SPINE Volume 40, Number 11, pp 757-758 ©2015, Wolters Kluwer Health, Inc. All rights reserved.
ISSLS Lifetime Achievement Award
Richard A. Deyo, MD, MPH: 2015 ISSLS Wiltse Lifetime Achievement Award, Sponsored by Nuvasive
D
r. Richard Deyo is board certified in internal medicine and is the Kaiser Permanente–endowed professor of Evidence-Based Family Medicine at Oregon Health & Science University. He practiced primary care medicine in academia for more than 25 years and has a national and international reputation for research on low back pain. Dr. Deyo has authored more than 300 research publications and dozens of invited editorials, review articles, book chapters, and endowed lectureships. Early in his career, he received the Nellie Westerman Prize for research in medical ethics from the American Federation for Clinical Research. In 2004, he received the John M. Eisenberg Award from the Society of General Internal Medicine for Career Achievement in Research. Dr. Deyo has been a deputy editor for Spine for 17 years. He has served a similar tenure on the editorial board of the Cochrane Review Group on Back Disorders and for more than 20 years on the editorial board of The Back Letter. He has also served on editorial boards of The American Journal of Medicine, Journal of General Internal Medicine, Medical Care, the Journal of Spinal Disorders, and the Journal of Clinical Epidemiology. He coedited the book Evidence-Based Clinical Practice, which received many favorable reviews. With a primary appointment in the Oregon Health & Science University Department of Family Medicine, Dr. Deyo is jointly appointed in the Department of Internal Medicine, the Department of Public Health and Preventive Medicine, and the Oregon Institute of Occupational Health Sciences. He attended Grinnell College and the Pennsylvania State University School of Medicine. After residency and chief residency in internal medicine at the University of Texas Health Science Center in San Antonio, he moved to the University of Washington as a Robert Wood Johnson Clinical Scholar. At the University of Washington, he completed a master’s degree in Public Health, joined the faculty in both medicine and public health, and became director of a VA Health Services Research Center. He became Codirector and then director of the university’s Robert Wood Johnson Clinical Scholars Program (a 2-yr research and policy fellowship) for 14 years. He moved to his endowed chair at Oregon Health & Science University in 2007.
DOI: 10.1097/BRS.0000000000000931 Spine
Mentoring junior researchers has been an important part of Dr. Deyo’s career. This has included Robert Wood Johnson clinical scholars, graduate students, and junior faculty. Several have become productive independent investigators in spine research or pain research. He further has served on National Advisory Committees for the Minority Medical Faculty Development Program and the Physician Faculty Scholars Program of the Robert Wood Johnson Foundation. Dr. Deyo’s central research interest in low back pain has focused on clinical and population-based investigation. A major emphasis has been on learning what works and what www.spinejournal.com
757
Copyright © 2015 Wolters Kluwer Health, Inc. Unauthorized reproduction of this article is prohibited. SPINE150455_LR 757
07/05/15 7:50 AM
ISSLS LIFETIME ACHIEVEMENT AWARD does not work for low back pain and how to promote valuebased clinical practice. This effort has included randomized controlled trials (RCT) of clinical interventions and patient decision aids for spine surgery. Dr. Deyo’s early RCTs demonstrated the inefficacy of bed rest for low back pain, the inefficacy of transcutaneous electrical nerve stimulation for back pain, and the value of exercise. A RCT of a decision aid for spine surgery demonstrated the importance of involving patients in clinical decisions. He was the original principal investigator for the Maine Lumbar Spine Study, a cohort study of patients undergoing surgery for herniated discs or spinal stenosis, with 10 years of follow-up. In the 1990s, the U.S. Agency for Health Care Policy and Research awarded large 5-year grants to a small number of patient outcome research teams, each focused on studying the outcomes of care for a common clinical condition. Dr. Deyo became the director of a patient outcome research team on low back pain. This group published the Maine Lumbar Spine cohort studies and systematic reviews on medications for low back pain, outcomes of spinal surgery, and placebo effects in pain management. It extended into systematic reviews of diagnostic tests, including spine imaging and physical examination, and analysis of insurance claims data. He subsequently became director of a multidisciplinary clinical research center, supported by the U.S. National Institutes of Health. Among other things, this program supported analysis of large databases, including Medicare claims, a statewide hospital registry, and national survey and hospital discharge databases. In contributions to research methodology, Dr. Deyo developed a widely used adaptation of the Charlson comorbidity index for use with International Classification of Diseases, Ninth Revision (ICD-9) diagnosis and procedure codes and tested and adapted patient-reported outcome measures. His recent National Institutes of Health grants have focused on complications and reoperation rates in surgery for spinal stenosis in the Medicare population and on opioid prescribing for chronic pain. In addition to research and editorial activities, he has served on several government advisory panels. He was a member of a federally funded guideline panel on acute low back problems that addressed spinal imaging and treatment
758
2015 Wiltse Award
approaches. He also served on a National Academy of Science panel that published the report, Musculoskeletal Disorders in the Workplace. From 2012 to 2014, he cochaired an NIH Task Force on Research Standards for Chronic Low Back Pain, whose report was simultaneously published by agreement in 7 peer-reviewed journals. Currently, he serves on the Medicare Evidence Development and Coverage Advisory Committee. In the private sector, he led an Institute for Healthcare Improvement Collaborative on low back pain, which led to improvements in quality of care in several large health care systems. He also served for 7 years on the board of directors of the nonprofit Informed Medical Decisions Foundation in Boston. Dr. Deyo is an elected member of the prestigious The American Society for Clinical Investigation and the Association of American Physicians, and a fellow of the American College of Physicians, the largest specialty society in the United States. For the Society of General Internal Medicine, he has served on the national council and on the editorial board for the society's journal, the Journal of General Internal Medicine. Finally, Dr. Deyo has written extensively about back pain and evidence-based medicine for a lay audience. An invited article on back pain became a cover article in Scientific American. In 2005, with colleague Donald Patrick, he authored the book Hope or Hype: The Obsession With Medical Advances and the High Cost of False Promises. He completed the book as a Rockefeller Foundation fellow in Bellagio, Italy. Most recently (2014), he authored Watch Your Back!, published by Cornell University Press. It cautions patients against unrealistic expectations of medical care and encourages greater participation in therapeutic exercise and self-care. Dr. Deyo attributes his success to remarkable colleagues, collaborations, and research teams. They have fostered a rigorous, creative, and influential research and clinical career. S. Tim Yoon, MD, PhD Associate Professor Emory University School of Medicine, VAMC Atlanta Department of Orthopaedic Surgery Atlanta, GA Email: [email protected]
www.spinejournal.com
June 2015
Copyright © 2015 Wolters Kluwer Health, Inc. Unauthorized reproduction of this article is prohibited. SPINE150455_LR 758
07/05/15 7:50 AM
ISSLS Lifetime Achievement Award
Richard A. Deyo, MD, MPH: 2015 ISSLS Wiltse Lifetime Achievement Award, Sponsored by Nuvasive
D
r. Richard Deyo is board certified in internal medicine and is the Kaiser Permanente–endowed professor of Evidence-Based Family Medicine at Oregon Health & Science University. He practiced primary care medicine in academia for more than 25 years and has a national and international reputation for research on low back pain. Dr. Deyo has authored more than 300 research publications and dozens of invited editorials, review articles, book chapters, and endowed lectureships. Early in his career, he received the Nellie Westerman Prize for research in medical ethics from the American Federation for Clinical Research. In 2004, he received the John M. Eisenberg Award from the Society of General Internal Medicine for Career Achievement in Research. Dr. Deyo has been a deputy editor for Spine for 17 years. He has served a similar tenure on the editorial board of the Cochrane Review Group on Back Disorders and for more than 20 years on the editorial board of The Back Letter. He has also served on editorial boards of The American Journal of Medicine, Journal of General Internal Medicine, Medical Care, the Journal of Spinal Disorders, and the Journal of Clinical Epidemiology. He coedited the book Evidence-Based Clinical Practice, which received many favorable reviews. With a primary appointment in the Oregon Health & Science University Department of Family Medicine, Dr. Deyo is jointly appointed in the Department of Internal Medicine, the Department of Public Health and Preventive Medicine, and the Oregon Institute of Occupational Health Sciences. He attended Grinnell College and the Pennsylvania State University School of Medicine. After residency and chief residency in internal medicine at the University of Texas Health Science Center in San Antonio, he moved to the University of Washington as a Robert Wood Johnson Clinical Scholar. At the University of Washington, he completed a master’s degree in Public Health, joined the faculty in both medicine and public health, and became director of a VA Health Services Research Center. He became Codirector and then director of the university’s Robert Wood Johnson Clinical Scholars Program (a 2-yr research and policy fellowship) for 14 years. He moved to his endowed chair at Oregon Health & Science University in 2007.
DOI: 10.1097/BRS.0000000000000931 Spine
Mentoring junior researchers has been an important part of Dr. Deyo’s career. This has included Robert Wood Johnson clinical scholars, graduate students, and junior faculty. Several have become productive independent investigators in spine research or pain research. He further has served on National Advisory Committees for the Minority Medical Faculty Development Program and the Physician Faculty Scholars Program of the Robert Wood Johnson Foundation. Dr. Deyo’s central research interest in low back pain has focused on clinical and population-based investigation. A major emphasis has been on learning what works and what www.spinejournal.com
757
Copyright © 2015 Wolters Kluwer Health, Inc. Unauthorized reproduction of this article is prohibited. SPINE150455_LR 757
07/05/15 7:50 AM
ISSLS LIFETIME ACHIEVEMENT AWARD does not work for low back pain and how to promote valuebased clinical practice. This effort has included randomized controlled trials (RCT) of clinical interventions and patient decision aids for spine surgery. Dr. Deyo’s early RCTs demonstrated the inefficacy of bed rest for low back pain, the inefficacy of transcutaneous electrical nerve stimulation for back pain, and the value of exercise. A RCT of a decision aid for spine surgery demonstrated the importance of involving patients in clinical decisions. He was the original principal investigator for the Maine Lumbar Spine Study, a cohort study of patients undergoing surgery for herniated discs or spinal stenosis, with 10 years of follow-up. In the 1990s, the U.S. Agency for Health Care Policy and Research awarded large 5-year grants to a small number of patient outcome research teams, each focused on studying the outcomes of care for a common clinical condition. Dr. Deyo became the director of a patient outcome research team on low back pain. This group published the Maine Lumbar Spine cohort studies and systematic reviews on medications for low back pain, outcomes of spinal surgery, and placebo effects in pain management. It extended into systematic reviews of diagnostic tests, including spine imaging and physical examination, and analysis of insurance claims data. He subsequently became director of a multidisciplinary clinical research center, supported by the U.S. National Institutes of Health. Among other things, this program supported analysis of large databases, including Medicare claims, a statewide hospital registry, and national survey and hospital discharge databases. In contributions to research methodology, Dr. Deyo developed a widely used adaptation of the Charlson comorbidity index for use with International Classification of Diseases, Ninth Revision (ICD-9) diagnosis and procedure codes and tested and adapted patient-reported outcome measures. His recent National Institutes of Health grants have focused on complications and reoperation rates in surgery for spinal stenosis in the Medicare population and on opioid prescribing for chronic pain. In addition to research and editorial activities, he has served on several government advisory panels. He was a member of a federally funded guideline panel on acute low back problems that addressed spinal imaging and treatment
758
2015 Wiltse Award
approaches. He also served on a National Academy of Science panel that published the report, Musculoskeletal Disorders in the Workplace. From 2012 to 2014, he cochaired an NIH Task Force on Research Standards for Chronic Low Back Pain, whose report was simultaneously published by agreement in 7 peer-reviewed journals. Currently, he serves on the Medicare Evidence Development and Coverage Advisory Committee. In the private sector, he led an Institute for Healthcare Improvement Collaborative on low back pain, which led to improvements in quality of care in several large health care systems. He also served for 7 years on the board of directors of the nonprofit Informed Medical Decisions Foundation in Boston. Dr. Deyo is an elected member of the prestigious The American Society for Clinical Investigation and the Association of American Physicians, and a fellow of the American College of Physicians, the largest specialty society in the United States. For the Society of General Internal Medicine, he has served on the national council and on the editorial board for the society's journal, the Journal of General Internal Medicine. Finally, Dr. Deyo has written extensively about back pain and evidence-based medicine for a lay audience. An invited article on back pain became a cover article in Scientific American. In 2005, with colleague Donald Patrick, he authored the book Hope or Hype: The Obsession With Medical Advances and the High Cost of False Promises. He completed the book as a Rockefeller Foundation fellow in Bellagio, Italy. Most recently (2014), he authored Watch Your Back!, published by Cornell University Press. It cautions patients against unrealistic expectations of medical care and encourages greater participation in therapeutic exercise and self-care. Dr. Deyo attributes his success to remarkable colleagues, collaborations, and research teams. They have fostered a rigorous, creative, and influential research and clinical career. S. Tim Yoon, MD, PhD Associate Professor Emory University School of Medicine, VAMC Atlanta Department of Orthopaedic Surgery Atlanta, GA Email: [email protected]
www.spinejournal.com
June 2015
Copyright © 2015 Wolters Kluwer Health, Inc. Unauthorized reproduction of this article is prohibited. SPINE150455_LR 758
07/05/15 7:50 AM
