ArticleChiropractic & manual therapies2011
Feasibility of the STarT back screening tool in chiropractic clinics: a cross-sectional study of patients with low back pain.
Article in Chiropractic & manual therapies, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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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.
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.
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Who cites it
23 citing papers in PubMed.
- The StarT back screening tool and a pain mannequin improve triage in individuals with low back pain at risk of a worse prognosis - a population based cohort study.BMC musculoskeletal disorders · 2019Trial
- Distribution of prognostic subgroups, assessed by STarT Back Screening Tool, in Veterans with low back pain receiving on-site chiropractic care: a cross-sectional chart review.The Journal of the Canadian Chiropractic Association · 2026Article
- Prognostic ability of the sTarT back screening tool for disability and pain intensity outcomes in older adults with low back pain seeking chiropractic care: a multi-national external validation study.Chiropractic & manual therapies · 2025Article
- Measuring biopsychosocial risk for back pain disability in chiropractic patients using the STarT back screening tool: a cross-sectional survey.Chiropractic & manual therapies · 2019Article
- The use of STarT BACK Screening Tool in emergency departments for patients with acute low back pain: a prospective inception cohort study.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 · 2018Article
- Rehabilitative Principles in the Management of Thoracolumbar Syndrome: A Case Report.Journal of chiropractic medicine · 2017Article
- The STarT back tool in chiropractic practice: a narrative review.Chiropractic & manual therapies · 2017Review
- Clinical Decision Support Tools for Selecting Interventions for Patients with Disabling Musculoskeletal Disorders: A Scoping Review.Journal of occupational rehabilitation · 2016Article
- Validation of the German version of the STarT-Back Tool (STarT-G): a cohort study with patients from primary care practices.BMC musculoskeletal disorders · 2015Article
- Report of the NIH Task Force on Research Standards for Chronic Low Back Pain.International journal of therapeutic massage & bodywork · 2015Article
- Report of the NIH Task Force on research standards for chronic low back pain.Physical therapy · 2015Article
- Subgrouping for patients with low back pain: a multidimensional approach incorporating cluster analysis and the STarT Back Screening Tool.The journal of pain · 2015Article
- A comparison of three clustering methods for finding subgroups in MRI, SMS or clinical data: SPSS TwoStep Cluster analysis, Latent Gold and SNOB.BMC medical research methodology · 2014Article
- Focus article: report of the NIH Task Force on Research Standards for Chronic Low Back Pain.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 · 2014Article
- Report of the NIH Task Force on research standards for chronic low back pain.The journal of pain · 2014Article
- Brief screening questions for depression in chiropractic patients with low back pain: identification of potentially useful questions and test of their predictive capacity.Chiropractic & manual therapies · 2014Article
- Article
- Evaluation of a modified clinical prediction rule for use with spinal manipulative therapy in patients with chronic low back pain: a randomized clinical trial.Chiropractic & manual therapies · 2014Article
- The effectiveness of a stratified group intervention using the STarTBack screening tool in patients with LBP--a non randomised controlled trial.BMC musculoskeletal disorders · 2013Article
- The psychometric profile of chiropractic patients in Norway and England: using and comparing the generic versions of the STarT Back 5-item screening tool and the Bournemouth Questionnaire.Chiropractic & manual therapies · 2013Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The STarT back screening tool (SBT) allocates low back pain (LBP) patients into three risk groups and is intended to assist clinicians in their decisions about choice of treatment. The tool consists of domains from larger questionnaires that previously have been shown to be predictive of non-recovery from LBP. This study was performed to describe the distribution of depression, fear avoidance and catastrophising in relation to the SBT risk groups. A total of 475 primary care patients were included from 19 chiropractic clinics. They completed the SBT, the Major Depression Inventory (MDI), the Fear Avoidance Beliefs Questionnaire (FABQ), and the Coping Strategies Questionnaire. Associations between the continuous scores of the psychological questionnaires and the SBT were tested by means of linear regression, and the diagnostic performance of the SBT in relation to the other questionnaires was described in terms of sensitivity, specificity and likelihood ratios.In this cohort 59% were in the SBT low risk, 29% in the medium risk and 11% in high risk group. The SBT risk groups were positively associated with all of the psychological questionnaires. The SBT high risk group had positive likelihood ratios for having a risk profile on the psychological scales ranging from 3.8 (95% CI 2.3 - 6.3) for the MDI to 7.6 (95% CI 4.9 - 11.7) for the FABQ. The SBT questionnaire was feasible to use in chiropractic practice and risk groups were related to the presence of well-established psychological prognostic factors. If the tool proves to predict prognosis in future studies, it would be a relevant alternative in clinical practice to other more comprehensive questionnaires.
Identifiers
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Registered trials
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 OpenQuestion graph.