BIOGRAPHICAL SKETCH Provide the following information for the Senior/key personnel and other significant contributors. Follow this format for each person. DO NOT EXCEED TWO PAGES. NAME POSITION TITLE Jarvik, Jeffrey G. Professor of Radiology and Neurosurgery; Adjunct Professor Health Services eRA COMMONS USER NAME (credential, e.g., agency login) jarvikj EDUCATION/TRAINING (Begin with baccalaureate or other initial professional education, such as nursing, include postdoctoral training and residency training if applicable.) DEGREE INSTITUTION AND LOCATION MM/YY FIELD OF STUDY (if applicable) University of California, San Diego University of California, San Diego Hospital of the University of Pennsylvania Hospital of the University of Pennsylvania University of Washington BA MD Residency Fellowship MPH 12/81 06/87 06/92 06/93 1995 Biochem and Cell Biol Medicine Diagnostic Radiology Neuroradiology Health Services A. Personal Statement As the Director of the Comparative Effectiveness, Cost and Outcomes Research Center at the University of Washington, I have led or collaborated on multiple technology assessments using multidisciplinary teams involving a wide variety of medical and surgical specialties and non-clinical disciplines of biostatistics, economics, epidemiology, and health services. But equally importantly, I have training in health services research and study design. After finishing my residency in Radiology and fellowship in Neuroradiology at the University of Pennsylvania, I became a Robert Wood Johnson Clinical Scholar at the University of Washington, where I earned my Masters in Public Health. My studies in the Clinical Scholars Program focused on the evaluation of diagnostic and therapeutic technologies related to low back pain, with Richard A. Deyo, MD MPH as my primary mentor. I have extensive practical experience in the conduct of randomized controlled trials of devices and procedures. I designed my first randomized trial, the Seattle Lumbar Imaging Project (SLIP), comparing a rapid MR to plain films as the initial imaging for primary care patients with low back pain. I successfully obtained a highly competitive career development award called the GE-Association of University Radiologists (AUR) Radiology Research Fellowship (GERRAF) that allowed me to apply for an R01 from AHCPR (the predecessor to AHRQ) to fund SLIP. The completed study was published in JAMA. Continuing my work with Dr. Deyo, I became the Associate Director of the Multidisciplinary Clinical Research Center (MCRC) for Upper Extremity and Spinal Disorders funded by NIAMS/NIH. I was the PI of a randomized trial comparing surgical to nonsurgical treatment for carpal tunnel syndrome which was recently published in The Lancet. During this time, I also collaborated with David Kallmes, MD to investigate the effectiveness of vertebroplasty for osteoporotic fractures. This collaboration led to a recent New England Journal of Medicine publication, which is proving to have a major impact on the practice of vertebral augmentation. Our group also published a manuscript in JAMA examining surgical trends for spinal stenosis in the elderly, demonstrating that more expensive and complex surgery is being done without any discernable patient benefit. B. Positions and Honors Positions and Employment 1987-1988 Medical Internship, Mercy Hospital and Medical Center, San Diego, CA 1988-1992 Medical Residency, Radiology, Hospital of the University of Pennsylvania 1988-1993 Assistant Instructor, Radiology, Hospital of the University of Pennsylvania 1991-1993 Fellow in Neuroradiology, Radiology, Hospital of the University of Pennsylvania 1993-1995 Acting Instructor, Radiology, University of Washington 1995-2000 Assistant Professor, Radiology, University of Washington 1999-2000 Adjunct Assistant Professor, Dept. of Health Services, University of Washington 2000-2004 Associate Professor, Dept. of Radiology, Dept. of Neurological Surgery and Adjunct Health Services, University of Washington 2004Professor, Departments of Radiology and Neurological Surgery and Adjunct Health Services, University of Washington 2004-2008 Honors 1981 1981 Section Chief, Neuroradiology, Department of Radiology, University of Washington Phi Beta Kappa: University of California, San Diego Magna Cum Laude: BA, University of California, San Diego C. Selected Peer-reviewed Publications (Selected from 72 peer-reviewed publications) Most relevant to the current application 1. Jarvik JG. Practical issues in conducting clinical trials: randomized, controlled trials of imaging studies. Academic Radiology 5(suppl 2):S266-S268, 1998. 2. Jarvik JG, Hollingworth W, Martin BI, Emerson SS, Gray DT, Overman, S, Robinson D, Staiger T, Wessbecher F, Sullivan SD, Kreuter W, Deyo RA. The Seattle Lumbar Imaging Project:A Randomized Controlled Trial of Rapid MR vs Radiographs for Patients with Low Back Pain.JAMA;289(21):2810-18,2003 3. Hollingworth W, Jarvik JG. Technology Assessment in Radiology: Putting the Evidence in Evidence-based Radiology. Radiology. Jul;244(1):31-38, 2007. 4. Nathan RO, Blackmore CC, Jarvik JG. Therapeutic impact of CT of the appendix in a community hospital emergency department. American Journal of Roentgenology Oct; 191(4):1102-1106, 2008. 5. Kallmes DF, Comstock BA, Heagerty PJ, Turner JA, Wilson, DJ, Diamond TH, Edwards R, Gray LA, Stout L, Owen S, Hollingworth W, Ghdoke B, Annesley-Williams DJ, Langston A, Ralston SH, Jarvik JG. A Randomized Controlled Trial of Vertebroplasty for Osteoporotic Spine Fractures. New Engl J Med Aug; 361 (6): 569-579, 2009. 6. Jarvik JG, Comstock BA, Kliot M, Turner JA, Chan L, Heagerty PJ, Hollingworth W, Kerrigan CL, Deyo RA. Surgery versus non-surgical therapy for carpal tunnel syndrome: a randomised parallel-group trial. Lancet; 374: 1074-1081, 2009. 7. Deyo RA, Mirza SK, Martin BI, Kreuter W, Goodman DC, Jarvik JG. Trends, Major Medical Complications, and Charges Associated with Surgery for Lumbar Spinal Stenosis in Older Adults. JAMA Apr; 303(13):1259-1265, 2010. D. Research Support Ongoing Research Support R01 HS019222-01 Jarvik (PI) 9/30/10-9/29/13 AHRQ Back pain Outcomes using Longitudinal Data (BOLD) The broad, long-term goal of this project is to build a research infrastructure to study low back pain in the elderly using the HMO Research Network. The specific goals are threefold: 1) construct the BOLD registry of elderly patients with low back pain; 2) perform a randomized controlled trial of epidural steroid injections vs. local anesthetic injections for elderly patients with spinal stenosis; 3) perform an observational cohort study of early imaging in elderly patients with low back pain Role: Overall PI R01 1AR054912-01A2 Jarvik (PI) 9/16/08 – 7/31/11 Oregon Health & Science University Complications of Surgery for Spinal Stenosis: A Clinical Prediction Rule The major goal of this study is to improve patient safety in surgery for spinal stenosis by enhancing surgeons’ ability to estimate operative risks and advise patients about the benefits and risks of spine surgery, thus improving patient safety in a high-risk context. Role: PI of Subcontract R01 AR054912 Jarvik (PI) 9/01/09—8/31/11 Oregon Health and Science University Complications of Surgery for Spinal Stenosis: A Clinical Prediction Rule (Supplement) The goal of this supplement is to accelerate our work on spinal stenosis prediction rules. We will examine the probability of reoperation following fusion surgery and the probability of major complications following surgery. Role: PI of Subcontract Completed Research Support Within Past 3 Years R01 AR049373-06 Kallmes (PI) Mayo Clinic 9/30/02 – 12/30/09 NIAMS Title: A Controlled Trial of Percutaneous Vertebroplasty. This study is a randomized controlled trial of vertebroplasty vs. a local anesthetic control injection. Dr. Jarvik is PI of the UW subcontract housing the Data Coordinating Center. Role: PI of UW Subcontract for Data Coordinating Center