ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2018
The use of STarT BACK Screening Tool in emergency departments for patients with acute low back pain: a prospective inception cohort study.
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, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The clinical course of acute, subacute and persistent low back pain: a systematic review and meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Pooled it
- Systematic review of predictors of hospitalisation for non-specific low back pain with or without referred leg pain.PloS one · 2023Pooled it
- Effectiveness of stratified treatment for back pain in Danish primary care: A randomized controlled trial.European journal of pain (London, England) · 2021Trial
- 'There's No Improvement. I'm Still Bedridden': Recovery After Hospital Admission for Low Back Pain and Alignment With Patient Expectations.Musculoskeletal care · 2026Article
- Observational
- Application of Algorithm-Based Treatment Approach to Low Back Pain in the Emergency Department.Physical therapy · 2025Article
- Predictors of response in PROMIS-global in a chronic low back pain specialty clinic: STarTBack and chronic overlapping pain conditions.Journal of back and musculoskeletal rehabilitation · 2024Observational
- 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
- Healthcare costs due to low back pain in the emergency department and inpatient setting in Sydney, Australia.The Lancet regional health. Western Pacific · 2021Article
- The Danish Chiropractic Low Back Pain Cohort (ChiCo): Description and Summary of an Available Data Source for Research Collaborations.Clinical epidemiology · 2020Article
- Artificial intelligence to improve back pain outcomes and lessons learnt from clinical classification approaches: three systematic reviews.NPJ digital medicine · 2020Review
- Use of the STarT Back Screening Tool in patients with chronic low back pain receiving physical therapy interventions.Brazilian journal of physical therapyArticle
- Advancing practice for back pain through stratified care (STarT Back).Brazilian journal of physical therapyReview
- Tackling low back pain in Brazil: a wake-up call.Brazilian journal of physical therapyReview
- Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose(1) To analyse the clinical utility of the STarT Back Screening Tool (SBST) in emergency departments by describing changes in classification over time and; (2) to identify what would be the best time to use the SBST to predict long-term clinical outcomes in patients with acute nonspecific low back pain (LBP) seeking emergency care.
methodsA 6 months prospective inception cohort study was conducted. 200 participants with LBP seeking emergency medical treatment were included. Pain intensity, disability and SBST were collected at baseline, 6 and 26 weeks. Categories of improvement, clinical worsening, and stability were created to calculate the changes in the SBST subgroups. Linear regression models were built to analyse the predictive ability of SBST when applied at baseline, 6 weeks as well as changes in the subgroup from baseline to 6 weeks. These models were adjusted for potential confounders.
results45% of patients were classified as high risk of chronicity at baseline. Most patients classified as medium (86.7%) or high (52.4%) risk changed their risk subgroup after 6 weeks and most of them improved. The SBST improved the prediction for all outcomes when applied at 6 weeks (R
conclusionMost of patients seeking care in emergency departments with a new episode of acute LBP improved after 6 weeks. The use of SBST to guide initial treatment and to predict clinical outcomes are most indicated when the instrument is applied after 6 weeks after presentation to emergency care. These slides can be retrieved under Electronic Supplementary material.
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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.