Accepted Manuscript Title: Clinical classification criteria for radicular pain caused by lumbar disc herniation: the RAPIDH criteria (RAdicular PaIn caused by Disc Herniation) Author: Stéphane Genevay, Delphine S. Courvoisier, Kika Konstantinou, Francisco M. Kovacs, Marc Marty, James Rainville, Michael Norberg, Jean- François Kaux, Thomas D. Cha, Jeffrey N. Katz, Steven J. Atlas PII: S1529-9430(17)30196-1 DOI: http://dx.doi.org/doi: 10.1016/j.spinee.2017.05.005 Reference: SPINEE 57316 To appear in: The Spine Journal Received date: 24-8-2016 Revised date: 9-3-2017 Accepted date: 2-5-2017 Please cite this article as: Stéphane Genevay, Delphine S. Courvoisier, Kika Konstantinou, Francisco M. Kovacs, Marc Marty, James Rainville, Michael Norberg, Jean-François Kaux, Thomas D. Cha, Jeffrey N. Katz, Steven J. Atlas, Clinical classification criteria for radicular pain caused by lumbar disc herniation: the RAPIDH criteria (RAdicular PaIn caused by Disc Herniation), The Spine Journal (2017), http://dx.doi.org/doi: 10.1016/j.spinee.2017.05.005. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
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Accepted Manuscript
Title: Clinical classification criteria for radicular pain caused by lumbar disc
herniation: the RAPIDH criteria (RAdicular PaIn caused by Disc Herniation)
Author: Stéphane Genevay, Delphine S. Courvoisier, Kika Konstantinou,
Francisco M. Kovacs, Marc Marty, James Rainville, Michael Norberg, Jean-
François Kaux, Thomas D. Cha, Jeffrey N. Katz, Steven J. Atlas
Surgeons, The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust. 13
From the United States of America (USA) Pradeep Suri fellow PMR New England Baptist, 14
Boston (MA). We also wish to thank MSD for their financial support 15
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REFERENCES 19
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Figure 1. Receiver operating characteristic (ROC curve) of the score obtained using the full 1
model (M1), and the RAPIDH score (S7). There is only minor difference between M1 and the 2
RAPIDH score. 3
4
5
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Table 1: Patients’ characteristics - Figures are means (standard deviation) unless otherwise 1
specified 2
Radicular pain caused by
LDH
N=89
Other (neurogenic claudication
caused by LSS or NSLBP with
referred leg pain)
N=120
p
Age 46.8 (13.0) 55.8 (18.0) <0.001
Sex (female) 31 (36.9%) 62 (53.0%) 0.03
Duration of back pain
(years)
5.1 (7.6) 7.2 (9.1) 0.07
Duration of leg pain
(years)
1.8 (4.8) 3.6 (5.5) 0.02
Worst pain location
Back
Leg
Both equally
14 (16.5%)
48 (56.5%)
23 (27.1%)
29 (26.4%)
40 (36.4%)
41 (37.3%)
0.02
3
4
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Table 2: GEE model with logit link and exchangeable correlation matrix to predict radicular 1
pain caused by lumbar disc herniation 2
Estimate OR p score
Intercept -4.407 0.012 <0.001 -
Monoradicular: not monoradicular 1 (Reference) 1 (Reference)
Monoradicular L3 or L4 2.983 19.743 <0.001 3.0
Monoradicular L5or S1 2.903 18.221 <0.001 2.9
Decreased ankle reflex: absence of 1 (Reference) 1 (Reference)