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Titre : | Predictive Validity of the STarT Back Tool for Risk of Persistent Disabling Back Pain in a U.S. Primary Care Setting (2018) |
Auteurs : | Pradeep Suri ; Kristin Delaney ; Sean D. Rundell |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 8, 2018) |
Article en page(s) : | p. 1533-1539 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Appareil locomoteur ; Évaluation de résultat (soins) ; Evaluation des risques ; Lombalgie ; Pronostic |
Mots-clés: | Low back pain ; Musculoskeletal System ; Outcome Assessment (Health Care) ; Decision Support Techniques ; Techniques d'aide à la décision ; Prognostic ; Psychosocial Support Systems ; Systèmes de soutien psychosocial ; Risk Assessment |
Résumé : |
Objective To examine the predictive validity of the Subgrouping for Targeted Treatment (STarT Back) tool for classifying people with back pain into categories of low, medium, and high risk of persistent disabling back pain in U.S. primary care. Design Secondary analysis of data from participants receiving usual care in a randomized clinical trial. Setting Primary care clinics. Participants Adults (N = 1109) ≥18 years of age with back pain. Those with specific causes of back pain (pregnancy, disc herniation, vertebral fracture, spinal stenosis) and work-related injuries were not included. Interventions Not applicable. Main Outcome Measures The original 9-item version of the STarT Back tool, administered at baseline, stratified patients by their risk (low, medium, high) of persistent disabling back pain (STarT Back risk group). Persistent disabling back pain was defined as Roland-Morris Disability Questionnaire scores of ≥7 at 6-month follow-up. Results The STarT Back risk group was a significant predictor of persistent disabling back pain (P<.0001 at follow-up. the proportion of individuals with persistent disabling back pain follow-up was confidence interval in low-risk group ci medium-risk and high-risk group. relative risk compared to> Conclusions The STarT Back risk groups successfully separated people with back pain into distinct categories of risk for persistent disabling back pain at 6-month follow-up in U.S. primary care. These results were very similar to those in the original STarT Back validation study. This validation study is a necessary first step toward identifying whether the entire STarT Back approach, including matched/targeted treatment, can be effectively used for primary care in the United States. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318302041 |