Screening method | No. of patients identified using this cutoff | No. of patients undergoing surgery | Sensitivity, % | Specificity, % | Positive predictive value, % | Negative predictive value, % |
---|---|---|---|---|---|---|
Questionnaire | ||||||
More sensitive (i.e., clearly back-dominant pain) | ||||||
Yes — Poor candidate for surgery | 18 | 0 | 100 | 35 | 18 | 100 |
No — Good candidate for surgery | 40 | 7 | ||||
More specific (i.e., leg-dominant pain) | ||||||
Yes — Good candidate for surgery | 20 | 6 | 86 | 73 | 30 | 97 |
No — Poor candidate for surgery | 38 | 1 | ||||
Neurocompressive lesion on CT or MRI scans | ||||||
Yes — Good candidate for surgery | 45 | 7 | 100 | 25 | 16 | 100 |
No — Poor candidate for surgery | 13 | 0 | ||||
Referral from pain specialist | ||||||
Yes — Good candidate for surgery | 27 | 6 | 86 | 59 | 22 | 97 |
No — Poor candidate for surgery | 31 | 1 |
CT = computed tomography; MRI = magnetic resonance imaging.