Background

The SANE is a PROM of recovery, which may assist clinicians in clinical decision-making and discharge planning. The psychometric measurement properties of the SANE have yet to be determined for neck pain.

Objectives

Threefold objectives included: 1)determine the numerical threshold for the SANE at which patients with neck pain determine their symptoms are acceptable; 2)determine the association between scores for the NDI and VAS, with the SANE; 3)determine the average number of visits, costs and value associated with the management of neck pain.

Design

Longitudinal repeated measures cohort design.

Methods

Threshold measures for self-reported recovery with the SANE anchored to the PASS were examined using ROC. PCC determined the relationship between the VAS/pain and NDI raw/percentage change scores and the SANE at discharge. Descriptive statistics were used for number of visits and cost. Value was calculated as the proportion of change on the NDI and VAS/$100 US dollars spent.

Results

57 subjects completed full observation. ROC analysis indicates a threshold value of 82.5%(Sn = 56.0, Sp = 85.7,+LR = 1.68,-LR = 0.29) on the SANE with an AUC of 0.820(95%CI = 0.638, 1.00). A weak correlation was found between raw NDI(r = 0.39 p < 0.05)/Pain(r = 0.45 p < 0.05) scores and the SANE with a moderate correlation between percent change scores of NDI(r = 0.52 p < 0.05)/PAIN(r = 0.54 p < 0.05) and the SANE. The value proposition indicated cost of care amounted to a 10.5% and 12.9%; improvement in the NDI and pain scores/$100 spent.

Conclusions

Patients reporting greater than 82.5% on the SANE are likely to find their present status acceptable and potentially stop seeking care.

中文翻译：

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颈痛患者自我报告恢复的单一评估数值评估 (SANE) 的标准验证和可解释性

背景

SANE 是恢复的 PROM，可以帮助临床医生进行临床决策和出院计划。SANE 的心理测量特性尚未确定用于颈部疼痛。

目标

三重目标包括：1）确定颈部疼痛患者确定其症状可接受的 SANE 数值阈值；2) 用 SANE 确定 NDI 和 VAS 分数之间的关联；3) 确定与颈部疼痛管理相关的平均就诊次数、成本和价值。

设计

纵向重复测量队列设计。

方法

使用 ROC 检查了用于将 SANE 锚定到 PASS 的自我报告恢复的阈值测量。PCC 确定了 VAS/疼痛和 NDI 原始/百分比变化评分与出院时的 SANE 之间的关系。描述性统计用于访问次数和成本。价值计算为 NDI 和 VAS 变化的比例/花费的 100 美元。

结果

57 名受试者完成了全面观察。 ROC 分析表明 SANE 的阈值为 82.5%（Sn = 56.0，Sp = 85.7，+LR = 1.68，-LR = 0.29），AUC 为 0.820（95%CI = 0.638，1.00）。原始 NDI(r = 0.39 p < 0.05)/Pain(r = 0.45 p < 0.05) 分数与 SANE 之间存在弱相关性，NDI(r = 0.52 p < 0.05)/PAIN 的百分比变化分数之间存在中等相关性(r = 0.54 p < 0.05) 和 SANE。价值主张表明护理成本分别为 10.5% 和 12.9%； NDI 和疼痛评分的改善/花费 100 美元。

结论

报告 SANE 超过 82.5% 的患者可能会发现他们目前的状态可以接受，并可能停止寻求护理。