Fuente
Este artículo es originalmente publicado en:
http://www.ncbi.nlm.nih.gov/pubmed/25573009
http://www.jospt.org/doi/abs/10.2519/jospt.2015.5723?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dpubmed&#.VSM_5_mG9EM
http://www.anatomia-fisioterapia.es/33-systems/musculoskeletal/spine/lumbar/1095-rpc-diagnosticas-para-subtipos-especificos-de-lumbalgia
De:
Haskins R1, Osmotherly PG, Rivett DA.
J Orthop Sports Phys Ther. 2015 Feb;45(2):61-76, A1-4. doi: 10.2519/jospt.2015.5723. Epub 2015 Jan 8.
Todos los derechos reservados para:
©2015 Journal of Orthopaedic & Sports Physical Therapy
Abstract
STUDY DESIGN:
Systematic review.
OBJECTIVES:
To identify diagnostic clinical prediction rules (CPRs) for low back pain (LBP) and to assess their readiness for clinical application.
BACKGROUND:
Significant research has been invested into the development of CPRs that may assist in the meaningful subgrouping of patients with LBP. To date, very little is known about diagnostic forms of CPRs for LBP, which relate to the present status or classification of an individual, and whether they have been developed sufficiently to enable their application in clinical practice.
METHODS:
A sensitive electronic search strategy using 7 databases was combined with hand searching and citation tracking to identify eligible studies. Two independent reviewers identified relevant studies for inclusion using a 2-stage selection process. The quality appraisal of included studies was conducted by 2 independent raters using the Quality Assessment of Diagnostic Accuracy Studies-2 and checklists composed of accepted methodological standards for the development of CPRs.
RESULTS:
Of 10 014 studies screened for eligibility, the search identified that 13 diagnostic CPRs for LBP have been derived. Among those, 1 tool for identifying lumbar spinal stenosis and 2 tools for identifying inflammatory back pain have undergone validation. No impact analysis studies were identified.
CONCLUSION:
Most diagnostic CPRs for LBP are in their initial development phase and cannot be recommended for use in clinical practice at this time. Validation and impact analysis of the diagnostic CPRs identified in this review are warranted, particularly for those tools that meet an identified unmet need of clinicians who manage patients with LBP.
LEVEL OF EVIDENCE:
Diagnosis, level 2a-.
KEYWORDS:
decision support techniques; sensitivity; specificity
- PMID:
- 25573009
- [PubMed - in process]
RPC diagnósticas para subtipos específicos de lumbalgia
La lumbalgia (LBP) está considerada una patología heterogénea, caracterizada por un amplio rango de síntomas, pronósticos y respuestas a tratamientos específicos. Clasificar a los pacientes en subgrupos diagnósticos específicos podría facilitar futuros avances en relación a nuestra comprensión y consecuente manejo de la lumbalgia. La siguiente revisión sistemática tuvo como objetivo identificar las reglas de predicción clínica (RPCs) para la lumbalgia y valorar su disponibilidad para la aplicación clínica.Se identificaron 13 estudios con RPCs para la lumbalgia. Entre estos, 1 herramienta para identificar la estenosis lumbar y 2 herramientas para identificar la lumbalgia inflamatoria que han sido validados. No se identificaron estudios de análisis de impacto. La mayoría de RPCs diagnósticas están en una fase de desarrollo inicial y no pueden ser recomendadas para la práctica clínica habitual.La validación y el análisis de impacto de las RPCs diagnósticas identificadas en esta revisión están garantizadas, particularmente aquellas herramientas que conocen e identifican necesidades no conocidas de los clínicos que tratan pacientes con lumbalgia.> De: Haskins et al., J Orthop Sports Phys Ther 45 (2015) 61-76. Todos los derechos reservados: Journal of Orthopaedic & Sports Physical Therapy. Pincha aquí para acceder al resumen de Pubmed.. Traducido por Francisco Jimeno Serrano
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