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Feasibility of the STarT back screening tool in chiropractic clinics: a cross-sectional study of patients with low back pain

机译:STarT背部筛查工具在整脊诊所中的可行性:下腰痛患者的横断面研究

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摘要

The STarT back screening tool (SBT) allocates low back pain (LBP) patients into three risk groups and is intended to assist clinicians in their decisions about choice of treatment. The tool consists of domains from larger questionnaires that previously have been shown to be predictive of non-recovery from LBP. This study was performed to describe the distribution of depression, fear avoidance and catastrophising in relation to the SBT risk groups. A total of 475 primary care patients were included from 19 chiropractic clinics. They completed the SBT, the Major Depression Inventory (MDI), the Fear Avoidance Beliefs Questionnaire (FABQ), and the Coping Strategies Questionnaire. Associations between the continuous scores of the psychological questionnaires and the SBT were tested by means of linear regression, and the diagnostic performance of the SBT in relation to the other questionnaires was described in terms of sensitivity, specificity and likelihood ratios.In this cohort 59% were in the SBT low risk, 29% in the medium risk and 11% in high risk group. The SBT risk groups were positively associated with all of the psychological questionnaires. The SBT high risk group had positive likelihood ratios for having a risk profile on the psychological scales ranging from 3.8 (95% CI 2.3 - 6.3) for the MDI to 7.6 (95% CI 4.9 - 11.7) for the FABQ. The SBT questionnaire was feasible to use in chiropractic practice and risk groups were related to the presence of well-established psychological prognostic factors. If the tool proves to predict prognosis in future studies, it would be a relevant alternative in clinical practice to other more comprehensive questionnaires.
机译:STarT背部筛查工具(SBT)将下背痛(LBP)患者分为三个风险组,旨在帮助临床医生做出治疗选择的决定。该工具由较大的调查表中的域组成,这些域先前已被证明可以预测LBP无法恢复。进行这项研究是为了描述与SBT风险人群相关的抑郁,恐惧避免和灾难性疾病的分布。 19家脊椎治疗诊所共纳入475名初级保健患者。他们完成了SBT,主要抑郁抑郁量表(MDI),避免恐惧信念问卷(FABQ)和应对策略问卷。该心理学问卷的连续评分与SBT之间的相关性通过线性回归进行了检验,并且在敏感性,特异性和似然比方面描述了SBT与其他问卷的诊断性能。该队列中59%在SBT低危人群中,29%在中危人群中,11%在高危人群中。 SBT风险组与所有心理调查问卷均呈正相关。 SBT高风险组的心理状况的风险概图为正可能性比,范围从MDI的3.8(95%CI 2.3-6.3)到FABQ的7.6(95%CI 4.9-11.7)。 SBT问卷可用于脊椎治疗,风险组与确定的心理预后因素有关。如果该工具能够在未来的研究中预测预后,那么它将在临床实践中替代其他更全面的调查问卷。

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