Faculty

faculty photo
Richard A. Deyo
Appropriate use of new medical technology is an important factor in helping to contain costs, which in turn is essential to maintaining affordability and access to care. Rigorous evidence-based technology assessment is key to overcoming commercial, political, and media forces that may drive excessive (even harmful) technology use.
MD  
Pennsylvania State University, 1975
Medicine
MPH  
University of Washington, 1981
Health Services
BA  
Grinnell College, 1971
Chemistry

Department of Health Services Program Affiliations:
  -  Health Care and Population Health Research Track, (MPH program)
  -  PhD program in Health Services

Richard Deyo has been a member of the faculty since 1986 and is affiliated with the Health and Policy Research Track, (MPH program). He is a general internist who is jointly appointed in Medicine and Health Services, and remains active in clinical teaching and practice. He is Co-director of the Robert Wood Johnson Clinical Scholars Program and also the UW Center for Cost and Outcomes Research. His research interests are in the measurement of health status and other outcomes, management of back disorders, and appropriate use of medical technology. He recently co-edited a book on 'Evidence-Based Clinical Practice'.

Contact Information
Harborview Medical Center
5122.11 Pat Steel Bldg.
Box:  359780
Seattle, WA 98104
(voice)  206-744-1838
deyo@u.washington.edu

RWJ Clinical Scholars Program
H-220
1959 NE Pacific
Box:  357183
Seattle, WA 98195
(voice)  206-543-9289     (fax)  206-685-2473
Teaching Interests
Clinical research methods and Evidence-based Medicine; mentorship of research projects in these areas, especially by clinicians
Research Interests
Evidence-based medicine; health status measures; technology assessment; strategies in primary care; low back problems
Projects
Crossing the Threshold: How new Medical Technology Becomes Std. Care
The process by which new technology is disseminated and utilized is highly variable, driven not only by scientific evidence by also by cultural values, profit motives, politics, marketing, and the media. Case studies will be used to illustrate the process of adopting new technologies, and explore policy options for a more systematic approach.
Multidisciplinary Clinical Research Center
This program will begin in January 2002. It is a program of research on back and upper extremity disorders, two of the most common and disabling conditions in working age adults. It consists of 4 projects which will examine diagnostic and treatment effectiveness, and patterns of care. A methodology core will provide statistical and programming support and innovation.
Screening MRI for low back pain: a randomized trial
This study examines the health outcomes, satisfaction with care, and cost-effectiveness of 2 alternative imaging strategies for patients with low back pain: an abbreviated 'screening' MRI and plain x-rays.
External Funding (sampling of current and past involvement)
UW Multidisciplinary Clinical Research Training
National Institutes of Health
PI:   Deyo           Dates:    09/2004 - 07/2009
The goal of the Multidisciplinary Clinical research Career Development Program at the University of Washington is to train investigators and provide them with the methodological knowledge to conduct rigorous clinical research.

Spinal Cord Stimulators (SCS) for Injured Workers with Low Back and Leg Pain After Lumbar Surgery
WA State Department of Labor & Industries
PI:   Hollingworth           Dates:    07/2004 - 06/2008
We propose a non-randomized prospective study of spinal cord stimulation for Worker's Compensation claimants with chronic low back and leg pain despite previous lumbar spine surgery.

Efficacy of Acupuncture for Chronic Low Back Pain
National Institutes of Health
PI:   Cherkin           Dates:    05/2003 - 01/2008
As a subcontractor on the project, Dr. Deyo serves as collaborator and medical consultant to the clinical monitoring center evaluating the efficacy of acupuncture for chronic low back pain.

NIAMS Multidisciplinary Clinical Research Center
National Institutes of Health
PI:   Deyo           Dates:    02/2002 - 12/2006
To develop a Multidisciplinary Clinical Research Center devoted to the study of spine and upper extremity disorders.

Crossing the Threshold: How Experimental Medical Technology Becomes Standard Care
Robert Wood Johnson Foundation
PI:   Deyo           Dates:    09/2001 - 11/2005
The goal of this project is to describe the transition of new technology from experimental to standard of care; examine the processes by which multiple stakeholders influence technology adoption; describe the unintended consequences of disseminating marginal technology; and critically assess options for making this transition more consistent and effective.

Videoscopic Drainage of Infected Pancreatic Collections
National Institutes of Health
PI:   Hovarth           Dates:    09/2002 - 08/2004
Use data obtained from this study as the basis for a multi-center, Phase III, randomized study comparing the videoscopic technique to the current standard of care, open surgical necrosectomy.

Low Back Pain: A Multi-Center Randomized Trial
National Institute of Arthritis and Musculoskeletal and Skin Diseases
PI:   Deyo           Dates:    07/1998 - 06/2004
Objective of the study is to assess the effect of lumbar surgery vs. non-operative treatment for the three most common groups for which lumbar surgery is performed.

Maine Lumbar Spine Study
Dartmouth College
PI:   Deyo           Dates:    09/2002 - 03/2004
This project is intended to continue the original research of the Maine Lumbar Spine Study by providing long-term outcomes of enrolled patients.

Maine Lumbar Spine Study
Maine Medical Assessment Foundation
PI:   Deyo           Dates:    09/2001 - 09/2002
To determine the outcomes of surgical and non-surgical treatment of patients diagnosed with sciatica due to herniated lumbar disc or spinal stenosis.

Maine Lumbar Spine Study
Maine Medical Assessment Foundation
PI:   Deyo           Dates:    08/1998 - 09/2001
To determine the outcomes of surgical and non-surgical treatment of patients diagnosed with sciatica due to herniated lumbar disc or spinal stenosis.

Evaluating the Efficacy of Acupuncture for Low Back Pain
Group Health Coop
PI:   Deyo           Dates:    09/1998 - 09/2001
The goal of the project is to analyze survey and clinical data concerning the use of acupuncture and low back pain.

Effectiveness of Treatment Strategies for Low Back Pain (Year 3 of 4)
AHRQ - Agency for Healthcare Research and Quality
PI:   Deyo           Dates:    08/1994 - 08/1998
Compare long-term functional and work-related outcomes of alternative surgical and non-surgical treatments and to assess the impact of back pain guidelines and health reform efforts on regional and national trends in back surgery rates, re-operation rates, spinal fusion rates, and non-surgical hospitalization rates.


Selected Publications

Deyo RA, Psaty BM, Simon G, et al. The messenger under attack: intimidation of researchers by special interest groups. New Engl J Med 1997;335: 1176-1179

Deyo RA, Cherkin DC, Weinstein JN, et al. Involving patients in clinical decisions: impact of an interactive video program on use of back surgery. Medical Care 2000; 38: 959-69.

Deyo RA, Weinstein JN. Low Back Pain. New Engl J Med 2001; 344: 363-70

Deyo RA, Schall M, Berwick DM, et al. Continuous quality improvement for patients with back pain. J Gen Intern Med 2000; 15: 647-55

Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol 1992: 45: 613-9

Dissertation, Thesis and Capstone Committees (recent graduates)
2006
Chair, thesis committee for Ingrid Binswanger
Health related characteristics of jail inmantes

2006
Member, thesis committee for Beth Tarini
State newborn screening in the tandem mass spectrometry era: More tests, more false positives

2005
Member, thesis committee for Yoshimi Anzai
National trend of antibiotic use for acute sinusitis

2005
Member, thesis committee for Louise Davies
Epidemiology of head and neck cancer in the United States: 1975-2001

2005
Chair, thesis committee for Marjorie Wang
Timing of surgery for non-cranial injuries in patients with a traumatic brain injury: Effect on neuropsychological and functional outcome

2004
Chair, thesis committee for Joshua Fenton
Performance of the screening clinical breast examination in community practice

2004
Chair, thesis committee for Tammy Lin
Academic medical centers and health news on local television

2004
Chair, thesis committee for Audrey Rubin
Telling "ten percent of the story" : narrative and the intergenerational transmission of trauma among Cambodian refugees

2004
Chair, thesis committee for Colin Sox
Provision of pneumococcal prophylaxis for publicly insured children with sickle cell disease


Links
HOPE OR HYPE: The Obsession with Medical Advances and the High Cost of False Promises
Published by AMACOM (2004)
Dr. Richard Deyo and Dr. Donald Patrick reveal how doctors, hospitals, drug companies, device manufacturers, advocacy groups, politicians, the media, and patients themselves conspire to uncritically promote high-priced, high-tech medical "breakthroughs" that are routinely marginal, sometimes useless, and sometimes harmful.
More info . . .