Sorry if you guys have commented on this before. I suspect you’re not fans but wondering if you could share any additional insight? My experience is that while such a decision aid is reasonably good at identifying red flags, the assessment and interventions do not follow current evidence. Furthermore the focus on structural pathology and under representation of contextual factors looks like it’s a recipe for nocebo.
Hmmm, I have never seen this before. Other than the mechanical diagnosis bias I don’t have much issue with it at first glance from an algorithm standpoint. If a clinician were to have that in front of me and go through it question by question though I would say my therapeutic alliance would not be high with that individual. The “inflammation” red flag I also have some problems with as it automatically assumes chronic needs a rheum consult. I think some of this comes down to what “tool” you were exposed to first. I am definitely in the camp that most low back pain cannot be attributed to a singular anatomical cause but screening for yellow flags I would argue is needed in all cases. I helped on the research for the OSPRO and am partial to that but have used the STaRT back tool as well. Overall I would give it a solid B.