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. 2014 May 16;473(6):1931–1939. doi: 10.1007/s11999-014-3677-8

Table 1.

Previously identified candidate predictors of failure of nonoperative treatment for lumbosacral radiculopathy and characteristics of the studies in which they were identified*

Prognostic factor Clinical setting Country Duration of symptoms Followup Conflicting studies?ǂ Supporting studies?
Predictors of treatment failure defined as subsequent surgery
 Initial leg pain intensity [30] Primary care Netherlands Acute 6 months No Yes [20]
 Initial disability [20] Specialty care Netherlands Subacute 1 year No No
 Duration of symptoms [28] Specialty care France Acute 11–24 months Yes [30] No
 Prior low back pain [30] Primary care Netherlands Acute 6 months No No
 Positive straight leg raise test (SLR) [28] Specialty care France Acute 11–24 months Yes [20, 30] Yes [31]§
 Positive crossed SLR [30] Primary care Netherlands Acute 6 months No No
 Positive femoral stretch test [30] Primary care Netherlands Acute 6 months No Yes [31]§
Predictors of treatment failure defined as persistent leg pain at followup
 Initial leg pain intensity [11] Specialty care Norway Acute/chronic 1–2 years Yes [27] No
 Initial back pain intensity [11] Specialty care Norway Acute/chronic 1–2 years No No
 Female sex [12] Specialty care Denmark Acute/chronic 14 months Yes [17, 27] No
 Duration of symptoms [23] Specialty care United States Subacute/chronic 2–4 years Yes [11] No
 Smoking [11] Specialty care Norway Acute/chronic 1–2 years Yes [17] No
 Medical comorbidities [11] Specialty care Norway Acute/chronic 1–2 years No No
 Workers compensation [3] Specialty care United States Acute/chronic 4 years Yes [4] Yes [2]
 Muscle weakness (any) [11] Specialty care Norway Acute/chronic 1–2 years No No
 Herniation morphology [12]|| Specialty care Denmark Acute/chronic 14 months No No
Predictors of treatment failure defined as persistent disability at followup
 Initial disability [11] Specialty care Norway Acute/chronic 1–2 years No No
 Initial back pain intensity [11] Specialty care Norway Acute/chronic 1–2 years No No
 Female sex [12] Specialty care Denmark Acute/chronic 2 years No No
 Duration of symptoms [23] Specialty care United States Subacute/ chronic 2–4 years No Yes [11]
 Smoking [11] Specialty care Norway Acute/chronic 1–2 years No No
 Medical comorbidities [11] Specialty care Norway Acute/chronic 1–2 years No No
 Prior low back pain [11] Specialty care Norway Acute/chronic 2–4 years No No
 Workers compensation [3] Specialty care United States Acute/chronic 4 years, Yes [4] Yes [2]
 Herniation morphology [12]|| Specialty care Denmark Acute/chronic 14 months No No
 Abnormal tendon reflexes [11] Specialty care Norway Acute/chronic 1–2 years No No
Predictors of treatment failure defined as participant-reported lack of recovery at followup
 Age [14] Specialty care Netherlands Subacute 5 year Yes [21, 31] No
 Female sex [21] Specialty care Netherlands Subacute 1 year Yes [31] No
 Duration of symptoms [31] Primary care Netherlands Acute 3 months No No
 Smoking [21] Specialty care Netherlands Subacute 1 year Yes [31] No
 Workers compensation [3] Specialty care United States Acute/chronic 5–10 years No No
 Positive SLR [31] Primary care Netherlands Acute 3 months Yes [21] No
 Positive femoral stretch test [31] Primary care Netherlands Acute 3 months No No
 Foraminal herniation [33] Primary care Netherlands Acute 3 months No No

* All associations between candidate predictors and outcomes refer to positive associations, except for those studies cited under Conflicting studies; acute signifies duration of symptoms ≤ 12 weeks, whereas subacute signifies duration of 6–12 weeks; ǂConflicting studies refers to those in which no statistically significant association with an outcome was found or where a statistically significant association was found with a negative association (in the opposite direction than expected); §subsequent surgery was also included in a composite outcome; ||disc extrusions predicted lower pain intensity and disability; sequestrations and extrusions were collinear.