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More Realistic Spine Patients: Assessing the Effect of Dialogue Support Tool.
Sponsor: University Hospital, Akershus
Summary
This multicenter randomized controlled trial will evaluate whether an additional preoperative consultation using the Dialogue Support (DS) tool improves patient information, expectations, and outcomes among adults scheduled for lumbar spine surgery for degenerative spinal disorders. The DS tool predicts outcomes one year after surgery based on patient characteristics and presents these estimates numerically and visually. Participants will be randomized to either standard preoperative care or standard care plus an additional consultation in which DS results are presented and explained. The study will assess whether the additional DS consultation influences postoperative outcomes, preoperative expectations, surgery cancellations, and cost-effectiveness. In addition, the project will externally validate the DS tool using data from the Norwegian Registry for Spine Surgery (NORspine) and assess the inter-rater reliability of DS assessments across spine surgeons.
Official title: 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.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
440
Start Date
2026-09-01
Completion Date
2031-09-01
Last Updated
2026-08-27
Healthy Volunteers
No
Interventions
Dialogue Support Consultation
This consultation will be scheduled approximately 2-6 weeks prior to surgery. The consultation will occur in the outpatient clinic and is expected to last approximately 30 to 40 minutes. It will be conducted in person to facilitate communication. During the consultation, the DS results are presented and explained to the patient.
Locations (2)
Akershus University Hospital
Oslo, Nordbyhagen, Norway
Innlandet Hospital Trust.
Gjøvik, Norway