1. Multivariable prediction models for the recovery of and claim closure related to post-collision neck pain and associated disorders
- Author
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Maja Stupar, Pierre Côté, Linda J. Carroll, Robert J. Brison, Eleanor Boyle, Heather M. Shearer, and J. David Cassidy
- Subjects
Neck pain ,Whiplash ,Clinical prediction model ,Rehabilitation ,Disability ,Health recovery ,Chiropractic ,RZ201-275 ,Diseases of the musculoskeletal system ,RC925-935 - Abstract
Abstract Objective Few clinical prediction models are available to clinicians to predict the recovery of patients with post-collision neck pain and associated disorders. We aimed to develop evidence-based clinical prediction models to predict (1) self-reported recovery and (2) insurance claim closure from neck pain and associated disorders (NAD) caused or aggravated by a traffic collision. Methods The selection of potential predictors was informed by a systematic review of the literature. We used Cox regression to build models in an incident cohort of Saskatchewan adults (n = 4923). The models were internally validated using bootstrapping and replicated in participants from a randomized controlled trial conducted in Ontario (n = 340). We used C-statistics to describe predictive ability. Results Participants from both cohorts (Saskatchewan and Ontario) were similar at baseline. Our prediction model for self-reported recovery included prior traffic-related neck injury claim, expectation of recovery, age, percentage of body in pain, disability, neck pain intensity and headache intensity (C = 0.643; 95% CI 0.634–0.653). The prediction model for claim closure included prior traffic-related neck injury claim, expectation of recovery, age, percentage of body in pain, disability, neck pain intensity, headache intensity and depressive symptoms (C = 0.637; 95% CI 0.629–0.648). Conclusions We developed prediction models for the recovery and claim closure of NAD caused or aggravated by a traffic collision. Future research needs to focus on improving the predictive ability of the models.
- Published
- 2023
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