The predictive worth of subsets of the Örebro Musculoskeletal Ache Screening Questionnaire for return to work in continual low again ache.
Eur J Phys Rehabil Med. 2017 Jun;53(three):359-365
Authors: Opsommer E, Rivier G, Crombez G, Hilfiker R
BACKGROUND: Research have proven that constructive restoration expectations are related to constructive well being outcomes in sufferers with continual low again ache (CLBP) comparable to return to work (RTW) and the time to RTW.
AIM: To match the predictive worth for RTW in CLBP utilizing totally different subsets of the Örebro Musculoskeletal Ache Screening Questionnaire (ÖMPSQ).
DESIGN: Longitudinal cohort research.
SETTING: Rehabilitation heart.
POPULATION: Ninety-eight inpatients with CLBP (>three months).
METHODS: The ÖMPSQ at baseline was used to foretell RTW three months after discharge from the rehabilitation clinic. The realm below the ROC-curve was calculated based mostly on a logistic regression mannequin. Cox-regression was used to investigate time to RTW with C statistics for the unique full (25-items) model of the ÖMPSQ, the 10-item model in addition to for the 2 objects about self-expected RTW and self-expected restoration.
RESULTS: The realm below the curve (AUC) for the general rating of the total model ÖMPSQ was zero.82 (95% CI: zero.73 to zero.90), the AUC for the brief model was zero.79 (95% CI: zero.70 to zero.88), the AUC for the merchandise about self-expected restoration (#15) was zero.67 (95% CI: zero.57 to zero.78), and the AUC for the merchandise about self-expected RTW (#16) was zero.76 (95% CI: zero.66 to zero.85). Harrell’s C for the total model was zero.74 (95% CI: zero.66 to zero.81), for the brief model the C was zero.71 (95% CI: zero.64 to zero.79), for merchandise #15 the C was zero.62 (95% CI: zero.53 to zero.72), and for merchandise #16 the C was zero.71 (95% CI: zero.64 to zero.78).
CONCLUSIONS: Two objects about expectations from the ÖMPSQ confirmed comparable predictive worth for RTW in comparison with the brief and full authentic variations, and might be used as first screening questions.
CLINICAL REHABILITATION IMPACT: Clinicians could make an knowledgeable selection whether or not they use the total or the brief model of the ÖMPSQ for screening of psychosocial issues, or whether or not they use the 2 single objects about expectations. Data about affected person’s expectations offers a base for dialogue between well being professionals and the affected person.
PMID: 28382810 [PubMed – indexed for MEDLINE]