The predictive ability of the STarT Back Tool was limited in people with chronic low back pain: a prospective cohort study
© 2018 Australian Physiotherapy Association Questions: In people with chronic non-specific low back pain (LBP), what is the predictive and discriminative validity of the STarT Back Tool (SBT) for pain intensity, self-reported LBP-related disability, and global self-perceived change at 1-year follow...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
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Australian Physiotherapy Association
2018
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| Online Access: | http://hdl.handle.net/20.500.11937/67094 |
| _version_ | 1848761473616052224 |
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| author | Kendell, M. Beales, Darren O'Sullivan, Peter Rabey, M. Hill, J. Smith, Anne |
| author_facet | Kendell, M. Beales, Darren O'Sullivan, Peter Rabey, M. Hill, J. Smith, Anne |
| author_sort | Kendell, M. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | © 2018 Australian Physiotherapy Association Questions: In people with chronic non-specific low back pain (LBP), what is the predictive and discriminative validity of the STarT Back Tool (SBT) for pain intensity, self-reported LBP-related disability, and global self-perceived change at 1-year follow-up? What is the profile of the SBT risk subgroups with respect to demographic variables, pain intensity, self-reported LBP-related disability, and psychological measures? Design: Prospective cohort study. Participants: A total of 290 adults with dominant axial LBP of ≥ 3 months’ duration recruited from the general community, and private physiotherapy, psychology, and pain-management clinics in Western Australia. Outcome measures: The 1-year follow-up measures were pain intensity, LBP-related disability, and global self-perceived change. Results: Outcomes were collected on 264 participants. The SBT categorised 82 participants (28%) as low risk, 116 (40%) as medium risk, and 92 (32%) as high risk. The risk subgroups differed significantly (p < 0.05) on baseline pain, disability, and psychological scores. The SBT's predictive ability was strongest for disability: RR was 2.30 (95% CI 1.28 to 4.10) in the medium-risk group and 2.86 (95% CI 1.60 to 5.11) in the high-risk group. The SBT's predictive ability was weaker for pain: RR was 1.25 (95% CI 1.04 to 1.51) in the medium-risk group and 1.26 (95% CI 1.03 to 1.52) in the high-risk group. For the SBT total score, the AUC was 0.71 (95% CI 0.64 to 0.77) for disability and 0.63 (95% CI 0.55 to 0.71) for pain. Conclusion: This was the first large study to investigate the SBT in a population exclusively with chronic LBP. The SBT provided an acceptable indication of 1-year disability, had poor predictive and discriminative ability for future pain, and was unable to predict or discriminate global perceived change. In this cohort with chronic non-specific LBP, the SBT's predictive and discriminative abilities were restricted to disability at 1 year. [Kendell M, Beales D, O'Sullivan P, Rabey M, Hill J, Smith A (2018) The predictive ability of the STarT Back Tool was limited in people with chronic low back pain: a prospective cohort study. Journal of Physiotherapy 64: 107–113] |
| first_indexed | 2025-11-14T10:32:14Z |
| format | Journal Article |
| id | curtin-20.500.11937-67094 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T10:32:14Z |
| publishDate | 2018 |
| publisher | Australian Physiotherapy Association |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-670942018-05-18T08:07:19Z The predictive ability of the STarT Back Tool was limited in people with chronic low back pain: a prospective cohort study Kendell, M. Beales, Darren O'Sullivan, Peter Rabey, M. Hill, J. Smith, Anne © 2018 Australian Physiotherapy Association Questions: In people with chronic non-specific low back pain (LBP), what is the predictive and discriminative validity of the STarT Back Tool (SBT) for pain intensity, self-reported LBP-related disability, and global self-perceived change at 1-year follow-up? What is the profile of the SBT risk subgroups with respect to demographic variables, pain intensity, self-reported LBP-related disability, and psychological measures? Design: Prospective cohort study. Participants: A total of 290 adults with dominant axial LBP of ≥ 3 months’ duration recruited from the general community, and private physiotherapy, psychology, and pain-management clinics in Western Australia. Outcome measures: The 1-year follow-up measures were pain intensity, LBP-related disability, and global self-perceived change. Results: Outcomes were collected on 264 participants. The SBT categorised 82 participants (28%) as low risk, 116 (40%) as medium risk, and 92 (32%) as high risk. The risk subgroups differed significantly (p < 0.05) on baseline pain, disability, and psychological scores. The SBT's predictive ability was strongest for disability: RR was 2.30 (95% CI 1.28 to 4.10) in the medium-risk group and 2.86 (95% CI 1.60 to 5.11) in the high-risk group. The SBT's predictive ability was weaker for pain: RR was 1.25 (95% CI 1.04 to 1.51) in the medium-risk group and 1.26 (95% CI 1.03 to 1.52) in the high-risk group. For the SBT total score, the AUC was 0.71 (95% CI 0.64 to 0.77) for disability and 0.63 (95% CI 0.55 to 0.71) for pain. Conclusion: This was the first large study to investigate the SBT in a population exclusively with chronic LBP. The SBT provided an acceptable indication of 1-year disability, had poor predictive and discriminative ability for future pain, and was unable to predict or discriminate global perceived change. In this cohort with chronic non-specific LBP, the SBT's predictive and discriminative abilities were restricted to disability at 1 year. [Kendell M, Beales D, O'Sullivan P, Rabey M, Hill J, Smith A (2018) The predictive ability of the STarT Back Tool was limited in people with chronic low back pain: a prospective cohort study. Journal of Physiotherapy 64: 107–113] 2018 Journal Article http://hdl.handle.net/20.500.11937/67094 10.1016/j.jphys.2018.02.009 Australian Physiotherapy Association restricted |
| spellingShingle | Kendell, M. Beales, Darren O'Sullivan, Peter Rabey, M. Hill, J. Smith, Anne The predictive ability of the STarT Back Tool was limited in people with chronic low back pain: a prospective cohort study |
| title | The predictive ability of the STarT Back Tool was limited in people with chronic low back pain: a prospective cohort study |
| title_full | The predictive ability of the STarT Back Tool was limited in people with chronic low back pain: a prospective cohort study |
| title_fullStr | The predictive ability of the STarT Back Tool was limited in people with chronic low back pain: a prospective cohort study |
| title_full_unstemmed | The predictive ability of the STarT Back Tool was limited in people with chronic low back pain: a prospective cohort study |
| title_short | The predictive ability of the STarT Back Tool was limited in people with chronic low back pain: a prospective cohort study |
| title_sort | predictive ability of the start back tool was limited in people with chronic low back pain: a prospective cohort study |
| url | http://hdl.handle.net/20.500.11937/67094 |