Skip to main content
. Author manuscript; available in PMC: 2016 Mar 1.
Published in final edited form as: Eur J Pain. 2015 Mar;19(3):439–446. doi: 10.1002/ejp.615

Table 4.

Sensitivity, specificity, PPV, NPV, LR+ and LR− for STarT-Back and 9APSI criteria to identify high- and low-risk patients in the STarT-Back validation and the POP samples using available definitions for a poor outcome.

SBSTa
9APSI-POP
Poor outcome
definition
RMDQ ≥7
at 6 months
RMDQ ≥7
at 6 months
Perceived non-recovery
and ≥3 pain at 6 months
RMDQ ≥7
at 2 years
Grade 2 Von Korff
at 2 years
Perceived non-recovery
and ≥3 pain at 2 years







Risk group H versus
L/M
H/M
versus L
H versus
L/M
H/M
versus L
H versus
L/M
H/M
versus L
H versus
L/M
H/M
versus L
H versus
L/M
H/M
versus L
H versus
L/M
H/M
versus L
Sensitivity 29.6%* 80.1% 32.1% 81.7% 27.5% 76.8% 36.6% 77.1% 21.2% 80.7% 25.9% 73 8%
Specificity 94.6% 65.4% 80.1% 37.8% 82.3% 35.1% 77.6% 39.4% 81.5% 38.5% 83.5% 36.8%
PPV 78.4% 60.4% 29.6% 27.6% 25.9% 16.4% 28.6% 30.0% 21.7% 23.6% 28.6% 20.7%
NPV 67.1% 83.3% 82.0% 87.8% 83.5% 90.7 83.3% 83.7% 81.0% 89.5% 82.3% 86.2%
LR+ 5.48 2.32 1.61 1.31 1.55 1.18 1.63 1.27 1.15 1.31 1.57 1.17
LH− 0.74 0.30 0.85 0.48 0.88 0.66 0.82 0.58 0.97 0.50 0.89 0.71

9APSI, Nine Analogous Predictive Screening Items; H, high risk; L, low risk according to STarT-Back criteria; LH−, negative likelihood ratio; LR+, positive likelihood ratio; M, medium risk; NPV, negative predictive value; POP, Prognosis of Pain study sample; PPV, positive predictive value; RMDQ, Roland–Morris Disability Questionnaire.

*

The value of 39.6% in Table 4 by Hill et al. (2008) may be a typo, as we recalculated all values using the numbers provided in the text on page 638: 58 of 196 are 29.6% participants with RMDQ score ≥7.

a

Six individuals were not accounted for reducing the sample size with complete data to 494.