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Titre : | 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 (2020) |
Auteurs : | Steven Z. George ; Cai Li ; Sheng Luo ; Maggie E. Horn ; Trevor A. Lentz |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 10, 2020) |
Article en page(s) : | p. 1763-1770 |
Note générale : | https://doi.org/10.1016/j.apmr.2020.05.025 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Douleur chronique ; Pronostic ; Réadaptation |
Résumé : |
Objective
To investigate the Optimal Screening for Prediction of Referral and Outcome Yellow Flag (OSPRO-YF) tool for longitudinal monitoring of pain associated distress with the goal of improving prediction of 50% reduction in pain intensity and disability outcomes. Design Cohort study with 12-month follow-up after initial care episode. Setting Ambulatory care, participants seeking care from outpatient physical therapy clinics. Participants Participants (N=440) were seeking care for primary complaint of neck, low back, knee, or shoulder pain. This secondary analysis included 440 subjects (62.5% female; mean age, 45.1±17y) at baseline with n=279 (63.4%) providing follow-up data at 12 months. Interventions Not applicable. Main Outcome Measures A 50% reduction (baseline to 12-mo follow-up) in pain intensity and self-reported disability. Results Trends for prediction accuracy were similar for all versions of the OSPRO-YF. For predicting 50% reduction in pain intensity, model fit met the statistical criterion for improvement (P<.05 with each additional time point added from baseline. model discrimination improved statistically when the to change was under curve="0.849," p=".003)." for predicting reduction in disability there no evidence of improvement fit or baseline addition changes>.05). Conclusions These results suggested that longitudinal monitoring improved prediction accuracy for reduction in pain intensity but not for disability reduction. Differences in OSPRO-YF item sets (10 vs 17 items) or scoring methods (simple summary score vs yellow flag count) did not affect predictive accuracy for pain intensity, providing flexibility for implementing this tool in practice settings. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/article/pii/S0003999320303877 |