| Titre : | Development and internal validation of prognostic models for recovery in patients with non-specific neck pain presenting in primary care (2021) |
| Auteurs : | Roel W. Wingbermühle ; Alessandro Chiarotto ; Emiel van Trijffel ; Bart W. Koes ; Arianne P. Verhagen ; Martijn W. Heymans |
| Type de document : | Article |
| Dans : | Physiotherapy (Vol. 113, 2021) |
| Article en page(s) : | p. 61-72 |
| Note générale : | https://doi.org/10.1016/j.physio.2021.05.011 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Cervicalgie ; Pronostic ; Récupération fonctionnelle |
| Résumé : |
Objectives
Development and internal validation of prognostic models for post-treatment and 1-year recovery in patients with neck pain in primary care. Design Prospective cohort study. Setting Primary care manual therapy practices. Participants Patients with non-specific neck pain of any duration (n = 1193). Intervention Usual care manual therapy. Outcome measures Recovery defined in terms of pain intensity, disability, and global perceived improvement directly post-treatment and at 1-year follow-up. Results All post-treatment models exhibited acceptable discriminative performance after derivation (AUC ≥ 0.7). The developed post-treatment disability model exhibited the best overall performance (R2 = 0.24; IQR, 0.22–0.26), discrimination (AUC = 0.75; 95% CI, 0.63–0.84), and calibration (slope 0.92; IQR, 0.91–0.93). After internal validation and penalization, this model retained acceptable discriminative performance (AUC = 0.74). The five other models, including those predicting 1-year recovery, did not reach acceptable discriminative performance after internal validation. Baseline pain duration, disability, and pain intensity were consistent predictors across models. Conclusion A post-treatment prognostic model for disability was successfully developed and internally validated. This model has potential to inform primary care clinicians about a patient’s individual prognosis after treatment, but external validation is required before clinical use can be recommended. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940621000626#! |
Bibliothèques HE Vinci
