A modified version of the Keele Subgroups for Targeted Treatment (STarT) Back Screening Tool appears to accurately reflect physical and psychosocial domains in patients with lower extremity trauma who require surgical fixation.
Why this matters
In any one year, 700,000 people suffer from a lower extremity fracture that require surgical fixation in the United States. A large proportion also report long-term persistent pain.
There is currently no screening tool to assess patient risk for adverse outcomes after trauma. Psychosocial factors have been associated with pain and disability after trauma and should be incorporated into such screening tool.
Administering multiple questionnaires is not clinically practical, hence adapting the STarT Back Screening Tool that assesses multiple psychosocial factors and physical impairment may be relevant for patients with lower extremity trauma.