8), and EQ-5D were used for evaluation at baseline and after 6 months. Multivariate linear regression models were used in statistical analysis.
Drugs for neuropathic pain at baseline (p < 0.001), Tramacet® at baseline (p < 0.05), weak opioids at baseline (p < 0.05), older age (p < 0.001), long disease duration (p < 0.005), history of spinal surgery (p < 0.001), and smoking habit (p < 0.001) had significant negative effects on outcomes. Employment (p < 0.05), exercise habit (p < 0.05), and CED-D at baseline (p < 0.001) had positive effects on outcomes.
This is the first study to identify significant prognostic factors for outcomes of pharmacological treatment of CLBP. The neuropathic pain component of CLBP at baseline is a major significant negative factor for most outcomes involving improved pain, activities of daily life, and quality of life. Treatment strategies developed with consideration of these factors may be advantageous for recovery from CLBP.]]></description><identifier>ISSN: 0949-2658</identifier><identifier>EISSN: 1436-2023</identifier><identifier>DOI: 10.1016/j.jos.2020.02.003</identifier><identifier>PMID: 32122744</identifier><language>eng</language><publisher>Japan: Elsevier B.V</publisher><ispartof>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 2021-01, Vol.26 (1), p.92-102</ispartof><rights>2020 The Japanese Orthopaedic Association</rights><rights>Copyright © 2020 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c377t-8a559893c16b4bf82f6ea39ef005709cc67ca2775bb8633dcda0fd09412d725c3</citedby><cites>FETCH-LOGICAL-c377t-8a559893c16b4bf82f6ea39ef005709cc67ca2775bb8633dcda0fd09412d725c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32122744$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Imagama, Shiro</creatorcontrib><creatorcontrib>Murakami, Hideki</creatorcontrib><creatorcontrib>Kaito, Takashi</creatorcontrib><creatorcontrib>Matsuyama, Yukihiro</creatorcontrib><creatorcontrib>Yamashita, Toshihiko</creatorcontrib><creatorcontrib>Kawakami, Mamoru</creatorcontrib><creatorcontrib>Takahashi, Kazuhisa</creatorcontrib><creatorcontrib>Yoshida, Munehito</creatorcontrib><creatorcontrib>Ohtori, Seiji</creatorcontrib><creatorcontrib>Taguchi, Toshihiko</creatorcontrib><creatorcontrib>Haro, Hirotaka</creatorcontrib><creatorcontrib>Taneichi, Hiroshi</creatorcontrib><creatorcontrib>Yamazaki, Masashi</creatorcontrib><creatorcontrib>Inoue, Gen</creatorcontrib><creatorcontrib>Nishida, Kotaro</creatorcontrib><creatorcontrib>Yamada, Hiroshi</creatorcontrib><creatorcontrib>Kabata, Daijiro</creatorcontrib><creatorcontrib>Shintani, Ayumi</creatorcontrib><creatorcontrib>Iwasaki, Motoki</creatorcontrib><creatorcontrib>Ito, Manabu</creatorcontrib><creatorcontrib>Miyakoshi, Naohisa</creatorcontrib><creatorcontrib>Yonenobu, Kazuo</creatorcontrib><creatorcontrib>Takura, Tomoyuki</creatorcontrib><creatorcontrib>Mochida, Joji</creatorcontrib><creatorcontrib>The Project Committee of the Japanese Society for Spine Surgery and Related Research (JSSR)</creatorcontrib><creatorcontrib>Project Committee of the Japanese Society for Spine Surgery and Related Research (JSSR)</creatorcontrib><title>Impact of background factors on outcomes of pharmacological therapy for chronic low back pain: A nationwide multicenter prospective study</title><title>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</title><addtitle>J Orthop Sci</addtitle><description><![CDATA[Chronic low back pain (CLBP) is a major cause of chronic pain with nociceptive, neuropathic or both pain components, and a leading cause of disability. The objectives of this study were to determine the impact of background factors including previous use of drugs on outcomes of pharmacological therapy for CLBP in a nationwide multicenter prospective study.
The subjects were 474 patients (male: 41.9%, median age: 73.0) with CLBP. Background factors that could influence outcomes after pharmacological treatment for 6 months were examined: age, gender, body mass index (BMI), duration of CLBP, osteoporosis, history of spinal surgery, history of malignant tumor, smoking habit, employment status (yes or no), exercise habit (frequency), number of live-in family members, having something to do for pleasure, Center for Epidemiologic Studies depression scale (CES-D) score, and medication at baseline. Japanese Orthopaedic Association (JOA) score, visual analogue scale (VAS) for LBP, JOA Back Pain Evaluation Questionnaire (JOABPEQ), Roland-Morris Disability Questionnaire (RDQ), Short-form 8-item health survey (SF-8), and EQ-5D were used for evaluation at baseline and after 6 months. Multivariate linear regression models were used in statistical analysis.
Drugs for neuropathic pain at baseline (p < 0.001), Tramacet® at baseline (p < 0.05), weak opioids at baseline (p < 0.05), older age (p < 0.001), long disease duration (p < 0.005), history of spinal surgery (p < 0.001), and smoking habit (p < 0.001) had significant negative effects on outcomes. Employment (p < 0.05), exercise habit (p < 0.05), and CED-D at baseline (p < 0.001) had positive effects on outcomes.
This is the first study to identify significant prognostic factors for outcomes of pharmacological treatment of CLBP. The neuropathic pain component of CLBP at baseline is a major significant negative factor for most outcomes involving improved pain, activities of daily life, and quality of life. Treatment strategies developed with consideration of these factors may be advantageous for recovery from CLBP.]]></description><issn>0949-2658</issn><issn>1436-2023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kc2O1DAQhC0EYoeFB-CCfOSS4J8kTuC0WvGz0kpc4Gw57c6Oh8QOtrOreQTeGg-zcOTUUuurUncVIa85qznj3btDfQipFkywmomaMfmE7Hgju6qs5FOyY0MzVKJr-wvyIqUDY1y1Q_ucXEjBhVBNsyO_bpbVQKZhoqOBH3cxbN7SqaxCTDR4GrYMYcF0Ita9iYuBMIc7B2ameY_RrEc6hUhhH4N3QOfw8MeJrsb59_SKepNd8A_OIl22OTtAnzHSNYa0ImR3jzTlzR5fkmeTmRO-epyX5Punj9-uv1S3Xz_fXF_dViCVylVv2nboBwm8G5tx6sXUoZEDToy1ig0AnQIjlGrHse-ktGANm2xJggurRAvykrw9-5YLfm6Ysl5cApxn4zFsSQupWDN0DesLys8olGNTxEmv0S0mHjVn-tSAPujSgD41oJnQpYGiefNov40L2n-Kv5EX4MMZwPLkvcOoEzj0gNbFkoe2wf3H_jdxK5l-</recordid><startdate>202101</startdate><enddate>202101</enddate><creator>Imagama, Shiro</creator><creator>Murakami, Hideki</creator><creator>Kaito, Takashi</creator><creator>Matsuyama, Yukihiro</creator><creator>Yamashita, Toshihiko</creator><creator>Kawakami, Mamoru</creator><creator>Takahashi, Kazuhisa</creator><creator>Yoshida, Munehito</creator><creator>Ohtori, Seiji</creator><creator>Taguchi, Toshihiko</creator><creator>Haro, Hirotaka</creator><creator>Taneichi, Hiroshi</creator><creator>Yamazaki, Masashi</creator><creator>Inoue, Gen</creator><creator>Nishida, Kotaro</creator><creator>Yamada, Hiroshi</creator><creator>Kabata, Daijiro</creator><creator>Shintani, Ayumi</creator><creator>Iwasaki, Motoki</creator><creator>Ito, Manabu</creator><creator>Miyakoshi, Naohisa</creator><creator>Yonenobu, Kazuo</creator><creator>Takura, Tomoyuki</creator><creator>Mochida, Joji</creator><general>Elsevier B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202101</creationdate><title>Impact of background factors on outcomes of pharmacological therapy for chronic low back pain: A nationwide multicenter prospective study</title><author>Imagama, Shiro ; Murakami, Hideki ; Kaito, Takashi ; Matsuyama, Yukihiro ; Yamashita, Toshihiko ; Kawakami, Mamoru ; Takahashi, Kazuhisa ; Yoshida, Munehito ; Ohtori, Seiji ; Taguchi, Toshihiko ; Haro, Hirotaka ; Taneichi, Hiroshi ; Yamazaki, Masashi ; Inoue, Gen ; Nishida, Kotaro ; Yamada, Hiroshi ; Kabata, Daijiro ; Shintani, Ayumi ; Iwasaki, Motoki ; Ito, Manabu ; Miyakoshi, Naohisa ; Yonenobu, Kazuo ; Takura, Tomoyuki ; Mochida, Joji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c377t-8a559893c16b4bf82f6ea39ef005709cc67ca2775bb8633dcda0fd09412d725c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Imagama, Shiro</creatorcontrib><creatorcontrib>Murakami, Hideki</creatorcontrib><creatorcontrib>Kaito, Takashi</creatorcontrib><creatorcontrib>Matsuyama, Yukihiro</creatorcontrib><creatorcontrib>Yamashita, Toshihiko</creatorcontrib><creatorcontrib>Kawakami, Mamoru</creatorcontrib><creatorcontrib>Takahashi, Kazuhisa</creatorcontrib><creatorcontrib>Yoshida, Munehito</creatorcontrib><creatorcontrib>Ohtori, Seiji</creatorcontrib><creatorcontrib>Taguchi, Toshihiko</creatorcontrib><creatorcontrib>Haro, Hirotaka</creatorcontrib><creatorcontrib>Taneichi, Hiroshi</creatorcontrib><creatorcontrib>Yamazaki, Masashi</creatorcontrib><creatorcontrib>Inoue, Gen</creatorcontrib><creatorcontrib>Nishida, Kotaro</creatorcontrib><creatorcontrib>Yamada, Hiroshi</creatorcontrib><creatorcontrib>Kabata, Daijiro</creatorcontrib><creatorcontrib>Shintani, Ayumi</creatorcontrib><creatorcontrib>Iwasaki, Motoki</creatorcontrib><creatorcontrib>Ito, Manabu</creatorcontrib><creatorcontrib>Miyakoshi, Naohisa</creatorcontrib><creatorcontrib>Yonenobu, Kazuo</creatorcontrib><creatorcontrib>Takura, Tomoyuki</creatorcontrib><creatorcontrib>Mochida, Joji</creatorcontrib><creatorcontrib>The Project Committee of the Japanese Society for Spine Surgery and Related Research (JSSR)</creatorcontrib><creatorcontrib>Project Committee of the Japanese Society for Spine Surgery and Related Research (JSSR)</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Imagama, Shiro</au><au>Murakami, Hideki</au><au>Kaito, Takashi</au><au>Matsuyama, Yukihiro</au><au>Yamashita, Toshihiko</au><au>Kawakami, Mamoru</au><au>Takahashi, Kazuhisa</au><au>Yoshida, Munehito</au><au>Ohtori, Seiji</au><au>Taguchi, Toshihiko</au><au>Haro, Hirotaka</au><au>Taneichi, Hiroshi</au><au>Yamazaki, Masashi</au><au>Inoue, Gen</au><au>Nishida, Kotaro</au><au>Yamada, Hiroshi</au><au>Kabata, Daijiro</au><au>Shintani, Ayumi</au><au>Iwasaki, Motoki</au><au>Ito, Manabu</au><au>Miyakoshi, Naohisa</au><au>Yonenobu, Kazuo</au><au>Takura, Tomoyuki</au><au>Mochida, Joji</au><aucorp>The Project Committee of the Japanese Society for Spine Surgery and Related Research (JSSR)</aucorp><aucorp>Project Committee of the Japanese Society for Spine Surgery and Related Research (JSSR)</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of background factors on outcomes of pharmacological therapy for chronic low back pain: A nationwide multicenter prospective study</atitle><jtitle>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</jtitle><addtitle>J Orthop Sci</addtitle><date>2021-01</date><risdate>2021</risdate><volume>26</volume><issue>1</issue><spage>92</spage><epage>102</epage><pages>92-102</pages><issn>0949-2658</issn><eissn>1436-2023</eissn><abstract><![CDATA[Chronic low back pain (CLBP) is a major cause of chronic pain with nociceptive, neuropathic or both pain components, and a leading cause of disability. The objectives of this study were to determine the impact of background factors including previous use of drugs on outcomes of pharmacological therapy for CLBP in a nationwide multicenter prospective study.
The subjects were 474 patients (male: 41.9%, median age: 73.0) with CLBP. Background factors that could influence outcomes after pharmacological treatment for 6 months were examined: age, gender, body mass index (BMI), duration of CLBP, osteoporosis, history of spinal surgery, history of malignant tumor, smoking habit, employment status (yes or no), exercise habit (frequency), number of live-in family members, having something to do for pleasure, Center for Epidemiologic Studies depression scale (CES-D) score, and medication at baseline. Japanese Orthopaedic Association (JOA) score, visual analogue scale (VAS) for LBP, JOA Back Pain Evaluation Questionnaire (JOABPEQ), Roland-Morris Disability Questionnaire (RDQ), Short-form 8-item health survey (SF-8), and EQ-5D were used for evaluation at baseline and after 6 months. Multivariate linear regression models were used in statistical analysis.
Drugs for neuropathic pain at baseline (p < 0.001), Tramacet® at baseline (p < 0.05), weak opioids at baseline (p < 0.05), older age (p < 0.001), long disease duration (p < 0.005), history of spinal surgery (p < 0.001), and smoking habit (p < 0.001) had significant negative effects on outcomes. Employment (p < 0.05), exercise habit (p < 0.05), and CED-D at baseline (p < 0.001) had positive effects on outcomes.
This is the first study to identify significant prognostic factors for outcomes of pharmacological treatment of CLBP. The neuropathic pain component of CLBP at baseline is a major significant negative factor for most outcomes involving improved pain, activities of daily life, and quality of life. Treatment strategies developed with consideration of these factors may be advantageous for recovery from CLBP.]]></abstract><cop>Japan</cop><pub>Elsevier B.V</pub><pmid>32122744</pmid><doi>10.1016/j.jos.2020.02.003</doi><tpages>11</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0949-2658 |
| ispartof | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 2021-01, Vol.26 (1), p.92-102 |
| issn | 0949-2658 1436-2023 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2370496408 |
| source | Alma/SFX Local Collection |
| title | Impact of background factors on outcomes of pharmacological therapy for chronic low back pain: A nationwide multicenter prospective study |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T00%3A05%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Impact%20of%20background%20factors%20on%20outcomes%20of%20pharmacological%20therapy%20for%20chronic%20low%20back%20pain:%20A%20nationwide%20multicenter%20prospective%20study&rft.jtitle=Journal%20of%20orthopaedic%20science%20:%20official%20journal%20of%20the%20Japanese%20Orthopaedic%20Association&rft.au=Imagama,%20Shiro&rft.aucorp=The%20Project%20Committee%20of%20the%20Japanese%20Society%20for%20Spine%20Surgery%20and%20Related%20Research%20(JSSR)&rft.date=2021-01&rft.volume=26&rft.issue=1&rft.spage=92&rft.epage=102&rft.pages=92-102&rft.issn=0949-2658&rft.eissn=1436-2023&rft_id=info:doi/10.1016/j.jos.2020.02.003&rft_dat=%3Cproquest_cross%3E2370496408%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2370496408&rft_id=info:pmid/32122744&rft_els_id=S0949265820300518&rfr_iscdi=true |