Canadian Spine Outcomes and Research Network (CSORN)

For More Information / Questions
Please contact:

Greg McIntosh
Director of Research Operations
Canadian Spine Society
gmcintosh@spinecanada.ca



2017 CSORN Annual Report
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2016 CSORN Annual Report
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2015 CSORN Annual Report
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2014 CSORN Annual Report
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Research Activities

– updated Feb 20, 2018

Current Retrospective Studies:

Title Originating Site Date submitted Date approved Status Stage
Impact of Non-operative care utilization on post thoracolumbar spine surgery outcomes. Wpg 6/26/2013 10/23/2013 Completed Awaiting first draft of a manuscript
Longitudinal analysis of the incidence of adverse events in tertiary spine referral centres. Wpg 6/26/2013 10/23/2013 Incomplete On hold until larger sample size obtained
Pre-Operative “Amber Flag” Psychological Measure Scores and Patient Expectations. SJ-ortho 10/22/2014 10/23/2014 Completed Awaiting first draft of a manuscript
Wait Times for Elective Spine Surgery Across Canada. Cgy 10/14/2014 10/23/2014 Incomplete Sample size updated; redoing analysis
Pre-Surgical Imaging, Testing and Injection Utilization in Elective Thoracolumbar Spine Surgery Candidates. SJ-ortho 10/22/2014 10/23/2014 Completed Awaiting first draft of a manuscript
Pre-Surgical Physician Utilization in Elective Thoracolumbar Spine Surgery Candidates.
SJ-ortho 10/22/2014 10/23/2014 Completed Awaiting first draft of a manuscript
Minimally-invasive spine surgery use and outcomes in Canada TWH 07/17/2015 Not accepted
The impact of pre-surgical self-reported exercise patterns on post-surgical outcomes Wpg 08/10/2015 08/28/2015 Completed Abstract presented at 2016 CSS mtg
Factors predicting post-operative transfusions post posterior spinal fusion and effect of transfusion on overall patient outcome. Mtl 08/28/2015 09/14/2015 Completed Draft 2 of manuscript written
Risk predictors in elective cervical spine surgery Mtl 08/25/2015 09/14/2015 Incomplete Not started yet
Risk predictors in elective lumbar fusion surgery(Predictors of Improved Pain, Function and Quality of Life Following Elective Lumbar Spine Fusion Surgery Mtl 07/31/2015 09/14/2015 Completed Abstract presented at 2016 CSS mtg
The effect of wait time for the surgical treatment of spondylotic cervical myelopathy on symptoms and post-surgical outcomes. Mtl 7/28/2015 9/14/2015 Completed Abstract written
The Use of Diluted Povidone Iodine Irrigation in Spine Surgery. SJ-neuro 06/26/2015 07/14/2015 Withdrawn
The Impact of Pre-operative Expectations and Health-Related Quality Of Life Measures On The Post-Operative Functional Health Status Of Patients With Degenerative Cervical Spine Disease Vcr 09/10/2015 9/24/2015 Completed Preparing manuscript
Is There A Difference In Baseline And Post Surgical Health Related Quality Of Life Measures Between A Single-Payer And Multi-Tier Health Care System In Patients Undergoing Surgery For Degenerative Lumbar Spondylolisthesis: Vcr 9/10/2015 9/24/2015 Completed Abstract presented at 2016 CSS mtg
The Impact Of Time To Surgery (TTS) On The Preoperative And Postoperative Expectations, Health-Related Quality Of Life (HRQoL) And Functional Health Measures Of Patients With Degenerative Lumbar Spondylolisthesis. Vcr 9/10/2015 9/24/2015 Completed Preparing manuscript
Spine Surgery a mari usque ad mare. CGY 10/6/2015 10/15/2015 Completed

Abstract presented at 2016 CSS mtg
– updated presented at 2017 CSS mt

Are patients exhibiting improvements similar to those seen following primary fusion surgery when it is preceded by a decompression or discectomy? SJ-ortho 9/28/2015 10/12/2015 Completed Abstract presented at 2016 CSS mtg
Comparisons of improvement in clinical outcomes after spine surgery based on diagnosis Steering Comm 9/25/2015 10/6/2015 Completed Abstract written
Improved Data Capture and Quality Following Implementation of Standard Operating Procedures for a Single Site. SJ-ortho Single site data Completed Abstract presented at 2016 CSS mtg
Does significant regional variation occur in patient demographics, baseline pain and disability, health care utilization, specific intervention(s) and outcomes in patients with spinal disorders referred for surgical consultation? Steering Comm 12/17/2014 12/31/2014 Pending
Do specific variables (including patient demographics, baseline health status, duration of symptoms, wait-time for treatment, patient and surgeon preferences) independently predict the outcome of surgical intervention for spinal disorders? Steering Comm 12/17/2014 12/31/2014 Pending
Controlling for patient demographics, diagnosis and intervention categories, does significant regional variation occur in the rate of adverse events associated with spinal surgery? Steering Comm 12/17/2014 12/31/2014 Pending
What is the health services impact in terms of length of stay and estimated incremental cost of adverse events following spinal surgery? Steering Comm 12/17/2014 12/31/2014 Pending
What is the impact of spinal disorders on the HRQOL of patients referred for surgical spine consultation compared to their age and sex matched Canadian peers? Steering Comm 12/17/2014 12/31/2014 Pending
What is the impact of wait-times on baseline HRQOL and surgical outcomes? Steering Comm 12/17/2014 12/31/2014 Pending
In patients with symptomatic degenerative scoliosis of the lumbar spine, what are the short and long term outcomes of non-operative versus operative treatment cohorts? Steering Comm 12/17/2014 12/31/2014 Pending

What are the estimated societal costs (quality of life, health care spending, impact on society) of waiting for surgical spine consultation (wait1) and spine surgery (wait 2)?

National Cost Consequence of Surgical Spine Care

Steering Comm

Steering Comm

12/17/2014

8/7/2016

12/31/2014

8/22/2016

Collaborating with SJ ortho

pending

Predictive factors for discharge destinations post posterior lumbar spinal fusion Mtl 1/11/2016 1/25/2016 Complete Manuscript submitted to Spine
Repeat discectomy versus discectomy and fusion for recurrent lumbar disc herniations: A CSORN study LHSC 2/11/2016 2/25/2016 Re-anaylzing data Abstract presented at 2016 CSS mtg
Nationwide Quality Assessment of the Canadian Spine Outcomes Research Network SJ-ortho 5/12/2016 6/18/2016 Completed Abstract presented at 2017 CSS mtg
Presurgical utilization of health care resources from the CSORN database SJ-ortho 5/12/2016 5/27/2016 Collaborating with R.Rampersaud
Variation in the surgical treatment of lumbar spinal stenosis in Canada Cgy 5/13/2016 5/28/2016 Completed Abstract presented at 2017 CSS mtg
Patient reported outcomes following spinal surgery by diagnosis Steering Comm 8/15/2016 9/15/2016 Completed Abstract presented at 2017 CSS mtg
Satisfaction scores and patient reported outcomes following spinal surgery and non-operative care Steering Comm 6/28/2016 Completed Abstract presented at 2017 ISSLS mtg
Cohort demographics and patient factors associated with interbody Fusion in Low Grade Lumbar Degenerative versus Isthmic Spondylolisthesis LHSC 6/28/2016 7/15/2016 Completed Abstract presented at 2017 CSS mtg
Factors Associated with Increased Risk of Developing Post-op Infection Following Spine Surgery Wpg 10/7/2016 10/11/2016 Completed Abstract presented at 2017 CSS mtg
Predictors of Blood Transfusion in Posterior Lumbar Spinal Fusion Mtl   Completed Abstract presented at 2017 CSS mtg
Return to work after lumbar/cervical spine surgery  Mtl 6/30/2016 7/15/2016 Pending
Impact of Degenerative Spinal Disorders on the Quality of Life of Patient Undergoing Spine Surgery in Canada: A National Comparison to Normal Peers TWH 9/16/2016 10/7/2016 Completed Abstract presented at 2016 CSS mtg
Crafting the first spine surgery performance indicator – deriving a benchmark from CSORN Cgy/LHSC   Completed Abstract presented at 2016 CSS mtg

Development of a Minimum Dataset to enhance CSORN AE Identification and Reporting

Vcr/TWH   Completed Abstract presented at 2016 CSS mtg
Effect Of Surgical Wait Time On Patients With Degenerative Lumbar Spondylolisthesis Vcr 8/1/2016 8/15/2016 Re-analysing data  
Quantifying the delay in surgical management of progressive cervical spondylotic myelopathy Edm 11/22/2016 12/7/2016 Pending  
Relationship between age and non-operative utilization in elective cervical spine surgery Wpg 4/18/2016 5/5/2016 Pending  
Presurgical utilization of health care resources from the CSORN database SJ 6/2/2016 6/15/2016 Not approved  
Outcomes of Total disc replacement versus fusion for lumbar degenerative disc disease Mtl 11/22/2016 12/4/2016 Pending larger sample size  
Variations in Clinical Indications for Elective Spinal Surgery Ott 1/18/2017 2/7/2017 Pending  
Validation of machine learning (ML) algorithm for the prediction of patient reported outcome following surgery for lumbar spinal stenosis TWH 2/19/2017 2/24/2017 Pending  
Influence of age and obesity on clinical outcome following posterior lumbar decompression and fusion Nfld 6/27/2017 7/17/2017 Pending  
Opioid use in elective spinal surgery: Predictors of pre- and postoperative use and impact on post-surgical outcomes and direct hospital cost TWH 4/13/2017 5/1/2017 Abstract Written Abstract presented at 2018 CSS mtg
Determining The Extent Of Clinical Practice Variation Across Canada For Single-Level Posterior Surgery For Lumbar Degenerative Spondylolisthesis SHSC 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Effect Of Peri-Operative Adverse Events On Long-Term Patient Reported Outcomes After Lumbar Spine Surgery Vcr 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Surgical Satisfaction And Clinical Outcomes In Degenerative Spondylolisthesis Vcr 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg

Spinopelvic Parameters And Sagittal Balance Does Not Correlate With Baseline Pain, Function, Or General Health In Degenerative Lumbar Spondylolisthesis

LHSC 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Does Back Pain Improve In Surgically Treated Degenerative Lumbar Spondylolisthesis: What Can We Tell Our Patients? Vcr 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Beneficial Effects Of Regular Exercise Prior To Thoracolumbar Spinal Surgery Wpg/Ott 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Lumbar Surgery In Octogenarians. Really? Cgy 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Clinical Outcomes Research In Lumbar Spine Surgery: Are 2 Year Follow-Ups Necessary? Vcr 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Predictive Model For Return To Work After Lumbar Spine Surgery In Canada StF 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Effect Of Surgical Decompression On Back Pain In Lumbar Spinal Stenosis Vcr 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Effect Of The Duration Of Symptoms On Surgical Outcomes In Lumbar Stenosis And Disc Herniation Cgy 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Resolution And Factors Associated With Low Back Pain After Lumbar Discectomy Vcr 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Patient Expectations In Spine Surgery: A National Canadian Perspective TWH 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Patients’ Expectation Fulfillment And Satisfaction With Spine Surgery TWH 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Influence Of Preoperative Opioid Use On Self-Reported Pain And Disability One Year After Elective Spine Surgery TWH 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Epidemiology And Outcomes Of Neck Pain Following Surgery For Cervical Radiculopathy Hfx-n 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Narcotic Use Trends In Elective Thoracolumbar Spinal Surgery Patients Ott 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Treatment Of Mild Cervical Myelopathy: What Factors Are Associated With The Decision For Surgical Intervention? Vcr 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Consultation And Surgical Waits Time In Patients With Cervical Spondylotic Myelopathy Vcr 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Comparing The Effect Of Arthroplasty Versus Fusion Surgery On Overall Health Status In Patients With Degenerative Disc Disease Ott/Mtl 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg
Arthroplasty Versus Fusion Surgery Following Anterior Decompression – The Canadian Experience Ott/Mtl 9/8/2017 9/8/2017 Abstract Written Abstract presented at 2018 CSS mtg

Current Prospective Studies:

Title Date submitted Date approved Status Stage
Ailon T et al. Management and Outcome of Cervical Spondylotic Myelopathy – A Standardized Clinical Assessment and Management Plan. 2/26/2014 3/25/2014 Started Enrolling patients
Rampersaud R et al. Decompression Alone vs. Decompression and Instrumented Fusion for the Management of Lumbar Spinal Stenosis Associated with Stable Degenerative Spondylolisthesis: A Pragmatic Randomized Clinical Pilot Trial. 11/19/2013 12/2/2013 Started at 2 CSORN sites Enrolling patients
Fisher C et al. Surgical Treatment ofDegenerative Spondylolisthesis: A Standardized clinical assessment and management plan CSS multicenter prospective cohort study. 11/19/2013 12/2/2013 Started Enrolling patients
Lewkonia P et al. Establishing care pathways and wait times for Canadian patient awaiting spine surgery. 6/30/2016   Not started Awaiting REB approval

Potential Prospective Studies:

Title Date submitted Date approved Status Stage
Thomas K et al. Transpsoas versus Traditional Open Approach for the Management of Adult Spinal Deformity: A multicentre prospective cohort study. 10/10/2014 11/03/2014 Not started On hold
Jarzem et al. Antibiotics in the treatment of patients with sciatica requiring discectomy surgery: A double blinded RCT. 2/10/2014 3/05/2014 Not started On hold
Roy JF et al. COSMIC study: Stenosis with degenerative L4 L5 spondylolisthesis. 8/13/2014 10/23/2014 Not started unknown

Scientific Presentations:

2018 Canadian Spine Society (CSS) Annual Scientific Meeting

  1. Determining The Extent Of Clinical Practice Variation Across Canada For Single-Level Posterior Surgery For Lumbar Degenerative Spondylolisthesis
  2. The Effect Of Peri-Operative Adverse Events On Long-Term Patient Reported Outcomes After Lumbar Spine Surgery
  3. Surgical Satisfaction And Clinical Outcomes In Degenerative Spondylolisthesis
  4. Spinopelvic Parameters And Sagittal Balance Does Not Correlate With Baseline Pain, Function, Or General Health In Degenerative Lumbar Spondylolisthesis
  5. Does Back Pain Improve In Surgically Treated Degenerative Lumbar Spondylolisthesis: What Can We Tell Our Patients?
  6. Beneficial Effects Of Regular Exercise Prior To Thoracolumbar Spinal Surgery
  7. Improving Post-Operative Patient Reported Benefits And Satisfaction Following Spinal Fusion With A Single Pre-Operative Education Session
  8. Prediction Rule For Determining Discharge Destination Post Posterior Thoracolumbar Spinal Fusion Procedures Using CSORN
  9. Pre-Operative Psychological Factors Significantly Add To The Predictability Of Chronic Narcotic Use: A 2 Year Prospective Study
  10. Lumbar Surgery In Octogenarians. Really?
  11. Clinical Outcomes Research In Lumbar Spine Surgery: Are 2 Year Follow-Ups Necessary?
  12. Predictive Model For Return To Work After Lumbar Spine Surgery In Canada
  13. Effect Of Surgical Decompression On Back Pain In Lumbar Spinal Stenosis: A CSORN Study
  14. Effect Of The Duration Of Symptoms On Surgical Outcomes In Lumbar Stenosis And Disc Herniation: A CSORN Study
  15. Resolution And Factors Associated With Low Back Pain After Lumbar Discectomy: A CSORN Study
  16. Patient Expectations In Spine Surgery: A National Canadian Perspective
  17. Patients’ Expectation Fulfillment And Satisfaction With Spine Surgery
  18. Opioid Use In Elective Spine Surgery: Predictors Of Preoperative Use And Provincial Variations Across Canada
  19. Influence Of Preoperative Opioid Use On Self-Reported Pain And Disability One Year After Elective Spine Surgery
  20. Epidemiology And Outcomes Of Neck Pain Following Surgery For Cervical Radiculopathy
  21. Narcotic Use Trends In Elective Thoracolumbar Spinal Surgery Patients
  22. Treatment Of Mild Cervical Myelopathy: What Factors Are Associated With The Decision For Surgical Intervention?
  23. Consultation And Surgical Waits Time In Patients With Cervical Spondylotic Myelopathy: A Prospective CSORN Study
  24. Comparing The Effect Of Arthroplasty Versus Fusion Surgery On Overall Health Status In Patients With Degenerative Disc Disease
  25. Arthroplasty Versus Fusion Surgery Following Anterior Decompression – The Canadian Experience

2017 Canadian Spine Society (CSS) Annual Scientific Meeting

  • Nationwide Quality Assessment of the Canadian Spine Outcomes Research Network
  • Impact of Degenerative Spinal Disorders on the Quality of Life of Patient Undergoing Spine Surgery in Canada: A National Comparison to Normal Peers
  • Repeat discectomy versus discectomy and fusion for recurrent lumbar disc herniations
  • Variation in the surgical treatment of lumbar spinal stenosis in Canada
  • Crafting the first spine surgery performance indicator – deriving a benchmark from CSORN
  • Development of a Minimum Dataset to enhance CSORN AE Identification and Reporting
  • Predictive factors for discharge destinations post posterior lumbar spinal fusion
  • Factors Associated with Increased Risk of Developing Post-op Infection Following Spine Surgery
  • Effect Of Surgical Wait Time On Patients With Degenerative Lumbar Spondylolisthesis
  • Patient reported outcomes following spinal surgery by diagnosis
  • Spine Surgery a mari usque ad mare: pre-operative patient metrics across Canada
  • Predictors of Blood Transfusion in Posterior Lumbar Spinal Fusion
  • Cohort demographics and patient factors associated with interbody Fusion in Low Grade Lumbar Degenerative versus Isthmic Spondylolisthesis

2017 International Society for the Study of the Lumbar Spine (ISSLS)

  • Satisfaction scores and patient reported outcomes following spinal surgery and non-operative care
  • Patient reported outcomes following spinal surgery for degenerative disc disease, disc herniation, spondylolisthesis and spinal stenosis: a national comparison.

 

2016 Canadian Spine Society (CSS) Annual Scientific Meeting

  • Relationship between age and non-operative utilization in elective cervical spine surgery.
  • Spine Surgery a mari usque ad mare.
  • Predictors of Improved Pain, Function and Quality of Life Following Elective Lumbar Spine Fusion Surgery.
  • The Impact Of Pre-Surgical Self-Reported Exercise Patterns On Post-Surgical Outcomes.
  • Baseline And Postoperative Outcomes In Patients Undergoing Surgery For Degenerative Lumbar Spondylolisthesis.
  • Improved Data Capture and Quality Following Implementation of Standard Operating Procedures for a Single Site.
  • Length of Hospital Stay Following Elective Lumbar Spine Fusion Surgery.
  • The outcomes following decompression and fusion are compromised when it is preceded by a discectomy or decompression.

2015 Canadian Spine Society (CSS) Annual Scientific Meeting

  • Impact of Non-operative care utilization on post thoracolumbar spine surgery outcomes: a national perspective using the CSORN registry (podium)
  • Longitudinal analysis of the incidence of adverse events in tertiary spine referral centres: A national perspective from the Canadian Spine Outcomes and Research Network (poster)
  • Pre-Operative “Amber Flag” Psychological Measure Scores and Patient Expectations: A Nation-Wide Analysis from the CSORN Database (poster)
  • Wait Times for Elective Spine Surgery Across Canada: Data from the Canadian Spine Outcomes and Research Network (podium)
  • Pre-Surgical Imaging, Testing and Injection Utilization in Elective Thoracolumbar Spine Surgery Candidates: A Nationwide Analysis from the CSORN Database (podium)
  • Pre-Surgical Physician Utilization in Elective Thoracolumbar Spine Surgery Candidates: A Nationwide Analysis from the CSORN Database (podium)

2015 International Society for the Study of the Lumbar Spine (ISSLS)

  • Pre-Operative “Amber Flag” Psychological Measure Scores and Patient Expectations: A Nation-Wide Analysis from the CSORN Database (poster)
  • Pre-Surgical Imaging, Testing and Injection Utilization in Elective Thoracolumbar Spine Surgery Candidates: A Nationwide Analysis from the CSORN Database (poster)
  • Pre-Surgical Physician Utilization in Elective Thoracolumbar Spine Surgery Candidates: A Nationwide Analysis from the CSORN Database (poster)
  • Impact of Non-operative care utilization on post thoracolumbar spine surgery outcomes (podium)

2015 Canadian Orthopaedic Association Annual Meeting

  • Wait Times for Elective Spine Surgery Across Canada: Data from the Canadian Spine Outcomes and Research Network (podium)

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