{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T09:49:19Z","timestamp":1765792159567,"version":"3.48.0"},"reference-count":18,"publisher":"CSIRO Publishing","issue":"6","license":[{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Spinal surgery rates in Australia continue to rise despite limited evidence for their effectiveness in managing uncomplicated chronic back pain. This study examined patient-level factors that influence willingness to undergo surgery, to informing future work promoting non-surgical care pathways.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional online survey in March 2025 of 152 privately insured Australian adults with chronic low back pain. Participants reported pain characteristics, functional interference, prior imaging and pain-related beliefs (expectations of recovery, self-efficacy and catastrophising). Willingness to undergo spinal surgery within 5\u00a0years was assessed on a 5-point scale, and dichotomised into \u2018willing\u2019 (3\u20134) and \u2018unwilling\u2019 (0\u20131); respondents answering \u2018unsure\u2019 were excluded. Logistic regression examined predictors of willingness to consider surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 152 participants (mean age 59.3\u00a0years, 64% female), 24% expressed willingness to undergo surgery. Negative pain beliefs, higher pain intensity and younger age significantly predicted willingness, with the strongest effect seen for negative pain beliefs (OR 2.62, 95% CI 1.16\u20135.92, P\u00a0=\u00a00.02). Functional interference, imaging history and gender showed positive, but non-significant, associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Negative pain beliefs predict willingness to undergo spinal surgery. This finding has important policy implications, suggesting that addressing belief-driven demand may help reduce the economic burden of surgery by directing patients towards guideline-based, high-value, non-surgical care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/ah25242","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T04:47:57Z","timestamp":1764132477000},"source":"Crossref","is-referenced-by-count":0,"title":["Predictors of willingness to undergo back surgery: a survey of Australian privately insured adults with chronic back pain"],"prefix":"10.1071","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7693-4158","authenticated-orcid":true,"given":"Daniel S.","family":"Harvie","sequence":"first","affiliation":[{"name":"AIIMPACT in Health, Adelaide University, City East Campus, North Terrace, Adelaide, SA 5000, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Keating","sequence":"additional","affiliation":[{"name":"BMoreGoodDays, Melbourne, Vic, Australia."},{"name":"CSchool of Health Sciences, The University of Melbourne, Vic, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neala","family":"Fulia","sequence":"additional","affiliation":[{"name":"BMoreGoodDays, Melbourne, Vic, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuela L.","family":"Ferreira","sequence":"additional","affiliation":[{"name":"DThe George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian A.","family":"Harris","sequence":"additional","affiliation":[{"name":"ESchool of Clinical Medicine, UNSW Medicine & Health, University of New South Wales, Sydney, NSW, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Catley","sequence":"additional","affiliation":[{"name":"BMoreGoodDays, Melbourne, Vic, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2025,11,27]]},"reference":[{"issue":"1","key":"2025121504455984000_R1","doi-asserted-by":"publisher","DOI":"10.1186\/s12998-022-00434-4","article-title":"Disability burden due to musculoskeletal conditions and low back pain in Australia: findings from GBD 2019.","volume":"30","author":"de Luca","year":"2022","journal-title":"Chiropr Man Therap"},{"issue":"7","key":"2025121504455984000_R2","doi-asserted-by":"publisher","first-page":"303","DOI":"10.5694\/mja2.52046","article-title":"Elective spinal surgery in New South Wales adults, 2001\u201320, by procedure funding type: a cross-sectional study.","volume":"219","author":"Tran","year":"2023","journal-title":"Med J 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