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Estimated risk for chronic pain determined using the generic STarT Back 5-item screening tool

OBJECTIVE: The generic STarT Back 5-item screening tool (STarT-G) is used to manage chronic pain in the lower back and elsewhere. This study evaluated the validity of the Japanese version of this generic screening tool. MATERIALS AND METHODS: Japanese participants between the ages of 20 and 64 years...

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Autores principales: Oka, Hiroyuki, Matsudaira, Ko, Fujii, Tomoko, Kikuchi, Norimasa, Haga, Yuri, Sawada, Takayuki, Katsuhira, Junji, Yoshimoto, Takahiko, Kawamata, Kayo, Tonosu, Juichi, Sumitani, Masahiko, Kasahara, Satoshi, Tanaka, Sakae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5338985/
https://www.ncbi.nlm.nih.gov/pubmed/28280380
http://dx.doi.org/10.2147/JPR.S129585
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author Oka, Hiroyuki
Matsudaira, Ko
Fujii, Tomoko
Kikuchi, Norimasa
Haga, Yuri
Sawada, Takayuki
Katsuhira, Junji
Yoshimoto, Takahiko
Kawamata, Kayo
Tonosu, Juichi
Sumitani, Masahiko
Kasahara, Satoshi
Tanaka, Sakae
author_facet Oka, Hiroyuki
Matsudaira, Ko
Fujii, Tomoko
Kikuchi, Norimasa
Haga, Yuri
Sawada, Takayuki
Katsuhira, Junji
Yoshimoto, Takahiko
Kawamata, Kayo
Tonosu, Juichi
Sumitani, Masahiko
Kasahara, Satoshi
Tanaka, Sakae
author_sort Oka, Hiroyuki
collection PubMed
description OBJECTIVE: The generic STarT Back 5-item screening tool (STarT-G) is used to manage chronic pain in the lower back and elsewhere. This study evaluated the validity of the Japanese version of this generic screening tool. MATERIALS AND METHODS: Japanese participants between the ages of 20 and 64 years completed online surveys regarding pain. Survey reliability was assessed with internal consistency, as calculated using Cronbach’s alpha coefficients. Spearman’s correlation coefficients were used to evaluate concurrent validity between the STarT-G score and standard reference questionnaires. Associations between STarT-G scores and the presence of a disability due to chronic pain (DCP) were analyzed using receiver operator characteristic (ROC) curves. RESULTS: Analyses ultimately included data obtained from 52,842 Japanese participants (54.4% male) with a mean (standard deviation) age of 47.7 (9.4) years. Approximately 1.5% of participants had DCP, and the mean STarT-G score was 1.2 (1.4). The Cronbach’s alpha coefficient was 0.71, indicating an acceptable reliability. The STarT-G score moderately correlated with the pain numerical rating scale (NRS) score (Spearman’s correlation coefficient: r = 0.34). When the STarT-G threshold was set at 4, the sensitivity and specificity of the DCP predictive model were 65.8% and 82.4%, respectively, and the area under the ROC was 0.808. CONCLUSION: The STarT-G was internally consistent and was able to distinguish between subjects with and without a DCP. Therefore, the STarT-G can reliably be used in the Japanese population to identify patients with DCP.
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spelling pubmed-53389852017-03-09 Estimated risk for chronic pain determined using the generic STarT Back 5-item screening tool Oka, Hiroyuki Matsudaira, Ko Fujii, Tomoko Kikuchi, Norimasa Haga, Yuri Sawada, Takayuki Katsuhira, Junji Yoshimoto, Takahiko Kawamata, Kayo Tonosu, Juichi Sumitani, Masahiko Kasahara, Satoshi Tanaka, Sakae J Pain Res Original Research OBJECTIVE: The generic STarT Back 5-item screening tool (STarT-G) is used to manage chronic pain in the lower back and elsewhere. This study evaluated the validity of the Japanese version of this generic screening tool. MATERIALS AND METHODS: Japanese participants between the ages of 20 and 64 years completed online surveys regarding pain. Survey reliability was assessed with internal consistency, as calculated using Cronbach’s alpha coefficients. Spearman’s correlation coefficients were used to evaluate concurrent validity between the STarT-G score and standard reference questionnaires. Associations between STarT-G scores and the presence of a disability due to chronic pain (DCP) were analyzed using receiver operator characteristic (ROC) curves. RESULTS: Analyses ultimately included data obtained from 52,842 Japanese participants (54.4% male) with a mean (standard deviation) age of 47.7 (9.4) years. Approximately 1.5% of participants had DCP, and the mean STarT-G score was 1.2 (1.4). The Cronbach’s alpha coefficient was 0.71, indicating an acceptable reliability. The STarT-G score moderately correlated with the pain numerical rating scale (NRS) score (Spearman’s correlation coefficient: r = 0.34). When the STarT-G threshold was set at 4, the sensitivity and specificity of the DCP predictive model were 65.8% and 82.4%, respectively, and the area under the ROC was 0.808. CONCLUSION: The STarT-G was internally consistent and was able to distinguish between subjects with and without a DCP. Therefore, the STarT-G can reliably be used in the Japanese population to identify patients with DCP. Dove Medical Press 2017-02-24 /pmc/articles/PMC5338985/ /pubmed/28280380 http://dx.doi.org/10.2147/JPR.S129585 Text en © 2017 Oka et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms. php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Oka, Hiroyuki
Matsudaira, Ko
Fujii, Tomoko
Kikuchi, Norimasa
Haga, Yuri
Sawada, Takayuki
Katsuhira, Junji
Yoshimoto, Takahiko
Kawamata, Kayo
Tonosu, Juichi
Sumitani, Masahiko
Kasahara, Satoshi
Tanaka, Sakae
Estimated risk for chronic pain determined using the generic STarT Back 5-item screening tool
title Estimated risk for chronic pain determined using the generic STarT Back 5-item screening tool
title_full Estimated risk for chronic pain determined using the generic STarT Back 5-item screening tool
title_fullStr Estimated risk for chronic pain determined using the generic STarT Back 5-item screening tool
title_full_unstemmed Estimated risk for chronic pain determined using the generic STarT Back 5-item screening tool
title_short Estimated risk for chronic pain determined using the generic STarT Back 5-item screening tool
title_sort estimated risk for chronic pain determined using the generic start back 5-item screening tool
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5338985/
https://www.ncbi.nlm.nih.gov/pubmed/28280380
http://dx.doi.org/10.2147/JPR.S129585
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