Cargando…

Diagnostic accuracy of the lumbar spinal stenosis-diagnosis support tool and the lumbar spinal stenosis-self-administered, self-reported history questionnaire

Despite the applicability of the lumbar spinal stenosis (LSS)-diagnosis support tool (DST) and the LSS-self-administered, self-reported history questionnaire (SSHQ), their diagnostic accuracy has never been compared with that of the well-known North American Spine Society (NASS) clinical description...

Descripción completa

Detalles Bibliográficos
Autores principales: Tominaga, Ryoji, Kurita, Noriaki, Sekiguchi, Miho, Yonemoto, Koji, Kakuma, Tatsuyuki, Konno, Shin-ichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9070893/
https://www.ncbi.nlm.nih.gov/pubmed/35511759
http://dx.doi.org/10.1371/journal.pone.0267892
_version_ 1784700729798164480
author Tominaga, Ryoji
Kurita, Noriaki
Sekiguchi, Miho
Yonemoto, Koji
Kakuma, Tatsuyuki
Konno, Shin-ichi
author_facet Tominaga, Ryoji
Kurita, Noriaki
Sekiguchi, Miho
Yonemoto, Koji
Kakuma, Tatsuyuki
Konno, Shin-ichi
author_sort Tominaga, Ryoji
collection PubMed
description Despite the applicability of the lumbar spinal stenosis (LSS)-diagnosis support tool (DST) and the LSS-self-administered, self-reported history questionnaire (SSHQ), their diagnostic accuracy has never been compared with that of the well-known North American Spine Society (NASS) clinical description of LSS. This study aimed to compare the diagnostic accuracy of the two diagnostic tools with that of the NASS guidelines’ clinical description of LSS in a Japanese secondary care hospital setting. This multicenter cross-sectional study used data from the lumbar spinal stenosis diagnostic support tool (DISTO) project, which was conducted from December 1, 2011 to December 31, 2012. Japanese adults with low back pain (LBP) aged ≥20 years were consecutively included. The reference standard was LSS diagnosed by orthopedic physicians. The diagnostic accuracy of the two support tools was compared. Of 3,331 patients, 1,416 (42.5%) patients were diagnosed with LSS. The NASS clinical description of LSS had a sensitivity of 63.9% and specificity of 89.5%. The LSS-DST and LSS-SSHQ had sensitivities of 91.3% and 83.8% and specificities of 76.0% and 57.6%, respectively, with substantial improvements in sensitivity (P < 0.0001). Similar results were obtained when we limited included patients to those aged >60 years. These findings indicated that the LSS-DST and LSS-SSHQ were more sensitive in screening patients with LBP for a diagnosis of LSS than the NASS clinical description of LSS. This study strongly supports prioritizing the use of either of these two diagnostic support tools for screening.
format Online
Article
Text
id pubmed-9070893
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-90708932022-05-06 Diagnostic accuracy of the lumbar spinal stenosis-diagnosis support tool and the lumbar spinal stenosis-self-administered, self-reported history questionnaire Tominaga, Ryoji Kurita, Noriaki Sekiguchi, Miho Yonemoto, Koji Kakuma, Tatsuyuki Konno, Shin-ichi PLoS One Research Article Despite the applicability of the lumbar spinal stenosis (LSS)-diagnosis support tool (DST) and the LSS-self-administered, self-reported history questionnaire (SSHQ), their diagnostic accuracy has never been compared with that of the well-known North American Spine Society (NASS) clinical description of LSS. This study aimed to compare the diagnostic accuracy of the two diagnostic tools with that of the NASS guidelines’ clinical description of LSS in a Japanese secondary care hospital setting. This multicenter cross-sectional study used data from the lumbar spinal stenosis diagnostic support tool (DISTO) project, which was conducted from December 1, 2011 to December 31, 2012. Japanese adults with low back pain (LBP) aged ≥20 years were consecutively included. The reference standard was LSS diagnosed by orthopedic physicians. The diagnostic accuracy of the two support tools was compared. Of 3,331 patients, 1,416 (42.5%) patients were diagnosed with LSS. The NASS clinical description of LSS had a sensitivity of 63.9% and specificity of 89.5%. The LSS-DST and LSS-SSHQ had sensitivities of 91.3% and 83.8% and specificities of 76.0% and 57.6%, respectively, with substantial improvements in sensitivity (P < 0.0001). Similar results were obtained when we limited included patients to those aged >60 years. These findings indicated that the LSS-DST and LSS-SSHQ were more sensitive in screening patients with LBP for a diagnosis of LSS than the NASS clinical description of LSS. This study strongly supports prioritizing the use of either of these two diagnostic support tools for screening. Public Library of Science 2022-05-05 /pmc/articles/PMC9070893/ /pubmed/35511759 http://dx.doi.org/10.1371/journal.pone.0267892 Text en © 2022 Tominaga et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Tominaga, Ryoji
Kurita, Noriaki
Sekiguchi, Miho
Yonemoto, Koji
Kakuma, Tatsuyuki
Konno, Shin-ichi
Diagnostic accuracy of the lumbar spinal stenosis-diagnosis support tool and the lumbar spinal stenosis-self-administered, self-reported history questionnaire
title Diagnostic accuracy of the lumbar spinal stenosis-diagnosis support tool and the lumbar spinal stenosis-self-administered, self-reported history questionnaire
title_full Diagnostic accuracy of the lumbar spinal stenosis-diagnosis support tool and the lumbar spinal stenosis-self-administered, self-reported history questionnaire
title_fullStr Diagnostic accuracy of the lumbar spinal stenosis-diagnosis support tool and the lumbar spinal stenosis-self-administered, self-reported history questionnaire
title_full_unstemmed Diagnostic accuracy of the lumbar spinal stenosis-diagnosis support tool and the lumbar spinal stenosis-self-administered, self-reported history questionnaire
title_short Diagnostic accuracy of the lumbar spinal stenosis-diagnosis support tool and the lumbar spinal stenosis-self-administered, self-reported history questionnaire
title_sort diagnostic accuracy of the lumbar spinal stenosis-diagnosis support tool and the lumbar spinal stenosis-self-administered, self-reported history questionnaire
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9070893/
https://www.ncbi.nlm.nih.gov/pubmed/35511759
http://dx.doi.org/10.1371/journal.pone.0267892
work_keys_str_mv AT tominagaryoji diagnosticaccuracyofthelumbarspinalstenosisdiagnosissupporttoolandthelumbarspinalstenosisselfadministeredselfreportedhistoryquestionnaire
AT kuritanoriaki diagnosticaccuracyofthelumbarspinalstenosisdiagnosissupporttoolandthelumbarspinalstenosisselfadministeredselfreportedhistoryquestionnaire
AT sekiguchimiho diagnosticaccuracyofthelumbarspinalstenosisdiagnosissupporttoolandthelumbarspinalstenosisselfadministeredselfreportedhistoryquestionnaire
AT yonemotokoji diagnosticaccuracyofthelumbarspinalstenosisdiagnosissupporttoolandthelumbarspinalstenosisselfadministeredselfreportedhistoryquestionnaire
AT kakumatatsuyuki diagnosticaccuracyofthelumbarspinalstenosisdiagnosissupporttoolandthelumbarspinalstenosisselfadministeredselfreportedhistoryquestionnaire
AT konnoshinichi diagnosticaccuracyofthelumbarspinalstenosisdiagnosissupporttoolandthelumbarspinalstenosisselfadministeredselfreportedhistoryquestionnaire