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.

Charles W Penza, Casey J Rogers, Michael R Cole, Samuel M Schut, Alexis M Cornelius, Matthew J Bair

Abstract read

In one paragraph

Article in The Journal of the Canadian Chiropractic Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Charles W PenzaIntegrated Wellness Center, Orlando VA Healthcare System, Orlando, FL.

Casey J RogersBirmingham VA Health Care System, Birmingham, Al.

Michael R ColeIntegrated Wellness Center, Orlando VA Healthcare System, Orlando, FL.

Samuel M SchutCenter for Wellness Research and Training, Department of Wellness and Preventive Medicine, and Cleveland Clinic Lerner College of Medicine of Case Western Reserve University School of Medicine, Cleveland, OH.

Alexis M CorneliusVA Central Iowa Healthcare System, Des Moines, IA.

Matthew J BairVA Center for Health Information and Communication, Richard L. Roudebush VA Medical Center, Indiana University School of Medicine, and Regenstrief Institute, Indianapolis, IN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The primary aim of this study was to report the distribution of prognostic subgroups, as determined by The Keele (STarT) Back Screening Tool (SBT) in Veterans with low back pain presenting for consultation at a chiropractic clinic within the Veterans Health Administration (VHA). Methods: A chart review was conducted on all Veterans completing an initial consultation at a single VHA chiropractic clinic between April 15th, 2021 and January 31st, 2023. STarT Back Screening Tool scores and PROs were collected from the medical record corresponding to the date of consultation available in the VHA's electronic healthcare record (EHR) system. The proportion of each SBT subgroup (i.e., "low-risk", "medium-risk", and "high-risk") was calculated and subgroup differences across patient reported outcomes (PROs) were assessed. Results: Of 458 completed consultations, 386 (84.3%) sought care for low back pain and 251 (54.8%) had SBT data collected; 51 (20.3%) scored low-risk, 107 (42.6%) medium-risk, and 93 (37.1%) high-risk for persistent disability. As expected, the subgroups differed across baseline PRO. Conclusions: In this chiropractic clinic, the percentage of Veterans with a favorable prognosis suggested by SBT was low.

Indexed as

chiropracticlow back painpatient reported outcome measuresprognosisveteransveterans health

Identifiers

PMID42238485

PMCPMC13229144

What OpenQuestion holds

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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.