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STUDY DESIGN A retrospective cohort study. OBJECTIVE The objective of this study was to determine if patient satisfaction is predicted by improvement in health-related quality of life (HRQOL) metrics. SUMMARY OF BACKGROUND DATA Patient satisfaction is becoming an increasingly common proxy for treatment quality; however, the correlation between patient satisfaction and HRQOL outcome metrics following a lumbar disk herniation is unclear. METHODS Patients enrolled in the Spine Patient Outcomes Research Trial (SPORT) study were prospectively e