The Sheen Paajanen grOin Recommended Treatment ‘SPoRT’ score for groin pain
Introduction Evaluating groin pain still evades many clinicians at times as they have difficulty determining the cause of pain when no true hernia exists. This study’s aim was to evaluate a simple and novel scoring system which is reproducible, to help determine whether conservative measures or surg...
Gespeichert in:
| Veröffentlicht in: | Hernia : the journal of hernias and abdominal wall surgery 2023-10, Vol.27 (5), p.1085-1093 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1093 |
|---|---|
| container_issue | 5 |
| container_start_page | 1085 |
| container_title | Hernia : the journal of hernias and abdominal wall surgery |
| container_volume | 27 |
| creator | Biswas, S. Pilkington, J. J. Stathakis, P. Jamdar, S. Harwood, R. Paajanen, H. Sheen, A. J. |
| description | Introduction
Evaluating groin pain still evades many clinicians at times as they have difficulty determining the cause of pain when no true hernia exists. This study’s aim was to evaluate a simple and novel scoring system which is reproducible, to help determine whether conservative measures or surgery is recommended for the management of groin pain attributable to inguinal disruption.
Material & methods
A retrospective analysis of all patients from 2018 to 2020 that underwent surgery or conservative management for inguinal disruption with at least a 1-year follow-up were evaluated. The scoring system is based on MRI and ultrasound imaging as well as clinical findings, with scores given from − 2 to + 2 based on the defined findings listed. A maximum total of four points scored for each assessment was used. Sensitivity and specificity analysis was conducted for each potential score cut off point.
Results
A total of 172 patients were evaluated with 33 patients (19%) undergoing conservative management and 139 patients (81%) undergoing surgery. The median SPoRT score for the surgery group was 2.0 (1.0, 3.0), and − 1.0 (− 3.0, 0.0) in the physiotherapy group which was a significant difference (
p
|
| doi_str_mv | 10.1007/s10029-023-02771-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2805514310</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2869379396</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-83e7031829ea3d58531bb909161a6544e084dbe1cc8676dcb3773c179c6aa9af3</originalsourceid><addsrcrecordid>eNp9kLtOwzAYhS0EoqXwAgwoEgtLwI4TOx5RxU2q1KoNs-U4f9pUTVzsdmDrY8Dr9UlwSbmIgcH2kfyd498HoXOCrwnG_Mb5PRIhjqhfnJOQHaAuieI0FBGOD3_pDjpxbo4xTmOWHqMO5VhQGuMuGmYzCCYzgCYYKTVXjRdTO6yaYAza1DU0BRRBZkGtvF4F283bZGTG2XbzHjhtLASlsd5hvGOpquYUHZVq4eBsf_bQ8_1d1n8MB8OHp_7tINQ0YqswpcAxJWkkQNEiSRNK8lxgQRhRLIlj8JMWORCtU8ZZoXPKOdWEC82UEqqkPXTV5i6teVmDW8m6choWC_8Ds3YySnGSkJgS7NHLP-jcrG3jp_MUE5QLKpinopbS1jhnoZRLW9XKvkqC5a5u2dYtfd3ys265M13so9d5DcW35atfD9AWcP6qmYL9efuf2A_VK4om</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2869379396</pqid></control><display><type>article</type><title>The Sheen Paajanen grOin Recommended Treatment ‘SPoRT’ score for groin pain</title><source>SpringerLink Journals - AutoHoldings</source><creator>Biswas, S. ; Pilkington, J. J. ; Stathakis, P. ; Jamdar, S. ; Harwood, R. ; Paajanen, H. ; Sheen, A. J.</creator><creatorcontrib>Biswas, S. ; Pilkington, J. J. ; Stathakis, P. ; Jamdar, S. ; Harwood, R. ; Paajanen, H. ; Sheen, A. J.</creatorcontrib><description>Introduction
Evaluating groin pain still evades many clinicians at times as they have difficulty determining the cause of pain when no true hernia exists. This study’s aim was to evaluate a simple and novel scoring system which is reproducible, to help determine whether conservative measures or surgery is recommended for the management of groin pain attributable to inguinal disruption.
Material & methods
A retrospective analysis of all patients from 2018 to 2020 that underwent surgery or conservative management for inguinal disruption with at least a 1-year follow-up were evaluated. The scoring system is based on MRI and ultrasound imaging as well as clinical findings, with scores given from − 2 to + 2 based on the defined findings listed. A maximum total of four points scored for each assessment was used. Sensitivity and specificity analysis was conducted for each potential score cut off point.
Results
A total of 172 patients were evaluated with 33 patients (19%) undergoing conservative management and 139 patients (81%) undergoing surgery. The median SPoRT score for the surgery group was 2.0 (1.0, 3.0), and − 1.0 (− 3.0, 0.0) in the physiotherapy group which was a significant difference (
p
< 0.001). An optimal cut off of ≤ 0 for physio and ≥ 1 for surgery was established, yielding a sensitivity of 90.9% (95% CI 75.7%–98.1%), a specificity of 89.2% (95% CI 82.8%–93.8%) and an area under the curve (AUC) of 0.936 (95% CI 0.874–0.997).
Discussion
SPoRT score of ≤ 0 can recommend a patient should undergo conservative measures or physiotherapy as a mainstay of treatment with a score of ≥ 1 recommending surgery. Further validation of the score is necessary.</description><identifier>ISSN: 1248-9204</identifier><identifier>ISSN: 1265-4906</identifier><identifier>EISSN: 1248-9204</identifier><identifier>DOI: 10.1007/s10029-023-02771-6</identifier><identifier>PMID: 37093340</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Abdominal Surgery ; Hernia ; Medicine ; Medicine & Public Health ; Original Article ; Pain ; Patients ; Physical therapy ; Surgery</subject><ispartof>Hernia : the journal of hernias and abdominal wall surgery, 2023-10, Vol.27 (5), p.1085-1093</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-83e7031829ea3d58531bb909161a6544e084dbe1cc8676dcb3773c179c6aa9af3</cites><orcidid>0000-0001-6054-5385</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10029-023-02771-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10029-023-02771-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37093340$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Biswas, S.</creatorcontrib><creatorcontrib>Pilkington, J. J.</creatorcontrib><creatorcontrib>Stathakis, P.</creatorcontrib><creatorcontrib>Jamdar, S.</creatorcontrib><creatorcontrib>Harwood, R.</creatorcontrib><creatorcontrib>Paajanen, H.</creatorcontrib><creatorcontrib>Sheen, A. J.</creatorcontrib><title>The Sheen Paajanen grOin Recommended Treatment ‘SPoRT’ score for groin pain</title><title>Hernia : the journal of hernias and abdominal wall surgery</title><addtitle>Hernia</addtitle><addtitle>Hernia</addtitle><description>Introduction
Evaluating groin pain still evades many clinicians at times as they have difficulty determining the cause of pain when no true hernia exists. This study’s aim was to evaluate a simple and novel scoring system which is reproducible, to help determine whether conservative measures or surgery is recommended for the management of groin pain attributable to inguinal disruption.
Material & methods
A retrospective analysis of all patients from 2018 to 2020 that underwent surgery or conservative management for inguinal disruption with at least a 1-year follow-up were evaluated. The scoring system is based on MRI and ultrasound imaging as well as clinical findings, with scores given from − 2 to + 2 based on the defined findings listed. A maximum total of four points scored for each assessment was used. Sensitivity and specificity analysis was conducted for each potential score cut off point.
Results
A total of 172 patients were evaluated with 33 patients (19%) undergoing conservative management and 139 patients (81%) undergoing surgery. The median SPoRT score for the surgery group was 2.0 (1.0, 3.0), and − 1.0 (− 3.0, 0.0) in the physiotherapy group which was a significant difference (
p
< 0.001). An optimal cut off of ≤ 0 for physio and ≥ 1 for surgery was established, yielding a sensitivity of 90.9% (95% CI 75.7%–98.1%), a specificity of 89.2% (95% CI 82.8%–93.8%) and an area under the curve (AUC) of 0.936 (95% CI 0.874–0.997).
Discussion
SPoRT score of ≤ 0 can recommend a patient should undergo conservative measures or physiotherapy as a mainstay of treatment with a score of ≥ 1 recommending surgery. Further validation of the score is necessary.</description><subject>Abdominal Surgery</subject><subject>Hernia</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pain</subject><subject>Patients</subject><subject>Physical therapy</subject><subject>Surgery</subject><issn>1248-9204</issn><issn>1265-4906</issn><issn>1248-9204</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kLtOwzAYhS0EoqXwAgwoEgtLwI4TOx5RxU2q1KoNs-U4f9pUTVzsdmDrY8Dr9UlwSbmIgcH2kfyd498HoXOCrwnG_Mb5PRIhjqhfnJOQHaAuieI0FBGOD3_pDjpxbo4xTmOWHqMO5VhQGuMuGmYzCCYzgCYYKTVXjRdTO6yaYAza1DU0BRRBZkGtvF4F283bZGTG2XbzHjhtLASlsd5hvGOpquYUHZVq4eBsf_bQ8_1d1n8MB8OHp_7tINQ0YqswpcAxJWkkQNEiSRNK8lxgQRhRLIlj8JMWORCtU8ZZoXPKOdWEC82UEqqkPXTV5i6teVmDW8m6choWC_8Ds3YySnGSkJgS7NHLP-jcrG3jp_MUE5QLKpinopbS1jhnoZRLW9XKvkqC5a5u2dYtfd3ys265M13so9d5DcW35atfD9AWcP6qmYL9efuf2A_VK4om</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Biswas, S.</creator><creator>Pilkington, J. J.</creator><creator>Stathakis, P.</creator><creator>Jamdar, S.</creator><creator>Harwood, R.</creator><creator>Paajanen, H.</creator><creator>Sheen, A. J.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6054-5385</orcidid></search><sort><creationdate>20231001</creationdate><title>The Sheen Paajanen grOin Recommended Treatment ‘SPoRT’ score for groin pain</title><author>Biswas, S. ; Pilkington, J. J. ; Stathakis, P. ; Jamdar, S. ; Harwood, R. ; Paajanen, H. ; Sheen, A. J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-83e7031829ea3d58531bb909161a6544e084dbe1cc8676dcb3773c179c6aa9af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Hernia</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pain</topic><topic>Patients</topic><topic>Physical therapy</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Biswas, S.</creatorcontrib><creatorcontrib>Pilkington, J. J.</creatorcontrib><creatorcontrib>Stathakis, P.</creatorcontrib><creatorcontrib>Jamdar, S.</creatorcontrib><creatorcontrib>Harwood, R.</creatorcontrib><creatorcontrib>Paajanen, H.</creatorcontrib><creatorcontrib>Sheen, A. J.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Biswas, S.</au><au>Pilkington, J. J.</au><au>Stathakis, P.</au><au>Jamdar, S.</au><au>Harwood, R.</au><au>Paajanen, H.</au><au>Sheen, A. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Sheen Paajanen grOin Recommended Treatment ‘SPoRT’ score for groin pain</atitle><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle><stitle>Hernia</stitle><addtitle>Hernia</addtitle><date>2023-10-01</date><risdate>2023</risdate><volume>27</volume><issue>5</issue><spage>1085</spage><epage>1093</epage><pages>1085-1093</pages><issn>1248-9204</issn><issn>1265-4906</issn><eissn>1248-9204</eissn><abstract>Introduction
Evaluating groin pain still evades many clinicians at times as they have difficulty determining the cause of pain when no true hernia exists. This study’s aim was to evaluate a simple and novel scoring system which is reproducible, to help determine whether conservative measures or surgery is recommended for the management of groin pain attributable to inguinal disruption.
Material & methods
A retrospective analysis of all patients from 2018 to 2020 that underwent surgery or conservative management for inguinal disruption with at least a 1-year follow-up were evaluated. The scoring system is based on MRI and ultrasound imaging as well as clinical findings, with scores given from − 2 to + 2 based on the defined findings listed. A maximum total of four points scored for each assessment was used. Sensitivity and specificity analysis was conducted for each potential score cut off point.
Results
A total of 172 patients were evaluated with 33 patients (19%) undergoing conservative management and 139 patients (81%) undergoing surgery. The median SPoRT score for the surgery group was 2.0 (1.0, 3.0), and − 1.0 (− 3.0, 0.0) in the physiotherapy group which was a significant difference (
p
< 0.001). An optimal cut off of ≤ 0 for physio and ≥ 1 for surgery was established, yielding a sensitivity of 90.9% (95% CI 75.7%–98.1%), a specificity of 89.2% (95% CI 82.8%–93.8%) and an area under the curve (AUC) of 0.936 (95% CI 0.874–0.997).
Discussion
SPoRT score of ≤ 0 can recommend a patient should undergo conservative measures or physiotherapy as a mainstay of treatment with a score of ≥ 1 recommending surgery. Further validation of the score is necessary.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>37093340</pmid><doi>10.1007/s10029-023-02771-6</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-6054-5385</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1248-9204 |
| ispartof | Hernia : the journal of hernias and abdominal wall surgery, 2023-10, Vol.27 (5), p.1085-1093 |
| issn | 1248-9204 1265-4906 1248-9204 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2805514310 |
| source | SpringerLink Journals - AutoHoldings |
| subjects | Abdominal Surgery Hernia Medicine Medicine & Public Health Original Article Pain Patients Physical therapy Surgery |
| title | The Sheen Paajanen grOin Recommended Treatment ‘SPoRT’ score for groin pain |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T09%3A11%3A50IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Sheen%20Paajanen%20grOin%20Recommended%20Treatment%20%E2%80%98SPoRT%E2%80%99%20score%20for%20groin%20pain&rft.jtitle=Hernia%20:%20the%20journal%20of%20hernias%20and%20abdominal%20wall%20surgery&rft.au=Biswas,%20S.&rft.date=2023-10-01&rft.volume=27&rft.issue=5&rft.spage=1085&rft.epage=1093&rft.pages=1085-1093&rft.issn=1248-9204&rft.eissn=1248-9204&rft_id=info:doi/10.1007/s10029-023-02771-6&rft_dat=%3Cproquest_cross%3E2869379396%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2869379396&rft_id=info:pmid/37093340&rfr_iscdi=true |