ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2014
The predictive ability of the STarT Back Screening Tool in a Danish secondary care setting.
Article in 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, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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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
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Can screening instruments accurately determine poor outcome risk in adults with recent onset low back pain? A systematic review and meta-analysis.BMC medicine · 2017Pooled it
- Feasibility and long-term efficacy of a proactive health program in the treatment of chronic back pain: a randomized controlled trial.BMC health services research · 2019Trial
- Predictive Validity of the STarT Back Tool for Risk of Persistent Disabling Back Pain in a U.S. Primary Care Setting.Archives of physical medicine and rehabilitation · 2018Trial
- Predictive ability of the start back tool: an ancillary analysis of a low back pain trial from Danish general practice.BMC musculoskeletal disorders · 2017Trial
- Trial
- Chronic low back pain clinical outcomes present higher associations with the STarT Back Screening Tool than with physiologic measures: a 12-month cohort study.BMC musculoskeletal disorders · 2015Trial
- Does Combining the STarT Back Tool With a Polygenic Risk Score for Chronic Low Back Pain Improve Prediction of Work Disability Over 2 Years?European journal of pain (London, England) · 2026Article
- Saudi Clinical Practice Guideline for the Assessment and Management of Low Back Pain and Sciatica in Adults.Journal of clinical medicine · 2026Article
- Cross-cultural adaptation and psychometric validation of the STarT back tool for Jordanian Arabic-speaking adults with low back pain.PloS one · 2025Article
- Time course and correlates of psychological distress post spinal surgery: A longitudinal study.North American Spine Society journal · 2023Article
- Article
- Prospective observational study investigating the predictive validity of the STarT Back tool and the clinical effectiveness of stratified care in an emergency department setting.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 · 2022Observational
- A Scoping Review of Chronic Low Back Pain Classification Schemes Based on Patient-Reported Outcomes.Pain physician · 2022Article
- Translation, cross-cultural adaptation and psychometric validation of the Thai version of the STarT Back Screening Tool in patients with non-specific low back pain.BMC musculoskeletal disorders · 2021Article
- Artificial intelligence to improve back pain outcomes and lessons learnt from clinical classification approaches: three systematic reviews.NPJ digital medicine · 2020Review
- The Evolving Case Supporting Individualised Physiotherapy for Low Back Pain.Journal of clinical medicine · 2019Review
- The Adolescent Knee Pain (AK-Pain) prognostic tool: protocol for a prospective cohort study.F1000Research · 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
- Article
- Risk classification of patients referred to secondary care for low back pain.BMC musculoskeletal disorders · 2018Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe predictive ability of the STarT Back Tool (SBT) in secondary care settings has not been investigated. The aim of this study was to determine the SBT's predictive ability in a Danish secondary care setting and compare this to a Danish primary care setting.
methodsPoor clinical outcome at 6 months (>30 points on a 0-100 Roland Morris Disability Scale) was calculated in secondary care (n = 960) and primary care (n = 172) cohorts. The cohorts were stratified into SBT subgroups and estimates of additional risk for poor outcome were calculated [relative risk (RR), unadjusted and adjusted odds ratios]. The discriminative ability was determined using the area under the curve statistic.
resultsIn secondary care 69.0 % and in primary care 40.2 % had poor outcome on activity limitation. Although significant, the predictive ability of the SBT in secondary care (medium-risk RR 1.5, high-risk RR 1.7) was not as strong as in primary care (medium-risk RR 2.3, high-risk RR 3.5). Adjusting for episode duration and pain intensity only changed the predictive ability marginally in secondary care. The discriminative ability of the SBT was similar in both cohorts despite differences in the predictive ability.
conclusionThe SBT had less predictive ability in a Danish secondary care setting compared to a Danish primary care setting for persistent activity limitation at 6 months follow-up. SBT-targeted treatment implications in secondary care were not investigated in this study.
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