Clinical Decision Rule Can Classify Risk of Chronic Back Pain
BY
ADMIN / THURSDAY, 28 JANUARY 2016 /
A
clinical decision rule with eight items can classify patients with acute low
back pain by their risk for chronic pain, according to a study published in the
July 1 issue of The Spine Journal.
A
clinical decision rule (CDR) with eight items can classify patients with acute
low back pain (LBP) by their risk for chronic pain, according to a study
published in the July 1 issue of The Spine Journal.
Wolf
E. Mehling, M.D., from the University of California, San Francisco, and
colleagues conducted a prospective cohort study of risk factors for the
progression to chronic pain. Six hundred five patients with acute LBP (≥30
days’ duration) were included, and they were surveyed at baseline, six months,
and two years.
The
researchers found that 13 and 19 percent of the patients had chronic pain at
six months and two years, respectively. An eight-item CDR was deemed most
parsimonious for classifying patients into three risk levels. For the six-month
CDR, the bootstrapped area under the curve was 0.76. There was an odds ratio of
11.1 for developing chronic pain for each 10-point score increase. Likelihood
ratios were 0.26 and 4.4, respectively, using a less than 5 percent probability
of chronic pain as the cutoff for low risk and greater than 40 percent
probability for high risk.
“A
CDR was developed that may help primary care clinicians classify patients with
strictly defined acute LBP into low-, moderate-, and high-risk groups for
developing chronic pain and performed acceptably in 1,000 bootstrapped
replications,” the authors write. “Validation in a separate sample is needed.”
Integrity Life Sciences delivers a multitude of
orthotic treatment options to address one of the most costly systemic ailments
in the world, chronic low back and neck pain. Our advanced solution begins with
the Integrity Spinal Care System (ISCS) ™ and its
proprietary iELCiPS Technology™. The ISCS non-surgical
spinal decompression modality systems are engineered to provide pain relief for
compressive and degenerative conditions of the spine. Specifically, conditions
that may be treated include: neck pain and back pain associated with herniated
discs, protruding discs, degenerative disc disease, posterior facet syndrome,
and sciatica. It achieves these effects through decompression of intervertebral
discs, that is, unloading due to distraction and positioning.
As a compliment to the ISCS, Integrity offers the
very effective Integrity Gel Support Brace™. Our advanced
lumbar support brace is a fitting compliment to non-surgical spinal
decompression therapy and was designed as an adjunct therapy for those
suffering from back pain due to disc related conditions. The Integrity Gel
Support Brace may be used with or without Integrity’s non-surgical spinal
decompression systems and is an excellent treatment option for the patient to
use at home.
In addition, Integrity Life Sciences has been
exclusively granted the use of all of the technology, products, US Patent and
Trademark Office’s assignments, logos and other forms of intellectual
property that were created by Axiom Worldwide, INC under
the leadership of Jim Gibson from Tampa, Florida. The agreement specifically
includes the flagship product DRX 9000™, its family of products,
and all of its derivatives such as the DRX9000C. Integrity offers support for
these products, which includes: sales, maintenance services, and
repairs. Only Integrity Life Sciences is Registered with
the US FDA as a Factory Authorized – Contract Manufacturer – for Axiom
Worldwide and the DRX9000 True Non-Surgical Spinal
Decompression Systems™
James Gibson, President of Integrity Life Sciences and Axiom
Worldwide states “Our partners, in over 50 countries and
territories, have the unique opportunity to present a cutting edge medical
device, utilizing a clinically validated protocol that restores a patient’s
quality of life non-surgically and without pharmaceutical or invasive
intervention“. With a body of published clinical research from around the
world will support and strengthen your sales presentation; members of our
medical advisory board herald from prestigious institutions such as
Johns-Hopkins and The Mayo Clinic just to name a few. In addition, partners
will have confidence in a quality product that adheres to the stringent
standards mandated by FDA, CE, and ISO. Sales, marketing, and technical
training is offered in prestigious locations in Europe, Asia, the Middle East
and throughout the United States.
Learn more @: www.IntegrityLifeSciences.com or www.AxiomWorldwide.com
Integrity Life Sciences, LLC and Axiom Worldwide, INC are
privately held companies with global interests and shareholders with
international partners located across the globe with a mission of “Restoring
Integrity to the Spine™” and delivering "True Non-Surgical
Spinal Decompression"
For additional information please visit: www.IntegrityLifeSciences.com.
Elements as
Published in: Spine Journal
No comments:
Post a Comment