RTW prognostic tools

Prognostic toolS for Return-to-work outcomes

STarT Back screening tool

STarT Back screening tool

OMPQ-10

OMPQ-10

OMPQ item #16 + #15

OMPQ item #16

OMPQ: Orebro Musculoskeletal Pain Questionnaire

#15 In your view, how large is the risk that your current pain may become persistent? #16 In your estimation, what are the chances that you will be able to work in six months? Return to work at three months - AUC = 0.77 (0.68 to 0.86) Time to return-to-work - C-statistic = 0.72 (0.64 to 0.79)

In your estimation, what are the chances that you will be able to work in six months? Return to work at three months - AUC = 0.76 (0.66 to 0.85) Time to return-to-work - C-statistic = 0.71 (0.64 to 0.78)

Prediction

• 1) Absenteeism: more than 5 days per annum
• 2) Presenteeism: 6.5 days or more per annum

Discriminative capability

• 1) 0,650 (95% CI = 0.578 - 0.724)
• 2) 0,548 (95% CI = 0,475 - 0,621)

Threshold

• 50/100

Prédiction

• Plus de 14 jours de congé de maladie dans les prochains 6 mois

Capacité de discrimination

• 0.81 (95% CI = 0.74–0.86)

Valeur prédictive

• N/R

Seuil de discrimination

• 50/100

Prediction

• Poor work ability at 12 months follow-up

Discriminative capability

• 0.68 (95% CI = 0.61 - 0.76)

Predictive value

• Low risk VS moderate/high risk
• LR+ = 1.44
• LR- = 0.58
• High risk VS low/moderate risk
• LR+ = 4.27
• LR- = 0.82

Threshold

• ≤3: Low risk
• ≤4 + <4 (questions 5-9): Moderate risk
• ≥4 (questions 5-9): High risk

Prediction

• Cumulated sick leaves of 30 days or more

Discrimination capability

• 0.885 (95% CI= 0.818 - 0.952)

Threshold

• ≤3: Low risk
• ≤4 + <4 (questions 5-9): moderate risk
• ≥4 (questions 5-9): High risk