Comparing MILD procedure outcomes for lumbar spinal stenosis patients
MILD® Percutaneous Image-Guided Lumbar Decompression: A Medicare Claims Study
Stryker Instruments · NCT03072927
This study looks at how well the MILD procedure works for people with lumbar spinal stenosis compared to another treatment, to see which one leads to better outcomes and fewer complications.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 8000 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Stryker Instruments (industry) |
| Locations | 2263 sites (Athens, Alabama and 2262 other locations) |
| Trial ID | NCT03072927 on ClinicalTrials.gov |
What this trial studies
This observational study aims to compare the incidence rates of surgical and minimally invasive interventions among Medicare beneficiaries who have undergone the MILD procedure for lumbar spinal stenosis. It will track outcomes and potential harms associated with the MILD procedure over a 24-month period, using Medicare claims data. The study will include a treatment group of patients receiving MILD and a control group of patients undergoing interspinous process decompression, allowing for a comprehensive analysis of both approaches. Enrollment will continue until the sponsor decides to stop the study.
Who should consider this trial
Good fit: Ideal candidates for this study are Medicare beneficiaries diagnosed with lumbar spinal stenosis who are receiving either the MILD procedure or interspinous process decompression.
Not a fit: Patients who have undergone prior lumbar surgeries such as laminectomy, laminotomy, fusion, or MILD within the last 12 months will not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide valuable insights into the effectiveness and safety of the MILD procedure compared to traditional surgical options for patients with lumbar spinal stenosis.
How similar studies have performed: Other studies have explored similar minimally invasive techniques, but this specific comparison of MILD against interspinous process decompression in a Medicare population is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Medicare beneficiaries receiving MILD or interspinous process decompression * Diagnosis of LSS with NC Exclusion Criteria: * Patients that have received a laminectomy, laminotomy, fusion, interspinous process decompression, or MILD in the lumbar region during the 12 months prior to the index date
Where this trial is running
Athens, Alabama and 2262 other locations
- Athens-Limestone Hospital — Athens, Alabama, United States (RECRUITING)
- North Baldwin Infirmary — Bay Minette, Alabama, United States (RECRUITING)
- Southside Pain Specialists — Birmingham, Alabama, United States (RECRUITING)
- St Vincents Birmingham — Birmingham, Alabama, United States (RECRUITING)
- The Univ of Alabama At Birmingham — Birmingham, Alabama, United States (RECRUITING)
- Birmingham Surgery Center — Birmingham, Alabama, United States (RECRUITING)
- Alabama Ortho Spine and Sports — Birmingham, Alabama, United States (RECRUITING)
- Outpatient Services East — Birmingham, Alabama, United States (RECRUITING)
- St Vincents One Nineteen Health and — Birmingham, Alabama, United States (RECRUITING)
- Decatur Ambulatory Surgery Center — Decatur, Alabama, United States (RECRUITING)
- Baldwin County Surg Ctr — Fairhope, Alabama, United States (RECRUITING)
- Gardendale Surgical Center — Gardendale, Alabama, United States (RECRUITING)
- Highland Medical Center — Scottsboro, Alabama, United States (RECRUITING)
- Tuscaloosa Surgery Center — Tuscaloosa, Alabama, United States (RECRUITING)
- AA Spine & Pain Clinic — Anchorage, Alaska, United States (RECRUITING)
- Copper Basin Surg Ctr — Wasilla, Alaska, United States (RECRUITING)
- Bullhead City Community Hosp — Bullhead City, Arizona, United States (RECRUITING)
- Arizona Specialty Surgery Center — Chandler, Arizona, United States (RECRUITING)
- Chandler Surgical Ctr PLC — Chandler, Arizona, United States (RECRUITING)
- Advanced Pain Modalities — Chandler, Arizona, United States (RECRUITING)
- Northern Arizona Surgicenter — Flagstaff, Arizona, United States (RECRUITING)
- Surgery Center at Flagstaff Bone and Joint — Flagstaff, Arizona, United States (RECRUITING)
- Mountain View Surgery Center of Gilbert — Gilbert, Arizona, United States (RECRUITING)
- Phoenix Spine and Joint — Gilbert, Arizona, United States (RECRUITING)
- Premier Endoscopy Surgery Center — Gilbert, Arizona, United States (RECRUITING)
- Santan Surgery Center — Gilbert, Arizona, United States (RECRUITING)
- Santa Cruz Valley Regional Hospital — Green Valley, Arizona, United States (RECRUITING)
- Havasu Surgery Center — Lake Havasu City, Arizona, United States (RECRUITING)
- Banner Surgery Center - Desert — Mesa, Arizona, United States (RECRUITING)
- Canyon Surgl Ctr — Mesa, Arizona, United States (RECRUITING)
- Mesa Outpatient Treatment Ctr — Mesa, Arizona, United States (RECRUITING)
- Rembrandt Outpatient Surgery — Mesa, Arizona, United States (RECRUITING)
- Banner Surgery Center - Mesa — Mesa, Arizona, United States (RECRUITING)
- Oro Valley Surgical Suites — Oro Valley, Arizona, United States (RECRUITING)
- Banner Payson Medical Center — Payson, Arizona, United States (RECRUITING)
- Arrowhead North Surgery Center — Peoria, Arizona, United States (RECRUITING)
- Banner Surgery Center - Peoria — Peoria, Arizona, United States (RECRUITING)
- Palo Verde Pain Specialists ASC — Peoria, Arizona, United States (RECRUITING)
- Peoria Foot and Ankle Spclsts — Peoria, Arizona, United States (RECRUITING)
- Surg Ctr of Peoria — Peoria, Arizona, United States (RECRUITING)
- Banner Health Surgicenter — Phoenix, Arizona, United States (RECRUITING)
- Banner Surgery Center - Central Phoenix — Phoenix, Arizona, United States (RECRUITING)
- Phoenix Eye Surgical Center dba Central Phoenix Surgical Center — Phoenix, Arizona, United States (RECRUITING)
- Banner Surg Ctr Biltmore — Phoenix, Arizona, United States (RECRUITING)
- Advanced Spine and Pain North Valley — Phoenix, Arizona, United States (RECRUITING)
- Optimun Surgical Center — Phoenix, Arizona, United States (RECRUITING)
- Arizona Surgical Specialists Center — Phoenix, Arizona, United States (RECRUITING)
- Banner Estrella Surg Ctr — Phoenix, Arizona, United States (RECRUITING)
- JDS Surgical LLC — Phoenix, Arizona, United States (RECRUITING)
- Summa Pain Care — Phoenix, Arizona, United States (RECRUITING)
+2213 more sites — see ClinicalTrials.gov for the full list.
Study contacts
- Study coordinator: Angie Lee
- Email: angie.lee@stryker.com
- Phone: 877-958-6227
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Lumbar Spinal Stenosis, Interspinous process decompression, MILD, Medicare, Medicare Advantage