Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID05817747

Strategic Use of Big Data in Spine Surgery - Testing a Digital Prediction of Outcome Tool in Clinical Praxis

Led by Sahlgrenska University Hospital · Updated on 2025-05-13

900

Participants Needed

10

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating whether using a digital tool called the Dialogue Support tool can change patient-reported outcomes and satisfaction after surgery for lumbar spinal stenosis or cervical radiculopathy. The study aims to see if this tool affects patients' reports of leg pain and satisfaction in lumbar spinal stenosis, arm pain and satisfaction in cervical radiculopathy, and quality of life in patients who do not have surgery after assessment compared to those who do. Participants will be assessed using the Dialogue Support tool alongside the usual surgeon evaluation to help decide the best treatment approach. Study groups include those who proceed with surgery after the tool's use and those who do not. The tool provides predicted postoperative outcomes to help guide treatment decisions. During the study, researchers will follow participants and compare their outcomes to matched controls from the Swedish Spine Register. Assessments include general patient-reported outcomes one year after surgery, such as pain levels, disability indexes, quality of life questionnaires, and mortality. The study will last long enough to collect one-year postoperative data for these outcomes.

CONDITIONS

Brief Title

Strategic Use of Big Data in Spine Surgery - Testing Digital Prediction of Outcome in Clinical Praxis

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Referred to a participating clinic for surgery evaluation of lumbar spinal stenosis or cervical radiculopathy
  • 18 years of age or older
  • MRI scan within the last 12 months confirming diagnosis and symptoms
  • Able to give informed consent
Not Eligible

You will not qualify if you...

  • Another condition causing the symptoms
  • Not giving informed consent
  • Need for further investigation preventing inclusion within one month of the doctor visit

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 1 year

Participants undergo surgery or non-surgical management following the use of a dialogue support tool to decide the optimal treatment.

1 baseline visit and periodic follow-up visits during treatment

Follow-up

Duration - Up to 1 year post treatment

Participants are assessed for outcomes such as disability, quality of life, pain, and mortality up to one year after surgery or treatment decision.

Approximately 1 visit at one year post treatment

Trial Site Locations

Total: 10 locations

1

Aleris Ortopedi Ängelholm

Ängelholm, Skåne County, Sweden, 26252

Actively Recruiting

2

Aleris Ortopedi Malmö

Malmö, Skåne County, Sweden, 21532

Active, Not Recruiting

3

Sahlgrenska University Hospital

Gothenburg, Västra Götaland County, Sweden, 41346

Actively Recruiting

4

Spine Center Göteborg

Gothenburg, Västra Götaland County, Sweden, 421 30

Actively Recruiting

5

Ryggkirurgiskt Centrum

Stockholm, Sweden, 114 33

Actively Recruiting

6

Spine Center Stockholm

Stockholm, Sweden, 194 89

Actively Recruiting

7

Sundsvalls sjukhus

Sundsvall, Sweden

Actively Recruiting

8

Norrland University Hospital

Umeå, Sweden, 90737

Actively Recruiting

9

Uppsala University Hospital

Uppsala, Sweden, 751 85

Actively Recruiting

10

Aleris Elisabethsjukhuset

Uppsala, Sweden, 752 26

Active, Not Recruiting

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Research Team

C

Catharina Parai, MD, PhD

E

Eric Brisby Enger, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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Published Research Related To This Trial

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.

Eric Brisby Enger, Ludvig Valentin-Askman, Olle Hägg...

https://pubmed.ncbi.nlm.nih.gov/39169349