Trevor Lentz, PT, PhD, MPH

Trevor Lentz

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Dr. Lentz is an Assistant Professor in Orthopaedic Surgery at Duke University, with appointments in the Duke Clinical Research Institute (DCRI), the Duke-Margolis Center for Health Policy, and the Duke Surgical Center for Outcomes Research and Equity in Surgery (SCORES). His research focuses on understanding psychological and behavioral factors that influence outcomes such as persistent pain, disability, health care costs and opioid use in populations with musculoskeletal pain and orthopedic surgery. His work has included the development of screening tools for use in orthopedic and rehabilitation settings (i.e., the OSPRO Yellow Flag and SPARE Assessment Tools). He currently leads a team that oversees treatment pathway implementation for the AIM-Back trial, an embedded pragmatic clinical trial of non-pharmacological management for Veterans with low back pain funded through the NIH-VA-DoD Pain Management Collaboratory.

Publications from the 2020-2021 Academic Year

·Rhon DI, Lentz TA, George SZ. Utility of catastrophizing, body symptom diagram score and history of opioid use to predict future health care utilization after a primary care visit for musculoskeletal pain. Fam Pract. 2020 Feb 19;37(1):81-90.

·George SZ, Lentz TA, Beneciuk JM, Bhavsar NA, Mundt JM, Boissoneault J. Framework for improving outcome prediction for acute to chronic low back pain transitions. Pain Rep. 2020 Mar 4;5(2):e809.

·Lentz TA, Goode AP, Thigpen CA, George SZ. Value-Based Care for Musculoskeletal Pain: Are Physical Therapists Ready to Deliver?. Phys Ther. 2020 Apr 17;100(4):621-632

·Beneciuk JM, Verstandig D, Taylor C, Scott D, Levin J, Osborne R, Bialosky JE, Lentz TA, Buck T, Davis AL, Harder C, Beneciuk MB, Wittmer V, Sylvester J, Rowe R, McInnes D, Fisher TP, McGarrie L. Musculoskeletal pain stakeholder engagement and partnership development: determining patient-centered research priorities. Res Involv Engagem. 2020 Jun 1;6:28.

·Lentz TA, Curtis LH, Rockhold FW, Martin D, Andersson TLG, Arias C, Berlin JA, Binns C, Cook A, Cziraky M, Dent R, Desai M, Emmett A, Esserman D, George J, Hantel S, Heagerty P, Hernandez AF, Hucko T, Khan N, Lee SF, LoCasale R, Mardekian J, McCall D, Monda K, Normand SL, Riesmeyer J, Roe M, Roessig L, Scott R, Siedentop H, Waldstreicher J, Wang L, Weerakkody G, Wolf M, Ellenberg SS. Designing, Conducting, Monitoring, and Analyzing Data from Pragmatic Randomized Clinical Trials: Proceedings from a Multi-stakeholder Think Tank Meeting. Ther Innov Regul Sci. 2020 Jun 8. doi: 10.1007/s43441-020-00175-7.

·Lentz TA, Magill J, Myers H, Pietrosimone LS, Reinke EK, Messer M, Riboh JC. Development of Concise Physical Performance Test Batteries in Young Athletes. Med Sci Sports Exerc. 2020 Jun 15.

·George SZ, Li C, Luo S, Horn ME, Lentz TA. Longitudinal Monitoring of Pain Associated Distress With the Optimal Screening for Prediction of Referral and Outcome Yellow Flag Tool: Predicting Reduction in Pain Intensity and Disability. Arch Phys Med Rehabil. 2020 Oct;101(10):1763-1770.

·Butera KA, George SZ, Lentz TA. Psychometric Evaluation of the Optimal Screening for Prediction of Referral and Outcome Yellow Flag   (OSPRO-YF) Tool: Factor Structure, Reliability, and Validity. J Pain. 2020 May-Jun;21(5-6):557-569

·Lentz TA, George SZ, Manickas-Hill O, Malay MR, O'Donnell J, Jayakumar P, Jiranek W, Mather RC 3rd. What General and Pain-associated Psychological Distress Phenotypes Exist Among Patients with Hip and Knee Osteoarthritis?. Clin Orthop Relat Res. 2020 Dec;478(12):2768-2783.

·Lentz TA, Rhon DI, George SZ. Predicting Opioid Use, Increased Health Care Utilization and High Costs for Musculoskeletal Pain: What Factors Mediate Pain Intensity and Disability? J Pain. 2020 Jan-Feb;21(1-2):135-145

·George SZ, Coffman CJ, Allen KD, Lentz TA, Choate A, Goode AP, Simon CB, Grubber JM, King H, Cook CE, Keefe FJ, Ballengee LA, Naylor J, Brothers JL, Stanwyck C, Alkon A, Hastings SN. Improving Veteran Access to Integrated Management of Back Pain (AIM-Back): Protocol for an Embedded   Pragmatic Cluster-Randomized Trial. Pain Med. 2020 Dec 12;21(Suppl 2):S62-S72.

·Malay MR, Lentz TA, O'Donnell J, Coles T, Mather Iii RC, Jiranek WA. Development of a Comprehensive, Nonsurgical Joint Health Program for People With Osteoarthritis: A Case ReportPhys Ther. 2020 Jan 23;100(1):127-135.

·George SZ, Lentz TA, Goertz CM. Back and neck pain: in support of routine delivery of non-pharmacologic treatments as a way to improve individual and population health. Transl Res. 2021 Aug;234:129-140.

·Magill JR, Myers HS, Lentz TA, Pietrosimone L, Risoli T, Green CL, Reinke EK, Messer MR, Riboh JC. Establishing Age- and Sex-Specific Norms for Pediatric Return-to-Sports Physical Performance Testing. Orthop J Sports Med. 2021 Aug 19;9(8):23259671211023101.

·Zeppieri G Jr, George SZ, Bialosky J, Lentz TA. Patient-centered outcomes: Domain importance predicts health care use following physical therapyPM R. 2021 Jul 22.

·Stearns ZR, Carvalho ML, Beneciuk JM, Lentz TA. Screening for Yellow Flags in Orthopaedic Physical Therapy: A Clinical Framework. J Orthop Sports Phys Ther. 2021 Sep;51(9):459-469

·Magill JR, Myers HS, Lentz TA, Pietrosimone LS, Risoli T, Green CL, Reinke EK, Messer MR, Riboh JC. Healthy Pediatric Athletes Have Significant Baseline Limb Asymmetries on Common Return-to-Sport Physical Performance Tests. Orthop J Sports Med. 2021 Jan 29;9(1):2325967120982309.

·Horn ME, George SZ, Li C, Luo S, Lentz TA. Derivation of a Risk Assessment Tool for Prediction of Long-Term Pain Intensity Reduction After Physical TherapyJ Pain Res. 2021 May 28;14:1515-1524. 

· Lentz TA, Hellkamp AS, Bhavsar NA, Goode AP, Manhapra A, George SZ. Assessment of Common Comorbidity Phenotypes Among Older Adults With Knee Osteoarthritis to Inform Integrated Care Models. Mayo Clin Proc Innov Qual Outcomes. 2021 Jan 19;5(2):253-264.

|·Simon CB, Lentz TA, Ellis L, Bishop MD, Fillingim RB, Riley JL 3rd, George SZ. Static and Dynamic Pain Sensitivity in Adults With Persistent Low Back Pain: Comparison to Healthy Controls and Associations With Movement-evoked Pain Versus Traditional Clinical Pain Measures. Clin J Pain. 2021 Jul 1;37(7):494-503.

·Levin JM, Baker R, Goltz D, Wickman J, Lentz TA, Cook C, George SZ, Klifto CS, Anakwenze OA. Heterogeneity of Pain-Related Psychological Distress in Patients Seeking Care for Shoulder Pathology. J Shoulder Elbow Surg. 2021 Oct 14:S1058-2746(21)00725-4.