The predictive and external validity of the STarT Back Tool in Danish primary care
Purpose: The STarT Back Tool (SBT) was recently translated into Danish and its concurrent validity described. This study tested the predictive validity of the Danish SBT. Methods: Danish primary care patients (n = 344) were compared to a UK cohort. SBT subgroup validity for predicting high activity...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
| Published: |
Springer
2013
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| Online Access: | http://hdl.handle.net/20.500.11937/54709 |
| _version_ | 1848759439519121408 |
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| author | Morsø, L. Kent, Peter Albert, H. Hill, J. Kongsted, A. Manniche, C. |
| author_facet | Morsø, L. Kent, Peter Albert, H. Hill, J. Kongsted, A. Manniche, C. |
| author_sort | Morsø, L. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Purpose: The STarT Back Tool (SBT) was recently translated into Danish and its concurrent validity described. This study tested the predictive validity of the Danish SBT. Methods: Danish primary care patients (n = 344) were compared to a UK cohort. SBT subgroup validity for predicting high activity limitation at 3 months' follow-up was assessed using descriptive proportions, relative risks, AUC and odds ratios. Results: The SBT had a statistically similar predictive ability in Danish primary care as in UK primary care. Unadjusted relative risks for poor clinical outcome on activity limitation in the Danish cohort were 2.4 (1.7-3.4) for the medium-risk subgroup and 2.8 (1.8-3.8) for the high-risk subgroup versus 3.1 (2.5-3.9) and 4.5 (3.6-5.6) for the UK cohort. Adjusting for confounders appeared to explain the lower predictive ability of the Danish high-risk group. Conclusions: The Danish SBT distinguished between low- and medium-risk subgroups with a similar predictive ability of the UK SBT. That distinction is useful information for informing patients about their expected prognosis and may help guiding clinicians' choice of treatment. However, cross-cultural differences in the SBT psychosocial subscale may reduce the predictive ability of the high-risk subgroup in Danish primary care. |
| first_indexed | 2025-11-14T09:59:54Z |
| format | Journal Article |
| id | curtin-20.500.11937-54709 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:59:54Z |
| publishDate | 2013 |
| publisher | Springer |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-547092018-03-29T09:09:37Z The predictive and external validity of the STarT Back Tool in Danish primary care Morsø, L. Kent, Peter Albert, H. Hill, J. Kongsted, A. Manniche, C. Purpose: The STarT Back Tool (SBT) was recently translated into Danish and its concurrent validity described. This study tested the predictive validity of the Danish SBT. Methods: Danish primary care patients (n = 344) were compared to a UK cohort. SBT subgroup validity for predicting high activity limitation at 3 months' follow-up was assessed using descriptive proportions, relative risks, AUC and odds ratios. Results: The SBT had a statistically similar predictive ability in Danish primary care as in UK primary care. Unadjusted relative risks for poor clinical outcome on activity limitation in the Danish cohort were 2.4 (1.7-3.4) for the medium-risk subgroup and 2.8 (1.8-3.8) for the high-risk subgroup versus 3.1 (2.5-3.9) and 4.5 (3.6-5.6) for the UK cohort. Adjusting for confounders appeared to explain the lower predictive ability of the Danish high-risk group. Conclusions: The Danish SBT distinguished between low- and medium-risk subgroups with a similar predictive ability of the UK SBT. That distinction is useful information for informing patients about their expected prognosis and may help guiding clinicians' choice of treatment. However, cross-cultural differences in the SBT psychosocial subscale may reduce the predictive ability of the high-risk subgroup in Danish primary care. 2013 Journal Article http://hdl.handle.net/20.500.11937/54709 10.1007/s00586-013-2690-z Springer restricted |
| spellingShingle | Morsø, L. Kent, Peter Albert, H. Hill, J. Kongsted, A. Manniche, C. The predictive and external validity of the STarT Back Tool in Danish primary care |
| title | The predictive and external validity of the STarT Back Tool in Danish primary care |
| title_full | The predictive and external validity of the STarT Back Tool in Danish primary care |
| title_fullStr | The predictive and external validity of the STarT Back Tool in Danish primary care |
| title_full_unstemmed | The predictive and external validity of the STarT Back Tool in Danish primary care |
| title_short | The predictive and external validity of the STarT Back Tool in Danish primary care |
| title_sort | predictive and external validity of the start back tool in danish primary care |
| url | http://hdl.handle.net/20.500.11937/54709 |