Development of a risk stratification and prevention index for stratified care in chronic low back pain: focus: yellow flags (MiSpEx network)
Introduction: Chronic low back pain (LBP) is a major cause of disability; early diagnosis and stratification of care remain challenges. Objectives: This article describes the development of a screening tool for the 1-year prognosis of patients with high chronic LBP risk (risk stratification...
Gespeichert in:
| Hauptverfasser: | , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
November/December 2017
|
| In: |
Pain reports
Year: 2017, Jahrgang: 2, Heft: 6, Pages: 1-10 |
| ISSN: | 2471-2531 |
| DOI: | 10.1097/PR9.0000000000000623 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: http://dx.doi.org/10.1097/PR9.0000000000000623 Verlag, kostenfrei, Volltext: https://journals.lww.com/painrpts/fulltext/2017/12000/Development_of_a_risk_stratification_and.4.aspx 
|
| Verfasserangaben: | Pia-Maria Wippert, Anne-Katrin Puschmann, David Drießlein, Adamantios Arampatzis, Winfried Banzer, Heidrun Beck, Marcus Schiltenwolf, Hendrik Schmidt, Christian Schneider, Frank Mayer |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 158019737X | ||
| 003 | DE-627 | ||
| 005 | 20240316100512.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 180820s2017 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1097/PR9.0000000000000623 |2 doi | |
| 035 | |a (DE-627)158019737X | ||
| 035 | |a (DE-576)51019737X | ||
| 035 | |a (DE-599)BSZ51019737X | ||
| 035 | |a (OCoLC)1341017258 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Wippert, Pia-Maria |d 1973- |e VerfasserIn |0 (DE-588)124312217 |0 (DE-627)085778443 |0 (DE-576)185917186 |4 aut | |
| 245 | 1 | 0 | |a Development of a risk stratification and prevention index for stratified care in chronic low back pain |b focus: yellow flags (MiSpEx network) |c Pia-Maria Wippert, Anne-Katrin Puschmann, David Drießlein, Adamantios Arampatzis, Winfried Banzer, Heidrun Beck, Marcus Schiltenwolf, Hendrik Schmidt, Christian Schneider, Frank Mayer |
| 264 | 1 | |c November/December 2017 | |
| 300 | |a 11 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Gesehen am 20.08.2018 | ||
| 520 | |a Introduction: Chronic low back pain (LBP) is a major cause of disability; early diagnosis and stratification of care remain challenges. Objectives: This article describes the development of a screening tool for the 1-year prognosis of patients with high chronic LBP risk (risk stratification index) and for treatment allocation according to treatment-modifiable yellow flag indicators (risk prevention indices, RPI-S). Methods: Screening tools were derived from a multicentre longitudinal study (n = 1071, age >18, intermittent LBP). The greatest prognostic predictors of 4 flag domains (“pain,” “distress,” “social-environment,” “medical care-environment”) were determined using least absolute shrinkage and selection operator regression analysis. Internal validity and prognosis error were evaluated after 1-year follow-up. Receiver operating characteristic curves for discrimination (area under the curve) and cutoff values were determined. Results: The risk stratification index identified persons with increased risk of chronic LBP and accurately estimated expected pain intensity and disability on the Pain Grade Questionnaire (0-100 points) up to 1 year later with an average prognosis error of 15 points. In addition, 3-risk classes were discerned with an accuracy of area under the curve = 0.74 (95% confidence interval 0.63-0.85). The RPI-S also distinguished persons with potentially modifiable prognostic indicators from 4 flag domains and stratified allocation to biopsychosocial treatments accordingly. Conclusion: The screening tools, developed in compliance with the PROGRESS and TRIPOD statements, revealed good validation and prognostic strength. These tools improve on existing screening tools because of their utility for secondary preventions, incorporation of exercise effect modifiers, exact pain estimations, and personalized allocation to multimodal treatments. | ||
| 700 | 1 | |a Schiltenwolf, Marcus |d 1959- |e VerfasserIn |0 (DE-588)11138673X |0 (DE-627)515952303 |0 (DE-576)289700841 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Pain reports |d Riverwoods, IL : Wolters Kluwer Health, 2016 |g 2(2017,6), Artikel-Nr. e623, 11 Seiten |h Online-Ressource |w (DE-627)891074198 |w (DE-600)2898347-6 |w (DE-576)490258581 |x 2471-2531 |7 nnas |a Development of a risk stratification and prevention index for stratified care in chronic low back pain focus: yellow flags (MiSpEx network) |
| 773 | 1 | 8 | |g volume:2 |g year:2017 |g number:6 |g pages:1-10 |g extent:11 |a Development of a risk stratification and prevention index for stratified care in chronic low back pain focus: yellow flags (MiSpEx network) |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1097/PR9.0000000000000623 |x Verlag |x Resolving-System |z kostenfrei |3 Volltext |
| 856 | 4 | 0 | |u https://journals.lww.com/painrpts/fulltext/2017/12000/Development_of_a_risk_stratification_and.4.aspx |x Verlag |z kostenfrei |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20180820 | ||
| 993 | |a Article | ||
| 994 | |a 2017 | ||
| 998 | |g 11138673X |a Schiltenwolf, Marcus |m 11138673X:Schiltenwolf, Marcus |d 910000 |d 911460 |e 910000PS11138673X |e 911460PS11138673X |k 0/910000/ |k 1/910000/911460/ |p 7 | ||
| 999 | |a KXP-PPN158019737X |e 3022619782 | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"language":["eng"],"person":[{"family":"Wippert","display":"Wippert, Pia-Maria","role":"aut","given":"Pia-Maria"},{"family":"Schiltenwolf","display":"Schiltenwolf, Marcus","given":"Marcus","role":"aut"}],"recId":"158019737X","relHost":[{"part":{"extent":"11","volume":"2","year":"2017","pages":"1-10","issue":"6","text":"2(2017,6), Artikel-Nr. e623, 11 Seiten"},"language":["eng"],"type":{"bibl":"periodical","media":"Online-Ressource"},"disp":"Development of a risk stratification and prevention index for stratified care in chronic low back pain focus: yellow flags (MiSpEx network)Pain reports","origin":[{"publisherPlace":"Riverwoods, IL","publisher":"Wolters Kluwer Health","dateIssuedDisp":"[2016]-"}],"pubHistory":["Volume 1, issue 1 (July 2016)-"],"note":["Gesehen am 15.04.25"],"title":[{"title_sort":"Pain reports","title":"Pain reports"}],"id":{"eki":["891074198"],"issn":["2471-2531"],"zdb":["2898347-6"]},"recId":"891074198","name":{"displayForm":["International Association for the Study of Pain"]},"physDesc":[{"extent":"Online-Ressource"}]}],"physDesc":[{"extent":"11 S."}],"name":{"displayForm":["Pia-Maria Wippert, Anne-Katrin Puschmann, David Drießlein, Adamantios Arampatzis, Winfried Banzer, Heidrun Beck, Marcus Schiltenwolf, Hendrik Schmidt, Christian Schneider, Frank Mayer"]},"id":{"eki":["158019737X"],"doi":["10.1097/PR9.0000000000000623"]},"title":[{"subtitle":"focus: yellow flags (MiSpEx network)","title_sort":"Development of a risk stratification and prevention index for stratified care in chronic low back pain","title":"Development of a risk stratification and prevention index for stratified care in chronic low back pain"}],"note":["Gesehen am 20.08.2018"],"origin":[{"dateIssuedDisp":"November/December 2017","dateIssuedKey":"2017"}],"type":{"media":"Online-Ressource","bibl":"article-journal"}} | ||
| SRT | |a WIPPERTPIADEVELOPMEN2017 | ||