Corresponding Author: Brendan J. McCullough, MD, PhD, Department of Radiology,
University of Washington, Box 357115, 1959 NE Pacific St, Seattle, WA 98195 (email@example.com).
Accepted for Publication: March 20, 2013.
Author Contributions: Dr McCullough had full access to all of the data in the study
and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Study concept and design: McCullough, Jarvik.
Acquisition of data: McCullough, Deyo, Kreuter, Jarvik.
Analysis and interpretation of data: McCullough, Comstock, Deyo, Jarvik.
Drafting of the manuscript: McCullough, Kreuter.
Critical revision of the manuscript for important intellectual content:
McCullough, Comstock, Deyo, Jarvik.
Statistical analysis: McCullough, Comstock, Jarvik.
Obtained funding: McCullough, Jarvik.
Administrative, technical, and material support: McCullough, Deyo, Kreuter,
Study supervision: Jarvik.
Published Online: July 8, 2013. doi:10.1001/jamainternmed.2013.8725.
Conflict of Interest Disclosures: Dr Deyo
receives honoraria as a board member of the nonprofit Informed Medical Decisions Foundation. In the
recent past, he has received honoraria as member of an Advisory Committee for the nonprofit Robert
Wood Johnson Foundation. He receives honoraria from UpToDate for authoring topics on low back pain.
His research receives support from grants from the National Institutes of Health and the Agency for
Healthcare Research and Quality. His position at Oregon Health and Science University is supported
in part by an endowment from Kaiser Permanente. Dr Jarvik serves on the Comparative Effectiveness
Research Advisory Board for General Electric Healthcare. He is a consultant for HealthHelp (a
radiology benefits management company). He is also a cofounder, stockholder, and co–patent
holder for PhysioSonics (a high-intensity focused-ultrasound diagnostics company).
Funding/Support: This research was supported in
part by the Radiological Society of North America
Research Resident grant RR1139, University of Washington Department of
Radiology research grant, Agency for Healthcare Research
and Quality grant 1R01 HS019222, National Institute of
Arthritis, Musculoskeletal, and Skin Diseases grant 1R01 AR054912, and
National Center for Research Resources/National Center for the Advancement
of Translational Science grant 1UL1 RR024140.
Role of the Sponsor: The funding agencies had no role in design and conduct of the
study; in the collection, analysis, and interpretation of the data; or in the preparation, review,
or approval of the manuscript.
Previous Presentation: The data reported herein were presented at the Radiological
Society of North America annual meeting; November 27, 2012; Chicago, Illinois.