Carol S Scherrer, Josephine L Dorsch, Ann C Weller
An evaluation of a collaborative model for preparing evidence-based medicine teachers
Journal of the Medical Library Association : JMLA
recurrence low back pain lbp common clinicians could identify individuals risk recurrence would enhance clinical decisionmaking tailored patient care develop validate simple tool predict probability recurrence lbp 3 12months following recovery data utilised prediction model development came prospective inception cohort study participants n 250 recently recovered lbp sought care chiropractic physiotherapy services outcome measure recurrence activitylimiting lbp candidate predictor variables eg basic demographics lbp history levels physical activity etc collected baseline considered inclusion multivariable cox model models performance tested separate validation dataset participants n 261 involved randomised controlled trial investigating exercise prevention lbp recurrences final model included number previous episodes total sitting time level education development sample discrimination acceptable harrells cstatistic 061 95 ci 059062 validation sample discrimination poor 056 95 ci 054058 calibration model validation dataset acceptable 3 months less precise 12 months developed prediction model included number previous episodes total sitting time level education perform adequately validation sample recommend use clinical practice predicting recurrence lbp clinical practice remains challenging