A comparative study assessing accuracy of prognosis in an osteopathic setting
Item
- Title
- A comparative study assessing accuracy of prognosis in an osteopathic setting
- Author(s)
- Oduwusi, Folasade
- Abstract
- ObjectivesThis study aims to analyse agreement between prognostic and actual treatment frequency amongst: osteopathic clinicians treating symptomatic low back pain patients, the Start Back Tool questionnaire and DataEase software. MethodsA pilot study was performed, where the Start Back Tool questionnaires were given out to symptomatic low back non-primary care trust patients within an osteopathic setting. Retrospective analysis of DataEase database allowed for prognostic and actual outcomes to be compared to clinician accuracy. ResultsCohen's weighted [Kappa] for the agreement between the Start Back Tool and clinician prognosis was k=-0.174, indicating poor agreement. The [95% confidence interval (CI) of 2.765-3.477] for the predicted treatment number against actual treatment number indicated ‘slight’ levels of inter-reliability agreement using F? statistic. The F? statistic also indicated that clinicians were better at predicting outcome over the Start Back Tool. However all F? values failed to exceed 0.4 which would be necessary for it to be considered to be clinically reliable. DiscussionClinicians made better risk estimations over the Start Back Tool, demonstrating its inability to accurately synthesis yellow flag patient histories coherently. Yet practitioners constantly over predicted the necessary number of treatments required. More research is needed to test the consistency in prognosis and decision making.
- presented at
- British College of Osteopathic Medicine
- Date Accepted
- 2013
- Date Submitted
- 14.11.2018 12:41:35
- Type
- osteo_thesis
- Language
- English
- Number of pages
- 35
- Submitted by:
- 4457
- Pub-Identifier
- 16331
- Inst-Identifier
- 1076
- Keywords
- Low Back Pain, Osteopathy, Prognosis, Prognostic, Recovery, Start Back Tool , Yellow Flags
- Recommended
- 1
- Item sets
- Thesis
Oduwusi, Folasade, “A comparative study assessing accuracy of prognosis in an osteopathic setting”, Osteopathic Research Web, accessed April 28, 2024, https://www.osteopathic-research.com/s/orw/item/2018