Table 1.

Descriptive Summary of the Inception Cohort

CharacteristicNo. (%)P value
Overall sample (N = 9547)Missing 6-mo follow-up (n = 4314)Completed 6-mo follow-up (n = 5233)
Patient characteristics

Age, y

18-402986 (31)1282 (30)1704 (33).01
41-603697 (39)1717 (40)1980 (38)
≥612859 (30)1310 (30)1549 (30)

Sex

Women5502 (58)2473 (57)3029 (58).63
Men4040 (42)1836 (43)2204 (42)

Race

White7587 (80)3234 (75)4353 (83)<.001
Black or African American1321 (14)712 (17)609 (12)
Other, declined, or not availablea634 (7)363 (8)271 (5)

Ethnicity

Not Hispanic or Latino8849 (93)3958 (92)4891 (93).005
Hispanic or Latino404 (4)213 (5)191 (4)
Declined or not available289 (3)138 (3)151 (3)

Health insurance

Private4888 (51)2186 (51)2702 (52).27
Medicaid869 (9)377 (9)492 (9)
Medicare 1923 (20)871 (20)1052 (20)
Workers’ compensation, self-pay, missing, or other1862 (20)875 (20)987 (19)

Body mass index b

Normal or underweight, <251871 (20)772 (18)1099 (21)<.001
Overweight, 25 to <302668 (28)1069 (25)1599 (31)
Obesity, ≥303757 (39)1449 (34)2308 (44)
Missing or unknown1246 (13)1019 (24)227 (4)

Smoking

Not current6188 (65)2436 (57)3752 (72)<.001
Current1125 (12)530 (12)595 (11)
Not available2229 (23)1343 (31)886 (17)

Clinical characteristics

Presenting diagnosis

Axial back pain7111 (75)3228 (75)3883 (74).43
Back and leg pain2431 (25)1081 (25)1350 (26)

SBT risk level

Low3460 (36)1672 (39)1788 (34)<.001
Medium3783 (40)1631 (38)2152 (41)
High2299 (24)1006 (23)1293 (25)

Baseline Oswestry Disability Index score

Minimal, 0-202939 (31)1410 (33)1529 (29).002
Moderate, 21-403364 (35)1476 (34)1888 (36)
Severe, 41-602063 (22)880 (20)1183 (23)
Very severe, ≥61912 (10)422 (10)490 (9)
Missing or unknown264 (3)121 (3)143 (3)

Psychological comorbidities

None8973 (94)4032 (94)4941 (94).07
Depression/anxiety569 (6)277 (6)292 (6)

Practice characteristics

Geographic location

UPMC4907 (51)2070 (48)2837 (54)<.001
Intermountain Healthcare2068 (22)663 (15)1405 (27)
Johns Hopkins Medicine1587 (17)1119 (26)468 (9)
Boston Medical Center980 (10)457 (11)523 (10)

Area deprivation index quartile

1, Low deprivation2761 (29)1255 (29)1506 (29).003
21764 (18)830 (19)934 (18)
32382 (25)1001 (23)1381 (26)
4, High deprivation2635 (28)1223 (28)1412 (27)

Guideline-recommended processes of care

Pharmacologic therapies

Concordant6925 (73)3236 (75)3689 (70)<.001
Nonconcordant2617 (27)1073 (25)1544 (30)

Diagnostic imaging

Concordant7305 (77)3317 (77)3988 (76).37
Nonconcordant2237 (23)992 (23)1245 (24)

Back pain subspecialty referral

Concordant8915 (93)4015 (93)4900 (94).33
Nonconcordant627 (7)294 (7)333 (6)

Nonconcordant composite

05152 (54)2430 (56)2722 (52)<.001

13387 (35)1449 (34)1938 (37)

2915 (10)380 (9)535 (10)

388 (1)50 (1)38 (1)

Abbreviations: SBT, Subgroups for Targeted Treatment Back tool; UPMC, University of Pittsburgh Medical Center.

aOther included American Indian or Alaska Native, Asian, Hawaiian or Pacific Islander, and multirace.

bBody mass index calculated as weight in kilograms divided by height in meters squared.