Systematic reviewDiagnostic accuracy of self-report and subjective history in the diagnosis of low back pain with non-specific lower extremity symptoms: A systematic review
Section snippets
Background
Low-back and low-back related leg pain complaints are frequently addressed by healthcare practitioners. These conditions can be seriously debilitating to patients and impose a significant social and economic burden on the community (Delitto et al., 2012). Accompanying leg pain is present in approximately 25–57% of all LBP cases (Shäfer et al., 2009). Low-back related leg pain with or without nerve root involvement is also associated with a poor prognosis compared to low back pain (LBP) alone (
Study design
A systematic review conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines for Reporting Systematic Reviews (Liberati et al., 2009). PRISMA is intended to improve the “transparency and scientific merit” of systematic reviews and meta-analyses using a 27-item checklist (Liberati et al., 2009). The PRISMA guidelines were followed and the 27-item checklist was completed in order to improve the reporting of this systematic review.
Selection of studies
The systematic search of relevant electronic databases and a comprehensive hand search resulted in a total of 517 articles (Fig. 1). After the duplicates were removed and further screened, we had a total of 38 full-text articles evaluated through a full-text screening, in which 26 studies were excluded for various reasons (Table 3). Resultantly, a total of 11 studies were included in this review. The inter-observer reliability of the study selection for title reviews, abstract reviews, and
Discussion
The purpose of this study was to examine the diagnostic accuracy of self-report items and subjective history questions used to identify underlying spinal conditions that commonly cause low back-related leg pain. This review evaluated 11 diagnostic studies that specifically assessed the diagnostic ability of the history questions from interview, questionnaire, and/or self-report to identify conditions commonly associated with low back related leg pain. The literature available most commonly
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2023, Interdisciplinary Neurosurgery: Advanced Techniques and Case ManagementSelf-report and subjective history in the diagnosis of painful neck conditions: A systematic review of diagnostic accuracy studies
2017, Musculoskeletal Science and PracticeCitation Excerpt :The level of evidence for this review is 3a, which demonstrates that there is limited evidence in this area of research. One other study to the author's knowledge has investigated the diagnostic accuracy of subjective history and/or self-reported symptoms, but this study investigated low back and low back related leg pain (Shultz et al., 2015). The majority of literature investigates the physical examination independently and there is limited research focused solely on the subjective history.
Sensory descriptors which identify neuropathic pain mechanisms in low back pain: a systematic review
2020, Current Medical Research and Opinion