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Cochrane2023IaEN

Cochrane Review: Red flags to screen for vertebral fracture in patients presenting with low-back pain

Zusammenfassung

# Red flags to screen for vertebral fracture in patients presenting with low-back pain. ## EDITORIAL NOTE See https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD014461.pub2/full for a more recent review that covers this topic and has superseded this review. ## BACKGROUND Low-back pain (LBP) is a common condition seen in primary care. A principal aim during a clinical examination is to identify patients with a higher likelihood of underlying serious pathology, such as vertebral fract

Kerninformationen

dation. ## OBJECTIVES To assess the diagnostic accuracy of red flags obtained in a clinical history or physical examination to screen for vertebral fracture in patients presenting with LBP. ## SEARCH METHODS Electronic databases were searched for primary studies between the earliest date and 7 M...
conducted 'Risk of bias' assessment and data extraction. Risk of bias was assessed using the 11-item QUADAS tool. Characteristics of studies, patients, index tests and reference standards were extracted. Where available, raw data were used to calculate sensitivity and specificity with 95% confidence...
n bias the predominant flaws. Reporting of index and reference tests was poor. The prevalence of vertebral fracture in accident and emergency settings ranged from 6.5% to 11% and in primary care from 0.7% to 4.5%. There were 29 groups of index tests investigated however, only two featured in more th...
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