Evidence map›Paper›PMID 35786771›Full record

Observational studyEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2022

Prospective observational study investigating the predictive validity of the STarT Back tool and the clinical effectiveness of stratified care in an emergency department setting.

C Treanor, S Brogan, Y Burke, A Curley, J Galvin, L McDonagh, C Murnaghan, P Mc Donnell, N O'Reilly, K Ryan and 1 more

Abstract readObservational StudyMulticenter Study
PubMed Publisher
In one paragraph

Observational study in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

C TreanorPhysiotherapy Department, Beaumont Hospital, Dublin, Ireland. carolinetreanor@beaumont.ie.ORCID http://orcid.org/0000-0002-6182-6338
S BroganPhysiotherapy Department, Tallaght University Hospital, Dublin, Ireland.
Y BurkePhysiotherapy Department, St James's Hospital, Dublin, Ireland.
A CurleyPhysiotherapy Department, Tallaght University Hospital, Dublin, Ireland.
J GalvinPhysiotherapy Department, St James's Hospital, Dublin, Ireland.
L McDonaghSchool of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Ireland.
C MurnaghanSchool of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Ireland.
P Mc DonnellPhysiotherapy Department, Connolly Hospital, Dublin, Ireland.
N O'ReillyPhysiotherapy Department, Beaumont Hospital, Dublin, Ireland.
K RyanPhysiotherapy Department, Tallaght University Hospital, Dublin, Ireland.
H P FrenchSchool of Physiotherapy, Royal College of Surgeons in Ireland, Dublin, Ireland.
Royal College of Surgeons in Ireland · IETallaght University Hospital · IEBeaumont Hospital · IESt. James's Hospital · IEConnolly Hospital Blanchardstown · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo determine the predictive validity of the STarT Back tool (SBT) undertaken at baseline and 6 weeks to classify Emergency Department (ED) patients with LBP into groups at low, medium or high risk of persistent disability at 3 months. A secondary aim was to evaluate the clinical effectiveness of pragmatic risk-matched treatment in an ED cohort at 3 months.

methodsA prospective observational multi-centre study took place in the physiotherapy services linked to the ED in four teaching hospitals in Dublin, Ireland. Patients were stratified into low, medium and high-risk groups at their baseline assessment. Participants received stratified care, where the content of their treatment was matched to their risk profile. Outcomes completed at baseline and 3 months included pain and disability. Linear regression analyses assessed if baseline or 6-week SBT score were predictive of disability at 3 months. Changes in the primary outcome of disability were dichotomised into those who achieved/ did not achieve a 30% improvement in their RMDQ at 6 weeks and 3 months.

resultsThe study enrolled 118 patients with a primary complaint of LBP ± leg pain with 67 (56.7%) completing their 6-week and 3-month follow-up. Baseline RMDQ and being in medium or high risk SBT group at 6 weeks were predictive of persistent disability at 3 months. A total of 54 (80.6%) participants reported a > 30% improvement at 3 months.

conclusionDisability at baseline and SBT administered at 6 weeks more accurately predicted disability at 3 months than SBT at baseline in an ED population.

Indexed as

Low Back PainDisability EvaluationEmergency Service, HospitalHumansProspective StudiesTreatment OutcomeEmergency departmentLow back painPhysiotherapySTaRTback toolStratified care

Identifiers

PMID35786771
OpenAlexW4283811737

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.