Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain
Minimizing the number of patient-reported outcome measures (PROMs) can reduce patient burden. The primary aim of the present study was to investigate whether physical therapists (PTs) can estimate psychological PROM scores in patients with low back pain (LBP) through physical therapy evaluation. The...
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| description | Minimizing the number of patient-reported outcome measures (PROMs) can reduce patient burden. The primary aim of the present study was to investigate whether physical therapists (PTs) can estimate psychological PROM scores in patients with low back pain (LBP) through physical therapy evaluation. The secondary aims were; 1) to investigate whether the clinical experiences of PTs influence correlations between PT estimates and psychological PROM scores, and 2) to investigate the sensitivity and specificity of PT estimates for the psychological features detected by the PROMs. We recruited hospitalized patients owing to LBP, who underwent evaluation by PTs on the initial day of hospitalization. Patients completed PROMs, including the Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia, and Hospital Anxiety and Depression Scale immediately before the initial physical therapy session. PTs rated the magnitude of patient kinesiophobia, pain catastrophizing, anxiety, and depression using an 11-point numerical rating scale (NRS; 0 = not detected at all, 10 = very highly detected) through physical therapy evaluation immediately after the initial session. The PTs were blinded to the PROM results. We categorized PTs into two subgroups (PTs with ≥4 years and those with |
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The primary aim of the present study was to investigate whether physical therapists (PTs) can estimate psychological PROM scores in patients with low back pain (LBP) through physical therapy evaluation. The secondary aims were; 1) to investigate whether the clinical experiences of PTs influence correlations between PT estimates and psychological PROM scores, and 2) to investigate the sensitivity and specificity of PT estimates for the psychological features detected by the PROMs. We recruited hospitalized patients owing to LBP, who underwent evaluation by PTs on the initial day of hospitalization. Patients completed PROMs, including the Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia, and Hospital Anxiety and Depression Scale immediately before the initial physical therapy session. PTs rated the magnitude of patient kinesiophobia, pain catastrophizing, anxiety, and depression using an 11-point numerical rating scale (NRS; 0 = not detected at all, 10 = very highly detected) through physical therapy evaluation immediately after the initial session. The PTs were blinded to the PROM results. We categorized PTs into two subgroups (PTs with ≥4 years and those with <4 years of clinical experience). Data from 78 patients (mean [SD] age = 60.5 [16.3] years) and 21 PTs were analyzed. A statistically significant but weak correlation (P = .04, Spearman's ρ = .24) was detected only in the total PCS scores and PT NRS scores in a dataset of all patients and PTs. Further, there were no statistically significant differences in correlations (all P >.05) between the two subgroups of PTs in all measures. Low sensitivity and high specificity of PT estimates for psychological features through physical therapy evaluation were identified in all PROMs when PT NRS scores were categorized into the binary score by 5 (negative: <5; positive: ≥5).</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0227999</identifier><identifier>PMID: 31961900</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anxiety ; Back pain ; Biology and Life Sciences ; Care and treatment ; Clinical outcomes ; Correlation ; Depression (Mood disorder) ; Estimates ; Evaluation ; Female ; Hospital patients ; Humans ; Japan ; Low back pain ; Low Back Pain - therapy ; Male ; Medical diagnosis ; Medical research ; Medicine and Health Sciences ; Mental depression ; Middle Aged ; Pain ; Pain Measurement ; Patient outcomes ; Patient Reported Outcome Measures ; Patients ; Physical Therapists ; Physical therapy ; Proms (Parties) ; Quality of life ; Research and Analysis Methods ; Sensitivity ; Social Sciences ; Statistical analysis ; Statistical significance ; Subgroups ; Validity ; Young Adult</subject><ispartof>PloS one, 2020-01, Vol.15 (1), p.e0227999-e0227999</ispartof><rights>COPYRIGHT 2020 Public Library of Science</rights><rights>2020 Miki et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2020 Miki et al 2020 Miki et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-82bc06626c6e0738cf0b48c12f4224b50fd75914926367c99ff3a719571d32123</citedby><cites>FETCH-LOGICAL-c692t-82bc06626c6e0738cf0b48c12f4224b50fd75914926367c99ff3a719571d32123</cites><orcidid>0000-0002-0648-2675 ; 0000-0003-3699-2294</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6974035/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6974035/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2102,2928,23866,27924,27925,53791,53793,79600,79601</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31961900$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Hoefer, Stefan</contributor><creatorcontrib>Miki, Takahiro</creatorcontrib><creatorcontrib>Kondo, Yu</creatorcontrib><creatorcontrib>Takebayashi, Tsuneo</creatorcontrib><creatorcontrib>Takasaki, Hiroshi</creatorcontrib><title>Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Minimizing the number of patient-reported outcome measures (PROMs) can reduce patient burden. The primary aim of the present study was to investigate whether physical therapists (PTs) can estimate psychological PROM scores in patients with low back pain (LBP) through physical therapy evaluation. The secondary aims were; 1) to investigate whether the clinical experiences of PTs influence correlations between PT estimates and psychological PROM scores, and 2) to investigate the sensitivity and specificity of PT estimates for the psychological features detected by the PROMs. We recruited hospitalized patients owing to LBP, who underwent evaluation by PTs on the initial day of hospitalization. Patients completed PROMs, including the Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia, and Hospital Anxiety and Depression Scale immediately before the initial physical therapy session. PTs rated the magnitude of patient kinesiophobia, pain catastrophizing, anxiety, and depression using an 11-point numerical rating scale (NRS; 0 = not detected at all, 10 = very highly detected) through physical therapy evaluation immediately after the initial session. The PTs were blinded to the PROM results. We categorized PTs into two subgroups (PTs with ≥4 years and those with <4 years of clinical experience). Data from 78 patients (mean [SD] age = 60.5 [16.3] years) and 21 PTs were analyzed. A statistically significant but weak correlation (P = .04, Spearman's ρ = .24) was detected only in the total PCS scores and PT NRS scores in a dataset of all patients and PTs. Further, there were no statistically significant differences in correlations (all P >.05) between the two subgroups of PTs in all measures. Low sensitivity and high specificity of PT estimates for psychological features through physical therapy evaluation were identified in all PROMs when PT NRS scores were categorized into the binary score by 5 (negative: <5; positive: ≥5).</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anxiety</subject><subject>Back pain</subject><subject>Biology and Life Sciences</subject><subject>Care and treatment</subject><subject>Clinical outcomes</subject><subject>Correlation</subject><subject>Depression (Mood disorder)</subject><subject>Estimates</subject><subject>Evaluation</subject><subject>Female</subject><subject>Hospital patients</subject><subject>Humans</subject><subject>Japan</subject><subject>Low back pain</subject><subject>Low Back Pain - therapy</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical research</subject><subject>Medicine and Health Sciences</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Patient outcomes</subject><subject>Patient Reported Outcome Measures</subject><subject>Patients</subject><subject>Physical Therapists</subject><subject>Physical therapy</subject><subject>Proms (Parties)</subject><subject>Quality of life</subject><subject>Research and Analysis Methods</subject><subject>Sensitivity</subject><subject>Social Sciences</subject><subject>Statistical analysis</subject><subject>Statistical significance</subject><subject>Subgroups</subject><subject>Validity</subject><subject>Young 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therapy</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical research</topic><topic>Medicine and Health Sciences</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Patient outcomes</topic><topic>Patient Reported Outcome Measures</topic><topic>Patients</topic><topic>Physical Therapists</topic><topic>Physical therapy</topic><topic>Proms (Parties)</topic><topic>Quality of life</topic><topic>Research and Analysis Methods</topic><topic>Sensitivity</topic><topic>Social Sciences</topic><topic>Statistical analysis</topic><topic>Statistical significance</topic><topic>Subgroups</topic><topic>Validity</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miki, Takahiro</creatorcontrib><creatorcontrib>Kondo, Yu</creatorcontrib><creatorcontrib>Takebayashi, Tsuneo</creatorcontrib><creatorcontrib>Takasaki, 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estimation and psychological patient-reported outcome measures in patients with low back pain</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2020-01-21</date><risdate>2020</risdate><volume>15</volume><issue>1</issue><spage>e0227999</spage><epage>e0227999</epage><pages>e0227999-e0227999</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Minimizing the number of patient-reported outcome measures (PROMs) can reduce patient burden. The primary aim of the present study was to investigate whether physical therapists (PTs) can estimate psychological PROM scores in patients with low back pain (LBP) through physical therapy evaluation. The secondary aims were; 1) to investigate whether the clinical experiences of PTs influence correlations between PT estimates and psychological PROM scores, and 2) to investigate the sensitivity and specificity of PT estimates for the psychological features detected by the PROMs. We recruited hospitalized patients owing to LBP, who underwent evaluation by PTs on the initial day of hospitalization. Patients completed PROMs, including the Pain Catastrophizing Scale (PCS), Tampa Scale for Kinesiophobia, and Hospital Anxiety and Depression Scale immediately before the initial physical therapy session. PTs rated the magnitude of patient kinesiophobia, pain catastrophizing, anxiety, and depression using an 11-point numerical rating scale (NRS; 0 = not detected at all, 10 = very highly detected) through physical therapy evaluation immediately after the initial session. The PTs were blinded to the PROM results. We categorized PTs into two subgroups (PTs with ≥4 years and those with <4 years of clinical experience). Data from 78 patients (mean [SD] age = 60.5 [16.3] years) and 21 PTs were analyzed. A statistically significant but weak correlation (P = .04, Spearman's ρ = .24) was detected only in the total PCS scores and PT NRS scores in a dataset of all patients and PTs. Further, there were no statistically significant differences in correlations (all P >.05) between the two subgroups of PTs in all measures. Low sensitivity and high specificity of PT estimates for psychological features through physical therapy evaluation were identified in all PROMs when PT NRS scores were categorized into the binary score by 5 (negative: <5; positive: ≥5).</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>31961900</pmid><doi>10.1371/journal.pone.0227999</doi><tpages>e0227999</tpages><orcidid>https://orcid.org/0000-0002-0648-2675</orcidid><orcidid>https://orcid.org/0000-0003-3699-2294</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Anxiety Back pain Biology and Life Sciences Care and treatment Clinical outcomes Correlation Depression (Mood disorder) Estimates Evaluation Female Hospital patients Humans Japan Low back pain Low Back Pain - therapy Male Medical diagnosis Medical research Medicine and Health Sciences Mental depression Middle Aged Pain Pain Measurement Patient outcomes Patient Reported Outcome Measures Patients Physical Therapists Physical therapy Proms (Parties) Quality of life Research and Analysis Methods Sensitivity Social Sciences Statistical analysis Statistical significance Subgroups Validity Young Adult |
| title | Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain |
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