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Table 3 Key study characteristics and results

From: Can screening instruments accurately determine poor outcome risk in adults with recent onset low back pain? A systematic review and meta-analysis

Reference

Country of investigation and clinical setting

Definition of poor outcome

N at baseline, (n at follow-up, % at follow-up)

Discrimination (AUC (95% confidence interval))

STarT Back Screening Tool

 Beneciuk et al. 2012 [43]

USA

Outpatient physiotherapy clinics

At 6 months:

aPain NRS score ≥ 3

aDisability (ODI score ≥ 30%)

73 (55, 75.3%)

aPain 0.61 (0.45–0.76)

aDisability 0.75 (0.60–0.90)

 Field & Newell, 2012 [44]

UK

Chiropractic clinics

At 90 days:

aPain NRS score ≥ 3

477 (151, 31.7%)

aPain 0.597 (0.499–0.694)

 Hill et al. 2008 [46]

UK

General practice clinics

6 months:

RMDQ score ≥ 7

aPain NRS score ≥ 3

aDisability ≥ 30% RMDQ

177 at follow-up. (N at baseline not specified

aPain 0.70 (0.62–0.88)

aDisability 0.81 (0.75–0.88)

 Kongsted et al. 2015 [38]

Denmark

Chiropractic clinics

3 months:

aPain NRS score ≥ 3

aDisability ≥ 30% RMDQ

754 (604, 80.1%)

aPain 0.56 (0.49–0.60)

aDisability 0.67 (0.62–0.73)

 Newell et al. 2014 [45]

UK

Chiropractic clinics

At 90 days:

aPain NRS score ≥ 3

284 (192, 67.6%)

aPain 0.59 (0.48–0.69)

Orebro Musculoskeletal Pain Screening Questionnaire; Acute Low Back Pain Screening Questionnaire

 Gabel et al. 2011 [39]

Australia

Physiotherapy outpatient clinics

At 6 months:

Functional status ≥ 10%

Problem severity > 1

Absenteeism > 0 days

Long term absenteeism > 28 days

aPain NRS score ≥ 3

aDisability (SFI score ≥ 30%)

66 (58, 87.9%)

(OMPSQ - Original)

Functional status 0.88 (0.78–0.99)

Problem severity 0.85 (0.72–0.97)

Absenteeism 0.86 (0.76–0.96)

Long-term absenteeism 0.85 (0.73–0.96)

aPain 0.84 (0.71–0.97)

aDisability 0.80 (0.67–0.92)

 Grotle et al. 2006 [25]

Norway

General practitioner/Chiropractor/Physiotherapy clinics

(27% recruited through advertisement)

At 6 & 12 months:

Pain NRS score ≥ 3

Disability (RMDQ score > 4)

Sick leave (> 30 days)

123 (112, 91.1%)

Pain 0.62 (0.51–0.73)

Disability 0.68 (0.56–0.80)

Sick leave 0.80 (0.66–0.93)

 Heneweer et al. 2007 [66]

Netherlands

Physiotherapy clinics

Not recovered at 12 weeks

aPain NRS score ≥ 3

aDisability QBPDS ≥ 30%)

66 (56, 84.8%)

Non-recovery 0.64 (0.5–0.79)

aPain 0.64 (0.50–0.78)

aDisability 0.67 (0.54–0.8)

 Jellema et al. 2007 [52]

Netherlands

General practice clinics

12 months: score of ‘slightly improved’ or worse at two or more follow-up time points

314 (296, 94.3%)

Non-recovery 0.61 (0.54–0.67)

 Law et al. 2013 [37]

China

Physiotherapy clinics in public hospitals

12 months post discharge: Failure to return to work

Prolonged sick leave (> 30 days)

241 (220, 91.3%)

Return to work 0.69 (0.62–0.76)

Prolonged sick leave 0.71 (0.64–0.78)

 Nonclercq et al. 2012 [42]

Belgium

Emergency facility or outpatient clinic

At 6 months:

Pain index score > 16

ODI ≥ 20%

Functional index < 45

Work absence > 30 days

aPain NRS score ≥ 3

aDisability ≥ 30% ODI

91 (73, 80%)

Pain 0.73 (no confidence intervals)

Functional index 0.79 (no confidence intervals)

Absenteeism 0.83 (standard error 0.71)

Disability 0.75 (no confidence intervals)

aPain 0.70 (standard error 0.66)

aDisability 0.72 (standard error 0.86)

 Schmidt et al. 2016 [48]

Germany

General practice clinics

6 months:

Disability ≥ 4/11 (dichotomised mean response to three GCPS disability items)

181 (112, 62%)

Disability (OMPSQ scale sum score) 0.79 (0.67–0.90)

Disability (OMPSQ item sum score) 0.77 (0.66–0.87)

Vermont Disability Prediction Questionnaire

 Hazard et al. 1996 [49]

USA

Vermont Department of Labour and Industry database

Not returned to work at 3 months

166 (163, 98%)

Return to work 0.92 (no confidence interval or standard error reported)

 Hazard et al. 1997 [50]

USA

Vermont Department of Labour and Industry database

Not returned to work at 3 months

304 (268, 88.2%)

Return to work 0.78 (no confidence interval or standard error reported)

Absenteeism Screening Questionnaire

 Truchon et al. 2012 [51]

Canada

Quebec Workers Compensation Board database

12 months:

Absenteeism > 182 cumulative days

535 (310, 58%)

Absenteeism 0.73 (no confidence intervals or standard error reported)

Chronic Pain Risk Score

 Turner et al. 2013 [61]

USA

Primary care

4 months

Pain grades 3 & 4

aPain NRS ≥ 3

458 (425, 92.8%)

Pain grades 3 & 4 0.67 (0.59–0.72)

aPain 0.67 (0.59–0.72)

Back Disability Risk Questionnaire

 Shaw et al. 2009 [40]

USA

Occupational health clinics

3 months:

Pain ≥ 5

Disability ≥ 50%

aPain NRS score ≥ 3

aDisability ≥ 30% RMDQ

568 (519, 91.4%)

aPain 0.61 (0.56–0.66)

aDisability 0.66 (0.62–0.70)

Hancock Clinical Prediction Rule

 Williams et al. 2014 [41]

Australia

General practice clinics, Pharmacists or physiotherapy clinics

3 months:

No sustained recovery (0 or 1/10 on a NRS for 7 consecutive days)

aPain NRS ≥ 3

956 (937, 82%)

Sustained recovery 0.60 (0.56–0.64)

aPain 0.62 (0.60–0.65)

  1. aUnpublished data for ‘recent onset’ participants, provided on request
  2. NRS numeric rating scale, ODI Oswestry Disability Index, RMDQ Roland Morris Disability Questionnaire, SFI Spine Functional Index, QBPDS Quebec Back Pain Disability Scale, GCPS Graded Chronic Pain Scale, OMPSQ Orebro Musculoskeletal Pain Screening Questionnaire